1 | archetype (adl_version=1.4)
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2 | openEHR-EHR-CLUSTER.exam-generic-mass.v1
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3 | specialize
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4 | openEHR-EHR-CLUSTER.exam-generic.v1
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5 |
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6 | concept
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7 | [at0000.1] -- Examination of a named mass
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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"] = <"unknown">
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13 | >
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14 | details = <
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15 | ["en"] = <
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16 | language = <[ISO_639-1::en]>
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17 | purpose = <"A generic cluster for recording findings on physical examination of the findings when examining a pathological mass occupying lesion which might be a swelling, lump or mass.">
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18 | use = <"">
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19 | keywords = <"examination", "physical">
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20 | misuse = <"">
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21 | >
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22 | >
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23 | lifecycle_state = <"Initial">
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24 | other_contributors = <>
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25 |
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26 | definition
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27 | CLUSTER[at0000.1.1] matches { -- Examination of a mass lesion
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28 | items cardinality matches {0..*; unordered} matches {
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29 | ELEMENT[at0.9] matches { -- Object
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30 | value matches {
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31 | DV_CODED_TEXT matches {
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32 | defining_code matches {
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33 | [local::
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34 | at0.0.1, -- Mass
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35 | at0.0.2, -- Lump
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36 | at0.0.3] -- Swelling
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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 | CLUSTER[at0004] occurrences matches {0..1} matches { -- Normal statements
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42 | items cardinality matches {0..*; unordered} matches {
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43 | ELEMENT[at0005] occurrences matches {0..*} matches { -- Normal statement
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44 | value matches {
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45 | DV_TEXT matches {*}
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46 | }
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47 | }
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48 | }
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49 | }
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50 | ELEMENT[at0002] occurrences matches {0..1} matches { -- Clinical description
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51 | value matches {
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52 | DV_TEXT matches {*}
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53 | }
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54 | }
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55 | CLUSTER[at0008] occurrences matches {0..1} matches { -- Findings
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56 | items cardinality matches {0..*; unordered} matches {
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57 | allow_archetype CLUSTER occurrences matches {0..*} matches {
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58 | include
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59 | archetype_id/value matches {/palpation\.v1draft/}
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60 | archetype_id/value matches {/inspection\.v1draft/}
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61 | }
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62 | CLUSTER[at0.1] occurrences matches {0..1} matches { -- Size
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63 | items cardinality matches {0..*; unordered} matches {
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64 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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65 | include
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66 | archetype_id/value matches {/dimensions\.v1/}
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67 | archetype_id/value matches {/size\.v1draft/}
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68 | }
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69 | }
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70 | }
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71 | ELEMENT[at0.0.4] occurrences matches {0..1} matches { -- Location
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72 | value matches {
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73 | DV_TEXT matches {*}
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74 | }
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75 | }
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76 | ELEMENT[at0.0.5] occurrences matches {0..1} matches { -- Arising from
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77 | value matches {
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78 | DV_TEXT matches {*}
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79 | }
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80 | }
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81 | ELEMENT[at0.0.6] occurrences matches {0..1} matches { -- Mobility
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82 | value matches {
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83 | DV_CODED_TEXT matches {
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84 | defining_code matches {
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85 | [local::
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86 | at0.0.7, -- Highly mobile
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87 | at0.0.8, -- Mobile
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88 | at0.0.9, -- Fixed
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89 | at0.0.10] -- Adherent
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90 | }
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91 | }
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92 | }
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93 | }
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94 | allow_archetype CLUSTER occurrences matches {0..*} matches {
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95 | include
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96 | archetype_id/value matches {/palpation\.v1draft/}
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97 | archetype_id/value matches {/auscultation\.v1draft/}
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98 | archetype_id/value matches {/inspection\.v1draft/}
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99 | exclude
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100 | archetype_id/value matches {/.*/}
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101 | }
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102 | CLUSTER[at0003] occurrences matches {0..1} matches { -- Detail
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103 | items cardinality matches {0..*; unordered} matches {
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104 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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105 | include
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106 | archetype_id/value matches {/exam\.v1/}
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107 | }
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108 | }
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109 | }
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110 | }
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111 | }
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112 | ELEMENT[at0006] occurrences matches {0..*} matches { -- Image
