Examination of the abdomen: Cluster
Requires Ocean Archetype Editor
Build 1.0.1236 or above 		Comments to Heather Leslie (Ocean)
What do the symbols mean? 		© Copyright openEHR Foundation 2007

Concept

Archetype Id

Structure
For recording findings on physical examination of the abdomen Id: openEHR-EHR-CLUSTER.exam-abdomen.v1
Reference model: EHR
ADL, (ADL)

Cluster

 

Element

 
Examination of the abdomen (specialisation of: Examination), For recording findings on physical examination of the abdomen.       Cluster (1..1) mandatory
 
Normal statements, A group of statements about the normality of the examination.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Normal statement A specific statement of normalityText
optional, repeating
0..*		 Free or coded text

Concept

Description

Type

Cardinality

Values
Clinical description Textural description of the part examinedText
optional
0..1		 Free or coded text
Findings, Clinical findings.       Cluster (0..1) optional
 
Abdominal wall, *.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Description Clincial description of findingsCoded text
optional
0..1		 Free or coded text

Slot

Type

Occurrences

Constraints
CLUSTER 0..* Include entries
Abdominal Region, *.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Region *Coded text
optional
0..1		 Left upper quadrant
Epigastrium
Left upper quadrant
Right loin
Central/peri-umbilical
Left loin
Right iliac fossa
Left iliac fossa
Description Clincial description of findingsCoded text
optional
0..1		 Free or coded text

Slot

Type

Occurrences

Constraints
CLUSTER 0..* Include entries
Abdomen Contents, *.       Cluster (0..1) optional
 
Organs, *.       Cluster (0..1) optional
 
Liver, *.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Description Clincial description of findingsCoded text
optional
0..1		 Free or coded text

Slot

Type

Occurrences

Constraints
CLUSTER 0..* Include entries
Spleen, *.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Description Clincial description of findingsCoded text
optional
0..1		 Free or coded text

Slot

Type

Occurrences

Constraints
CLUSTER 0..* Include entries
Kidney, *.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Description Clincial description of findingsCoded text
optional
0..1		 Free or coded text

Slot

Type

Occurrences

Constraints
CLUSTER 0..* Include entries
Bowel, *.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Description Clincial description of findingsCoded text
optional
0..1		 Free or coded text

Slot

Type

Occurrences

Constraints
CLUSTER 0..* Include entries

Concept

Description

Type

Cardinality

Values
Description Clincial description of findingsCoded text
optional
0..1		 Free or coded text

Slot

Type

Occurrences

Constraints
CLUSTER 0..* Include entries
Detail, More focused examination findings.       Cluster (0..1) optional
 

Slot

Type

Occurrences

Constraints
CLUSTER 0..* Include entries

Concept

Description

Type

Cardinality

Values
Image Drawing or image of the area examinedMultiMedia
optional, repeating
0..*		 image/gif
image/png
image/jpeg

Generated by the Ocean HTML generator: 13/04/2007