| 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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