open_ehr 0.6.1 → 0.9.0

data/spec/lib/open_ehr/parser/adl/openEHR-EHR-CLUSTER.exam-abdomen.v1.adl

@@ -0,0 +1,321 @@
+archetype (adl_version=1.4)
+	openEHR-EHR-CLUSTER.exam-abdomen.v1
+specialize
+	openEHR-EHR-CLUSTER.exam.v1
+
+concept
+	[at0000.1]	-- Examination of the abdomen
+language
+	original_language = <[ISO_639-1::en]>
+description
+	original_author = <
+		["name"] = <"Heather Leslie">
+		["organisation"] = <"Ocean Informatics">
+		["date"] = <"11/04/2007">
+		["email"] = <"heather.leslie@oceaninformatics.biz">
+	>
+	details = <
+		["en"] = <
+			language = <[ISO_639-1::en]>
+			purpose = <"A cluster for recording findings on physical examination of the abdomen">
+			use = <"">
+			keywords = <"examination", "physical">
+			misuse = <"">
+		>
+	>
+	lifecycle_state = <"Initial">
+	other_contributors = <>
+
+definition
+	CLUSTER[at0000.1] matches {	-- Examination of the abdomen
+		items cardinality matches {0..*; unordered} matches {
+			CLUSTER[at0004] occurrences matches {0..1} matches {	-- Normal statements
+				items cardinality matches {0..*; unordered} matches {
+					ELEMENT[at0005] occurrences matches {0..*} matches {	-- Normal statement
+						value matches {
+							DV_TEXT matches {*}
+						}
+					}
+				}
+			}
+			ELEMENT[at0002] occurrences matches {0..1} matches {	-- Clinical description
+				value matches {
+					DV_TEXT matches {*}
+				}
+			}
+			CLUSTER[at0008] occurrences matches {0..1} matches {	-- Findings
+				items cardinality matches {0..*; unordered} matches {
+					CLUSTER[at0.2] occurrences matches {0..1} matches {	-- Abdominal wall
+						items cardinality matches {0..*; unordered} matches {
+							ELEMENT[at0.3] occurrences matches {0..1} matches {	-- Description
+								value matches {
+									DV_CODED_TEXT matches {
+										defining_code matches {[local::]}
+									}
+								}
+							}
+							allow_archetype CLUSTER occurrences matches {0..1} matches {
+								include
+									archetype_id/value matches {/inspection\.v1draft/}
+									archetype_id/value matches {/exam-generic-mass\.v1/}
+									archetype_id/value matches {/palpation\.v1/}
+									archetype_id/value matches {/inspection-skin\.v1draft/}
+									archetype_id/value matches {/exam-generic-lymphnode\.v1/}
+							}
+						}
+					}
+					CLUSTER[at0.9] occurrences matches {0..1} matches {	-- Abdominal Region
+						items cardinality matches {0..*; unordered} matches {
+							ELEMENT[at0.10] occurrences matches {0..1} matches {	-- Region
+								value matches {
+									DV_CODED_TEXT matches {
+										defining_code matches {
+											[local::
+											at0.11, 	-- Left upper quadrant
+											at0.12, 	-- Epigastrium
+											at0.16, 	-- Left upper quadrant
+											at0.17, 	-- Right loin
+											at0.18, 	-- Central/peri-umbilical
+											at0.19, 	-- Left loin
+											at0.20, 	-- Right iliac fossa
+											at0.21]	-- Left iliac fossa
+										}
+									}
+								}
+							}
+							allow_archetype CLUSTER occurrences matches {0..1} matches {
+								include
+									archetype_id/value matches {/palpation\.v1/}
+									archetype_id/value matches {/percussion\.v1/}
+							}
+							use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
+						}
+					}
+					CLUSTER[at0.5] occurrences matches {0..1} matches {	-- Abdomen Contents
+						items cardinality matches {0..*; unordered} matches {
+							allow_archetype CLUSTER occurrences matches {0..1} matches {
+								include
+									archetype_id/value matches {/exam-generic-mass\.v1/}
+									archetype_id/value matches {/exam-generic-lympnode\.v1/}
+									archetype_id/value matches {/exam-generic\.v1/}
+									archetype_id/value matches {/exam\.v1/}
+									archetype_id/value matches {/auscultation\.v1/}
+							}
+							CLUSTER[at0.13] occurrences matches {0..1} matches {	-- Organs
+								items cardinality matches {0..*; unordered} matches {
+									CLUSTER[at0.14] occurrences matches {0..1} matches {	-- Liver
+										items cardinality matches {0..*; unordered} matches {
+											allow_archetype CLUSTER occurrences matches {0..1} matches {
+												include
+													archetype_id/value matches {/palpation\.v1/}
+													archetype_id/value matches {/percussion\.v1/}
+													archetype_id/value matches {/dimensions\.v1/}
+													archetype_id/value matches {/relative_position_abdomen\.v1draft/}
+													archetype_id/value matches {/size\.v1/}
+													archetype_id/value matches {/exam-generic-mass\.v1/}
+											}
+											use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
+										}
+									}
+									CLUSTER[at0.7] occurrences matches {0..1} matches {	-- Spleen
+										items cardinality matches {0..*; unordered} matches {
+											allow_archetype CLUSTER occurrences matches {0..1} matches {
+												include
+													archetype_id/value matches {/dimensions\.v1/}
+													archetype_id/value matches {/exam-generic-mass\.v1/}
+													archetype_id/value matches {/exam-generic\.v1/}
+													archetype_id/value matches {/exam\.v1/}
+													archetype_id/value matches {/palpation\.v1/}
+													archetype_id/value matches {/percussion\.v1/}
+													archetype_id/value matches {/relative_position_abdomen\.v1draft/}
