[4] | 1 | archetype (adl_version=1.4)
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| 2 | openEHR-EHR-CLUSTER.exam-generic.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 a named body part
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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.">
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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] matches { -- Examination of a named body part
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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_TEXT matches {*}
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| 32 | }
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| 33 | }
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| 34 | CLUSTER[at0004] occurrences matches {0..1} matches { -- Normal statements
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| 35 | items cardinality matches {0..*; unordered} matches {
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| 36 | ELEMENT[at0005] occurrences matches {0..*} matches { -- Normal statement
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| 37 | value matches {
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| 38 | DV_TEXT matches {*}
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| 39 | }
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| 40 | }
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| 41 | }
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| 42 | }
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| 43 | ELEMENT[at0002] occurrences matches {0..1} matches { -- Clinical description
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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 | CLUSTER[at0008] occurrences matches {0..1} matches { -- Findings
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| 49 | items cardinality matches {0..*; unordered} matches {
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| 50 | allow_archetype CLUSTER occurrences matches {0..*} matches {
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| 51 | include
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| 52 | archetype_id/value matches {/palpation\.v1draft/}
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| 53 | archetype_id/value matches {/auscultation\.v1draft/}
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| 54 | archetype_id/value matches {/inspection\.v1draft/}
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| 55 | archetype_id/value matches {/percussion\.v1draft/}
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| 56 | exclude
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| 57 | archetype_id/value matches {/.*/}
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| 58 | }
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| 59 | CLUSTER[at0.1] occurrences matches {0..1} matches { -- Size
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| 60 | items cardinality matches {0..*; unordered} matches {
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| 61 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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| 62 | include
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| 63 | archetype_id/value matches {/dimensions\.v1/}
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| 64 | archetype_id/value matches {/size\.v1draft/}
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| 65 | }
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| 66 | }
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| 67 | }
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| 68 | CLUSTER[at0003] occurrences matches {0..1} matches { -- Detail
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| 69 | items cardinality matches {0..*; unordered} matches {
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| 70 | allow_archetype CLUSTER occurrences matches {0..1} matches {
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| 71 | include
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| 72 | archetype_id/value matches {/exam-generic\.v1/}
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| 73 | }
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| 74 | }
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| 75 | }
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| 76 | }
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| 77 | }
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| 78 | ELEMENT[at0006] occurrences matches {0..*} matches { -- Image
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| 79 | value matches {
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| 80 | DV_MULTIMEDIA matches {
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| 81 | media_type matches {
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| 82 | [openEHR::
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| 83 | 426,
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| 84 | 427,
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| 85 | 429]
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| 86 | }
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| 87 | }
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| 88 | }
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| 89 | }
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| 90 | }
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| 91 | }
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| 92 |
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| 93 | ontology
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| 94 | term_definitions = <
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| 95 | ["en"] = <
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| 96 | items = <
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| 97 | ["at0.1"] = <
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| 98 | description = <"Information about the size of the object for examination">
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| 99 | text = <"Size">
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| 100 | >
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| 101 | ["at0.9"] = <
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| 102 | description = <"The object of examination">
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| 103 | text = <"Object">
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| 104 | >
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| 105 | ["at0000"] = <
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| 106 | description = <"Generic examination cluster for describing a finding on physical examination">
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| 107 | text = <"Examination">
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| 108 | >
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| 109 | ["at0000.1"] = <
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| 110 | description = <"Generic examination cluster for describing a finding on physical examination">
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| 111 | text = <"Examination of a named body part">
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| 112 | >
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| 113 | ["at0002"] = <
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| 114 | description = <"Textural description of the part examined">
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| 115 | text = <"Clinical description">
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| 116 | >
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| 117 | ["at0003"] = <
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| 118 | description = <"More focused examination findings">
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| 119 | text = <"Detail">
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| 120 | >
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| 121 | ["at0004"] = <
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| 122 | description = <"A group of statements about the normality of the examination">
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| 123 | text = <"Normal statements">
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| 124 | >
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| 125 | ["at0005"] = <
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| 126 | description = <"A specific statement of normality">
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| 127 | text = <"Normal statement">
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| 128 | >
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| 129 | ["at0006"] = <
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| 130 | description = <"Drawing or image of the area examined">
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| 131 | text = <"Image">
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| 132 | >
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| 133 | ["at0008"] = <
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| 134 | description = <"Clinical findings">
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| 135 | text = <"Findings">
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| 136 | >
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| 137 | >
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| 138 | >
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| 139 | >
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