| 1 | archetype (adl_version=1.4)
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| 2 | openEHR-EHR-CLUSTER.exam-abdomen.v1
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| 3 | specialize
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| 4 | openEHR-EHR-CLUSTER.exam.v1
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| 5 |
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| 6 | concept
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| 7 | [at0000.1] -- Examination of the abdomen
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| 8 | language
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| 9 | original_language = <[ISO_639-1::en]>
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| 10 | description
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| 11 | original_author = <
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| 12 | ["name"] = <"Heather Leslie">
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| 13 | ["organisation"] = <"Ocean Informatics">
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| 14 | ["date"] = <"11/04/2007">
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| 15 | ["email"] = <"heather.leslie@oceaninformatics.biz">
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| 16 | >
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| 17 | details = <
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| 18 | ["en"] = <
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| 19 | language = <[ISO_639-1::en]>
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| 20 | purpose = <"A cluster for recording findings on physical examination of the abdomen">
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| 21 | use = <"">
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| 22 | keywords = <"examination", "physical">
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| 23 | misuse = <"">
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| 24 | >
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| 25 | >
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| 26 | lifecycle_state = <"Initial">
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| 27 | other_contributors = <>
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| 28 |
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| 29 | definition
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| 30 | CLUSTER[at0000.1] matches { -- Examination of the abdomen
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| 31 | items cardinality matches {0..*; unordered} matches {
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| 32 | CLUSTER[at0004] occurrences matches {0..1} matches { -- Normal statements
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| 33 | items cardinality matches {0..*; unordered} matches {
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| 34 | ELEMENT[at0005] occurrences matches {0..*} matches { -- Normal statement
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| 35 | value matches {
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| 36 | DV_TEXT matches {*}
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| 37 | }
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| 38 | }
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| 39 | }
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| 40 | }
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| 41 | ELEMENT[at0002] occurrences matches {0..1} matches { -- Clinical description
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| 42 | value matches {
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| 43 | DV_TEXT matches {*}
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| 44 | }
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| 45 | }
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| 46 | CLUSTER[at0008] occurrences matches {0..1} matches { -- Findings
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| 47 | items cardinality matches {0..*; unordered} matches {
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| 48 | CLUSTER[at0.2] occurrences matches {0..1} matches { -- Abdominal wall
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| 49 | items cardinality matches {0..*; unordered} matches {
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| 50 | ELEMENT[at0.3] occurrences matches {0..1} matches { -- Description
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| 51 | value matches {
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| 52 | DV_CODED_TEXT matches {
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| 53 | defining_code matches {[local::]}
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| 54 | }
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| 55 | }
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| 56 | }
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| 57 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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| 58 | include
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| 59 | archetype_id/value matches {/inspection\.v1draft/}
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| 60 | archetype_id/value matches {/exam-generic-mass\.v1/}
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| 61 | archetype_id/value matches {/palpation\.v1/}
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| 62 | archetype_id/value matches {/inspection-skin\.v1draft/}
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| 63 | archetype_id/value matches {/exam-generic-lymphnode\.v1/}
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| 64 | }
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| 65 | }
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| 66 | }
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| 67 | CLUSTER[at0.9] occurrences matches {0..1} matches { -- Abdominal Region
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| 68 | items cardinality matches {0..*; unordered} matches {
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| 69 | ELEMENT[at0.10] occurrences matches {0..1} matches { -- Region
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| 70 | value matches {
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| 71 | DV_CODED_TEXT matches {
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| 72 | defining_code matches {
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| 73 | [local::
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| 74 | at0.11, -- Left upper quadrant
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| 75 | at0.12, -- Epigastrium
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| 76 | at0.16, -- Left upper quadrant
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| 77 | at0.17, -- Right loin
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| 78 | at0.18, -- Central/peri-umbilical
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| 79 | at0.19, -- Left loin
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| 80 | at0.20, -- Right iliac fossa
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| 81 | at0.21] -- Left iliac fossa
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| 82 | }
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| 83 | }
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| 84 | }
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| 85 | }
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| 86 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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| 87 | include
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| 88 | archetype_id/value matches {/palpation\.v1/}
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| 89 | archetype_id/value matches {/percussion\.v1/}
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| 90 | }
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| 91 | use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
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| 92 | }
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| 93 | }
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| 94 | CLUSTER[at0.5] occurrences matches {0..1} matches { -- Abdomen Contents
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| 95 | items cardinality matches {0..*; unordered} matches {
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| 96 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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| 97 | include
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| 98 | archetype_id/value matches {/exam-generic-mass\.v1/}
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| 99 | archetype_id/value matches {/exam-generic-lympnode\.v1/}
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| 100 | archetype_id/value matches {/exam-generic\.v1/}
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| 101 | archetype_id/value matches {/exam\.v1/}
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| 102 | archetype_id/value matches {/auscultation\.v1/}
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| 103 | }
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| 104 | CLUSTER[at0.13] occurrences matches {0..1} matches { -- Organs