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113 | value matches {
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114 | DV_MULTIMEDIA matches {
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115 | media_type matches {
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116 | [openEHR::
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117 | 426,
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118 | 427,
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119 | 429]
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120 | }
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121 | }
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122 | }
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123 | }
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124 | }
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125 | }
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126 |
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127 | ontology
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128 | term_definitions = <
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129 | ["en"] = <
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130 | items = <
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131 | ["at0.0.1"] = <
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132 | description = <"The object is a mass lesion">
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133 | text = <"Mass">
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134 | >
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135 | ["at0.0.10"] = <
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136 | description = <"The mass merges with surrounding structures">
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137 | text = <"Adherent">
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138 | >
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139 | ["at0.0.2"] = <
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140 | description = <"The object is a lump">
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141 | text = <"Lump">
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142 | >
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143 | ["at0.0.3"] = <
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144 | description = <"The object of examination is a swelling">
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145 | text = <"Swelling">
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146 | >
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147 | ["at0.0.4"] = <
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148 | description = <"The location of the mass">
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149 | text = <"Location">
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150 | >
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151 | ["at0.0.5"] = <
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152 | description = <"The organ or body structure from which the lesion is arising">
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153 | text = <"Arising from">
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154 | >
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155 | ["at0.0.6"] = <
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156 | description = <"The mobility of the mass lesion">
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157 | text = <"Mobility">
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158 | >
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159 | ["at0.0.7"] = <
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160 | description = <"The mass lesion is apparently untethered to surrounding structures">
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161 | text = <"Highly mobile">
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162 | >
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163 | ["at0.0.8"] = <
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164 | description = <"The mass is tethered but moves freely">
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165 | text = <"Mobile">
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166 | >
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167 | ["at0.0.9"] = <
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168 | description = <"The mass is fixed to surrounding structures">
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169 | text = <"Fixed">
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170 | >
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171 | ["at0.1"] = <
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172 | description = <"Information about the size of the object for examination">
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173 | text = <"Size">
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174 | >
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175 | ["at0.9"] = <
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176 | description = <"The object of examination">
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177 | text = <"Object">
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178 | >
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179 | ["at0000"] = <
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180 | description = <"Generic examination cluster for describing a finding on physical examination">
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181 | text = <"Examination">
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182 | >
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183 | ["at0000.1"] = <
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184 | description = <"For describing findings on physical examination relating to a mass">
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185 | text = <"Examination of a named mass">
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186 | >
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187 | ["at0000.1.1"] = <
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188 | description = <"Generic examination cluster for describing the findings on physical examination of a mass, lump or swelling">
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189 | text = <"Examination of a mass lesion">
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190 | >
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191 | ["at0001"] = <
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192 | description = <"The object of the examination">
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193 | text = <"Object">
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194 | >
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195 | ["at0002"] = <
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196 | description = <"Textural description of the part examined">
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197 | text = <"Clinical description">
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198 | >
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199 | ["at0003"] = <
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200 | description = <"More focused examination findings">
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201 | text = <"Detail">
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202 | >
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203 | ["at0004"] = <
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204 | description = <"A group of statements about the normality of the examination">
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205 | text = <"Normal statements">
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206 | >
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207 | ["at0005"] = <
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208 | description = <"A specific statement of normality">
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209 | text = <"Normal statement">
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210 | >
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211 | ["at0006"] = <
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212 | description = <"Drawing or image of the area examined">
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213 | text = <"Image">
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214 | >
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215 | ["at0008"] = <
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216 | description = <"Clinical findings">
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217 | text = <"Findings">
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218 | >
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219 | >
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220 | >
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221 | >
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