+													archetype_id/value matches {/size\.v1/}
+											}
+											use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
+										}
+									}
+									CLUSTER[at0.8] occurrences matches {0..1} matches {	-- Kidney
+										items cardinality matches {0..*; unordered} matches {
+											allow_archetype CLUSTER occurrences matches {0..1} matches {
+												include
+													archetype_id/value matches {/dimensions\.v1/}
+													archetype_id/value matches {/exam-generic-mass\.v1/}
+													archetype_id/value matches {/exam-generic\.v1/}
+													archetype_id/value matches {/exam\.v1/}
+													archetype_id/value matches {/palpation\.v1/}
+													archetype_id/value matches {/percussion\.v1/}
+													archetype_id/value matches {/relative_position_abdomen\.v1draft/}
+											}
+											use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
+										}
+									}
+									CLUSTER[at0.15] occurrences matches {0..1} matches {	-- Bowel
+										items cardinality matches {0..*; unordered} matches {
+											allow_archetype CLUSTER occurrences matches {0..1} matches {
+												include
+													archetype_id/value matches {/palpation\.v1/}
+													archetype_id/value matches {/exam-generic-mass\.v1/}
+													archetype_id/value matches {/exam-generic\.v1/}
+													archetype_id/value matches {/exam\.v1/}
+													archetype_id/value matches {/percussion\.v1/}
+													archetype_id/value matches {/relative_position_abdomen\.v1draft/}
+											}
+											use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
+										}
+									}
+								}
+							}
+							use_node ELEMENT /items[at0008]/items[at0.2]/items[at0.3]
+						}
+					}
+					CLUSTER[at0003] occurrences matches {0..1} matches {	-- Detail
+						items cardinality matches {0..*; unordered} matches {
+							allow_archetype CLUSTER occurrences matches {0..1} matches {
+								include
+									archetype_id/value matches {/exam-generic\.v1/}
+							}
+						}
+					}
+				}
+			}
+			ELEMENT[at0006] occurrences matches {0..*} matches {	-- Image
+				value matches {
+					DV_MULTIMEDIA matches {
+						media_type matches {
+							[openEHR::
+							426, 
+							427, 
+							429]
+						}
+					}
+				}
+			}
+		}
+	}
+
+ontology
+	term_definitions = <
+		["en"] = <
+			items = <
+				["at0.10"] = <
+					description = <"*">
+					text = <"Region">
+				>
+				["at0.11"] = <
+					description = <"*">
+					text = <"Left upper quadrant">
+				>
+				["at0.12"] = <
+					description = <"*">
+					text = <"Epigastrium">
+				>
+				["at0.13"] = <
+					description = <"*">
+					text = <"Organs">
+				>
+				["at0.14"] = <
+					description = <"*">
+					text = <"Liver">
+				>
+				["at0.15"] = <
+					description = <"*">
+					text = <"Bowel">
+				>
+				["at0.16"] = <
+					description = <"*">
+					text = <"Left upper quadrant">
+				>
+				["at0.17"] = <
+					description = <"*">
+					text = <"Right loin">
+				>
+				["at0.18"] = <
+					description = <"*">
+					text = <"Central/peri-umbilical">
+				>
+				["at0.19"] = <
+					description = <"*">
+					text = <"Left loin">
+				>
+				["at0.2"] = <
+					description = <"*">
+					text = <"Abdominal wall">
+				>
+				["at0.20"] = <
+					description = <"*">
+					text = <"Right iliac fossa">
+				>
+				["at0.21"] = <
+					description = <"*">
+					text = <"Left iliac fossa">
+				>
+				["at0.22"] = <
+					description = <"*">
+					text = <"New element">
+				>
+				["at0.23"] = <
+					description = <"Clinical description of finding">
+					text = <"Description">
+				>
+				["at0.3"] = <
+					description = <"Clincial description of findings">
+					text = <"Description">
+				>
+				["at0.4"] = <
+					description = <"Shape of abdomen">
+					text = <"Shape">
+				>
+				["at0.5"] = <
+					description = <"*">
+					text = <"Abdomen Contents">
+				>
+				["at0.6"] = <
+					description = <"Clinical description">
+					text = <"Description">
+				>
+				["at0.7"] = <
+					description = <"*">
+					text = <"Spleen">
+				>
+				["at0.8"] = <
+					description = <"*">
+					text = <"Kidney">
+				>
+				["at0.9"] = <
+					description = <"*">
+					text = <"Abdominal Region">
+				>
+				["at0000"] = <
+					description = <"Basic examination cluster for describing findings on physical examination when there is no named focus of examination">
+					text = <"Examination">
+				>
+				["at0000.1"] = <
+					description = <"For recording findings on physical examination of the abdomen">
+					text = <"Examination of the abdomen">
+				>
+				["at0002"] = <
+					description = <"Textural description of the part examined">
+					text = <"Clinical description">
+				>
+				["at0003"] = <
+					description = <"More focused examination findings">
+					text = <"Detail">
+				>
+				["at0004"] = <
+					description = <"A group of statements about the normality of the examination">
+					text = <"Normal statements">
+				>
+				["at0005"] = <
+					description = <"A specific statement of normality">
+					text = <"Normal statement">
+				>
+				["at0006"] = <
+					description = <"Drawing or image of the area examined">
+					text = <"Image">
+				>
+				["at0008"] = <
+					description = <"Clinical findings">
+					text = <"Findings">
+				>
+			>
+		>
+	>