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| 105 | items cardinality matches {0..*; unordered} matches {
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| 106 | CLUSTER[at0.14] occurrences matches {0..1} matches { -- Liver
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| 107 | items cardinality matches {0..*; unordered} matches {
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| 108 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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| 109 | include
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| 110 | archetype_id/value matches {/palpation\.v1/}
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| 111 | archetype_id/value matches {/percussion\.v1/}
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| 112 | archetype_id/value matches {/dimensions\.v1/}
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| 113 | archetype_id/value matches {/relative_position_abdomen\.v1draft/}
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| 114 | archetype_id/value matches {/size\.v1/}
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| 115 | archetype_id/value matches {/exam-generic-mass\.v1/}
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| 116 | }
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| 117 | use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
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| 118 | }
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| 119 | }
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| 120 | CLUSTER[at0.7] occurrences matches {0..1} matches { -- Spleen
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| 121 | items cardinality matches {0..*; unordered} matches {
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| 122 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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| 123 | include
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| 124 | archetype_id/value matches {/dimensions\.v1/}
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| 125 | archetype_id/value matches {/exam-generic-mass\.v1/}
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| 126 | archetype_id/value matches {/exam-generic\.v1/}
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| 127 | archetype_id/value matches {/exam\.v1/}
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| 128 | archetype_id/value matches {/palpation\.v1/}
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| 129 | archetype_id/value matches {/percussion\.v1/}
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| 130 | archetype_id/value matches {/relative_position_abdomen\.v1draft/}
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| 131 | archetype_id/value matches {/size\.v1/}
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| 132 | }
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| 133 | use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
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| 134 | }
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| 135 | }
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| 136 | CLUSTER[at0.8] occurrences matches {0..1} matches { -- Kidney
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| 137 | items cardinality matches {0..*; unordered} matches {
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| 138 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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| 139 | include
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| 140 | archetype_id/value matches {/dimensions\.v1/}
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| 141 | archetype_id/value matches {/exam-generic-mass\.v1/}
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| 142 | archetype_id/value matches {/exam-generic\.v1/}
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| 143 | archetype_id/value matches {/exam\.v1/}
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| 144 | archetype_id/value matches {/palpation\.v1/}
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| 145 | archetype_id/value matches {/percussion\.v1/}
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| 146 | archetype_id/value matches {/relative_position_abdomen\.v1draft/}
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| 147 | }
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| 148 | use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
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| 149 | }
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| 150 | }
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| 151 | CLUSTER[at0.15] occurrences matches {0..1} matches { -- Bowel
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| 152 | items cardinality matches {0..*; unordered} matches {
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| 153 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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| 154 | include
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| 155 | archetype_id/value matches {/palpation\.v1/}
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| 156 | archetype_id/value matches {/exam-generic-mass\.v1/}
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| 157 | archetype_id/value matches {/exam-generic\.v1/}
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| 158 | archetype_id/value matches {/exam\.v1/}
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| 159 | archetype_id/value matches {/percussion\.v1/}
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| 160 | archetype_id/value matches {/relative_position_abdomen\.v1draft/}
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| 161 | }
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| 162 | use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
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| 163 | }
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| 164 | }
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| 165 | }
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| 166 | }
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| 167 | use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
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| 168 | }
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| 169 | }
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| 170 | CLUSTER[at0003] occurrences matches {0..1} matches { -- Detail
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| 171 | items cardinality matches {0..*; unordered} matches {
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| 172 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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| 173 | include
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| 174 | archetype_id/value matches {/exam-generic\.v1/}
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| 175 | }
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| 176 | }
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| 177 | }
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| 178 | }
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| 179 | }
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| 180 | ELEMENT[at0006] occurrences matches {0..*} matches { -- Image
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| 181 | value matches {
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| 182 | DV_MULTIMEDIA matches {
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| 183 | media_type matches {
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| 184 | [openEHR::
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| 185 | 426,
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| 186 | 427,
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| 187 | 429]
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| 188 | }
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| 189 | }
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| 190 | }
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| 191 | }
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| 192 | }
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| 193 | }
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| 194 |
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| 195 | ontology
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| 196 | term_definitions = <
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| 197 | ["en"] = <
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| 198 | items = <
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| 199 | ["at0.10"] = <
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| 200 | description = <"*">
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| 201 | text = <"Region">
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| 202 | >
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| 203 | ["at0.11"] = <
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| 204 | description = <"*">
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| 205 | text = <"Left upper quadrant">
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| 206 | >
