Examination finding
Examination findings CLUSTERs
  Examination finding pattern applied to single clearly identifiable site, specialised from CLUSTER.exam
    (System or) Structure examined
      DV_TEXT
      CLUSTER.exam-abdomen
        Abdomen SCTID: abcd1234
      CLUSTER.exam-nose
        Nose SCTID: abcd1234
      CLUSTER.exam-ear
        Left ear
          SCTID: 89644007
        Right ear
          SCTID: 25577004
    Body site
      DV_TEXT
    SLOT [Structured body site]
      CLUSTER
    No abnormality detected
      DV_BOOLEAN
    etc ...
  Examination finding of a structure needing a location, specialised from CLUSTER.exam
    (System or) Structure examined
      DV_TEXT
      CLUSTER.exam-skin
        Skin SCTID: abcd1234
      ?other similar structures
    Body site
      DV_TEXT
    SLOT [Structured body site]
      CLUSTER
    No abnormality detected
      DV_BOOLEAN
    etc ...
    Required to identify the part of the skin being examined
  Examination finding of a structure that needs specific content, specialised from CLUSTER.exam
    (System or) Structure examined
      DV_TEXT
      CLUSTER.exam-heart
        Heart
    Body site
      DV_TEXT
    SLOT [Structured body site]
      CLUSTER
    No abnormality detected
      DV_BOOLEAN
    Apex beat
      Location
      Normal/Abnormal
      Description
    Heart sounds
      Subtopic 1
      Subtopic 2
      Subtopic 3
      Subtopic 4
      Subtopic 5
    etc ...
  Examination finding inspection vs palpation
    CLUSTER.exam-inspection
      (System or) Structure examined
        DV_TEXT
      Body site
        DV_TEXT
      SLOT [Structured body site]
        CLUSTER
      No abnormality detected
        DV_BOOLEAN
      Clinical description
        DV_TEXT
      SLOT [Examination findings]
        CLUSTER
      SLOT [Multimedia representation]
        CLUSTER
      Clinical interpretation
        DV_TEXT
      Comment
        DV_TEXT
      SLOT [Examination not done]
        CLUSTER
    CLUSTER.exam-inspection-cervix
      (System or) Structure examined
        DV_TEXT
        Cervix
          SCTID: 71252005
      Body site
        DV_TEXT
      SLOT [Structured body site]
        CLUSTER
      No abnormality detected
        DV_BOOLEAN
      Clinical description
        DV_TEXT
      Discharge present
        Present
        Absent
        Indeterminate
      Discharge category
        Clear
        Mucopurulent
        Brick-coloured
        Fresh bleeding
      Discharge description
      Ectropion present
      Ectropion description
      Lesions
        Lesion name
        Presence
        Description
        Number
        Site
        [Structured site]
      SLOT [Examination findings]
        CLUSTER
      SLOT [Multimedia representation]
        CLUSTER
      Clinical interpretation
        DV_TEXT
      Comment
        DV_TEXT
      SLOT [Examination not done]
        CLUSTER
      Unique content makes it easy to distinguish?
    CLUSTER.exam-palpation
      (System or) Structure examined
        DV_TEXT
      Body site
        DV_TEXT
      SLOT [Structured body site]
        CLUSTER
      No abnormality detected
        DV_BOOLEAN
      Clinical description
        DV_TEXT
      SLOT [Examination findings]
        CLUSTER
      SLOT [Multimedia representation]
        CLUSTER
      Clinical interpretation
        DV_TEXT
      Comment
        DV_TEXT
      SLOT [Examination not done]
        CLUSTER
    CLUSTER.exam-palpation-cervix
      (System or) Structure examined
        DV_TEXT
        Cervix
          SCTID: 71252005
      Body site
        DV_TEXT
      SLOT [Structured body site]
        CLUSTER
      No abnormality detected
        DV_BOOLEAN
      Clinical description
        DV_TEXT
      Relative position
        Anterior
        Intermediate
        Posterior
        Right
        Left
      Consistency
        Firm
        Intermediate
        Soft
      Surface
        Regular/smooth
        Irregular
      Mobility
      Tenderness
      Thickness
      Effacement
      Cervical length
      Application to presenting part
      Anterior Lip
      Cervical os
        Site
          External
          Internal
        Dilation
        Description
      SLOT [Examination findings]
        CLUSTER
      SLOT [Multimedia representation]
        CLUSTER
      Clinical interpretation
        DV_TEXT
      Comment
        DV_TEXT
      SLOT [Examination not done]
        CLUSTER
      Unique content makes it easy to distinguish?