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| 207 | ["at0.12"] = <
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| 208 | description = <"*">
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| 209 | text = <"Epigastrium">
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| 210 | >
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| 211 | ["at0.13"] = <
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| 212 | description = <"*">
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| 213 | text = <"Organs">
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| 214 | >
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| 215 | ["at0.14"] = <
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| 216 | description = <"*">
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| 217 | text = <"Liver">
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| 218 | >
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| 219 | ["at0.15"] = <
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| 220 | description = <"*">
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| 221 | text = <"Bowel">
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| 222 | >
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| 223 | ["at0.16"] = <
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| 224 | description = <"*">
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| 225 | text = <"Left upper quadrant">
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| 226 | >
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| 227 | ["at0.17"] = <
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| 228 | description = <"*">
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| 229 | text = <"Right loin">
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| 230 | >
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| 231 | ["at0.18"] = <
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| 232 | description = <"*">
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| 233 | text = <"Central/peri-umbilical">
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| 234 | >
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| 235 | ["at0.19"] = <
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| 236 | description = <"*">
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| 237 | text = <"Left loin">
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| 238 | >
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| 239 | ["at0.2"] = <
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| 240 | description = <"*">
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| 241 | text = <"Abdominal wall">
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| 242 | >
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| 243 | ["at0.20"] = <
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| 244 | description = <"*">
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| 245 | text = <"Right iliac fossa">
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| 246 | >
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| 247 | ["at0.21"] = <
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| 248 | description = <"*">
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| 249 | text = <"Left iliac fossa">
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| 250 | >
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| 251 | ["at0.22"] = <
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| 252 | description = <"*">
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| 253 | text = <"New element">
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| 254 | >
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| 255 | ["at0.23"] = <
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| 256 | description = <"Clinical description of finding">
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| 257 | text = <"Description">
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| 258 | >
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| 259 | ["at0.3"] = <
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| 260 | description = <"Clincial description of findings">
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| 261 | text = <"Description">
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| 262 | >
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| 263 | ["at0.4"] = <
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| 264 | description = <"Shape of abdomen">
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| 265 | text = <"Shape">
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| 266 | >
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| 267 | ["at0.5"] = <
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| 268 | description = <"*">
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| 269 | text = <"Abdomen Contents">
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| 270 | >
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| 271 | ["at0.6"] = <
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| 272 | description = <"Clinical description">
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| 273 | text = <"Description">
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| 274 | >
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| 275 | ["at0.7"] = <
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| 276 | description = <"*">
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| 277 | text = <"Spleen">
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| 278 | >
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| 279 | ["at0.8"] = <
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| 280 | description = <"*">
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| 281 | text = <"Kidney">
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| 282 | >
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| 283 | ["at0.9"] = <
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| 284 | description = <"*">
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| 285 | text = <"Abdominal Region">
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| 286 | >
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| 287 | ["at0000"] = <
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| 288 | description = <"Basic examination cluster for describing findings on physical examination when there is no named focus of examination">
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| 289 | text = <"Examination">
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| 290 | >
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| 291 | ["at0000.1"] = <
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| 292 | description = <"For recording findings on physical examination of the abdomen">
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| 293 | text = <"Examination of the abdomen">
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| 294 | >
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| 295 | ["at0002"] = <
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| 296 | description = <"Textural description of the part examined">
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| 297 | text = <"Clinical description">
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| 298 | >
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| 299 | ["at0003"] = <
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| 300 | description = <"More focused examination findings">
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| 301 | text = <"Detail">
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| 302 | >
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| 303 | ["at0004"] = <
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| 304 | description = <"A group of statements about the normality of the examination">
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| 305 | text = <"Normal statements">
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| 306 | >
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| 307 | ["at0005"] = <
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| 308 | description = <"A specific statement of normality">
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| 309 | text = <"Normal statement">
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| 310 | >
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| 311 | ["at0006"] = <
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| 312 | description = <"Drawing or image of the area examined">
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| 313 | text = <"Image">
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| 314 | >
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| 315 | ["at0008"] = <
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| 316 | description = <"Clinical findings">
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| 317 | text = <"Findings">
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| 318 | >
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| 319 | >
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| 320 | >
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| 321 | >
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