    NEW generic inspection archetype!
Name specialised, content unchanged from CLUSTER.exam
    NEW generic palpation archetype!
Name specialised, content unchanged from CLUSTER.exam
    Addition of specific cervical inspection content
    Addition of specific cervical palpation content
  Examination finding of an abnormality - STILL TO BE INVESTIGATED
    Examination of wound
      Wound type examined
        DV_TEXT
        Contusion (disorder)
        Cellulitis (disorder)
        Skin incision finding (finding)
        Ischemic ulcer (disorder)
        Mixed arteriovenous leg ulcer (disorder)
        Excoriation of skin (disorder)
        Blistering eruption (disorder)
        Scaly skin (finding)
        Peeling of skin (finding)
        Eruption of skin (disorder)
        Laceration of skin (disorder)
        Hematoma of skin (disorder)
        Gunshot wound (disorder)
        Bite - wound (disorder)
        Burn of skin (disorder)
        Puncture wound - injury (disorder)
        Macerated skin (finding)
        Stasis ulcer (disorder)
        Pressure ulcer (disorder)
        Abrasion and/or friction burn of skin (disorder)
        Irritant contact dermatitis due to incontinence (disorder)
        Neuropathic ulcer (disorder)
        Pressure ulcer stage 2 (disorder)
        Pressure ulcer stage 4 (disorder)
        Pressure ulcer stage 1 (disorder)
        Nonstageable pressure ulcer (disorder)
        Pressure ulcer stage 3 (disorder)
        Stab wound (disorder)
        Traumatic tear of skin (disorder)
        Avulsion of skin (disorder)
        Erythema of skin (finding)
        Pressure injury of deep tissue (disorder)
        Fissure in skin (disorder)
      Body site
        DV_TEXT
      SLOT [Structured body site]
        CLUSTER
      No abnormality detected
        DV_BOOLEAN
      Clinical description
        DV_TEXT
      SLOT [Examination findings]
        CLUSTER
      SLOT [Multimedia representation]
        CLUSTER
      Clinical interpretation
        DV_TEXT
      Comment
        DV_TEXT
      SLOT [Examination not done]
        CLUSTER
      Rather than Structure = wound, then another data element identifying the type of wound?
      Irrelevant - it is by definition an abnormality
      May be required if it is not nested within an exam of skin archetype
    Rash options
      Examination of rash
        Rash examined
          DV_TEXT
        Body site
          DV_TEXT
        SLOT [Structured body site]
          CLUSTER
        No abnormality detected
          DV_BOOLEAN
        Clinical description
          DV_TEXT
        SLOT [Examination findings]
          CLUSTER
        SLOT [Multimedia representation]
          CLUSTER
        Clinical interpretation
          DV_TEXT
        Comment
          DV_TEXT
        SLOT [Examination not done]
          CLUSTER
      OR
        Examination of skin
          (System or) Structure examined
            DV_TEXT
            skin
          Body site
            DV_TEXT
          SLOT [Structured body site]
            CLUSTER
          No abnormality detected
            DV_BOOLEAN
          Clinical description
            DV_TEXT
          SLOT [Examination findings]
            CLUSTER
            Rash examined
              DV_TEXT
            Body site
              DV_TEXT
            SLOT [Structured body site]
              CLUSTER
            No abnormality detected
              DV_BOOLEAN
            Clinical description
              DV_TEXT
            SLOT [Examination findings]
              CLUSTER
            SLOT [Multimedia representation]
              CLUSTER
            Clinical interpretation
              DV_TEXT
            Comment
              DV_TEXT
            SLOT [Examination not done]
              CLUSTER
            Already idenitify in Exam of skin
          SLOT [Multimedia representation]
            CLUSTER
          Clinical interpretation
            DV_TEXT
          Comment
            DV_TEXT
          SLOT [Examination not done]
            CLUSTER
    Examination of lesion
      Lesion type examined
        DV_TEXT
      Body site
        DV_TEXT
      SLOT [Structured body site]
        CLUSTER
      No abnormality detected
        DV_BOOLEAN
      Clinical description
        DV_TEXT
      SLOT [Examination findings]
        CLUSTER
      SLOT [Multimedia representation]
        CLUSTER
      Clinical interpretation
        DV_TEXT
      Comment
        DV_TEXT
      SLOT [Examination not done]
        CLUSTER
    another example, as for wound pattern
    Needs to be standalone, as well as potentially used within CLUSTER.skin.