ARCHETYPE Palpation of Uterus (openEHR-EHR-CLUSTER.palpation_of_uterus.v0)

Name: Palpation of Uterus
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-CLUSTER.palpation_of_uterus.v0
Concept	Palpation of Uterus
Description	Examination of the uterus by palpation, using either an abdominal or vaginal approach.
Use	Use to record examination findings on palpation of the uterus. This archetype can be used to record either abdominal or vaginal examination findings, and including findings about the pregnant uterus. This archetype has been designed to be nested inside the OBSERVATION.exam archetype (and its specialisations) or other relevant CLUSTER archetypes, for example providing specific detail in CLUSTER.palpation_of_abdomen which describes palpation of the whole abdomen.
Misuse	Not to be used to record examination findings on palpation of an individual fetus. Specific examination findings about the fetus should be recorded in CLUSTER.palpation_of_fetus, which can be nested inside this archetype, within the 'Fetal Detail' SLOT.
Purpose	Record clinical examination findings on palpation of the uterus, either from an abdominal or vaginal approach.
References	openEHR Clinical Knowledge Manager [Internet]. London: openEHR Foundation. [Draft CLUSTER archetype] Examination of the uterus; [authored 2007 Apr 19, cited 2011 Aug 12]. Available from : http://www.openehr.org/knowledge/OKM.html#showArchetype_1013.1.230_4.
Copyright	© Nasjonal IKT HF
Authors	Forfatternavn: Sam Heard Organisasjon: Ocean Informatics E-post: sam.heard@oceaninformatics.com Opprinnelig skrevet dato: 2007- 04-08
Other Details Language	Forfatternavn: Sam Heard Organisasjon: Ocean Informatics E-post: sam.heard@oceaninformatics.com Opprinnelig skrevet dato: 2007- 04-08
OtherDetails Language Independent	{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=Nasjonal IKT, references=openEHR Clinical Knowledge Manager [Internet]. London: openEHR Foundation. [Draft CLUSTER archetype] Examination of the uterus; [authored 2007 Apr 19, cited 2011 Aug 12]. Available from : http://www.openehr.org/knowledge/OKM.html#showArchetype_1013.1.230_4., original_namespace=no.nasjonalikt, original_publisher=Nasjonal IKT, custodian_namespace=no.nasjonalikt, MD5-CAM-1.0.1=CB7ED6A93B14672CF112536A49AAD41B, build_uid=e23cfd52-6c5d-4eae-9ae7-21aa7a3ef845, revision=0.0.1-alpha}
Keywords	uterus, fetus, foetus, baby, abdominally, vaginally
Lifecycle	in_development
UID	b3d97d8e-69b3-4d12-abef-6153bc6b2d25
Language used	en
Citeable Identifier	1078.36.182
Revision Number	0.0.1-alpha
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approximately equivalent to the size of a pregnant uterus at 6 weeks gestation.] at0024::8 weeks gestation [Uterus is moderately enlarged - approximately equivalent to the size of a pregnant uterus at 8 weeks gestation.] at0023::10 weeks gestation [Uterus is obviously enlarged - approximately equivalent to the size of a grapefruit or a pregnant uterus of 10 weeks gestation.] at0009::At pubic symphysis [The fundus of the uterus is just palpable above the pubic symphysis on abdominal examination, and approximately equivalent to the size of a pregnant uterus at 12 weeks.] at0010::At umbilicus [The fundus of the uterus is palpable at, or about, the level of the umbilicus.] at0011::At xiphisternum [The fundus of the uterus is palpable at, or about, the xiphisternum.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Position, description=Position of uterus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0003::Anteverted [Uterine fundus is tipped forward.] at0038::Upright [Uterine fundus is neither anteverted nor retroverted.] at0004::Retroverted [Uterine fundus is tipped backward.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0030], code=at0030, itemType=ELEMENT, level=1, text=Mobility, description=Mobility of the uterus., comment=Consistent with SNOMED values., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0036::Mobile [Uterus is moveable.] at0037::Fixed [Uterus is fixed and immobile.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0027], code=at0027, itemType=ELEMENT, level=1, text=Surface, description=Narrative description of the surface and shape of the uterus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0029], code=at0029, itemType=ELEMENT, level=1, text=Tenderness, description=Narrative description of any findings of tenderness., comment=True if the uterus is tender. 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approximately equivalent to the size of a pregnant uterus at 6 weeks gestation.] at0024::8 weeks gestation [Uterus is moderately enlarged - approximately equivalent to the size of a pregnant uterus at 8 weeks gestation.] at0023::10 weeks gestation [Uterus is obviously enlarged - approximately equivalent to the size of a grapefruit or a pregnant uterus of 10 weeks gestation.] at0009::At pubic symphysis [The fundus of the uterus is just palpable above the pubic symphysis on abdominal examination, and approximately equivalent to the size of a pregnant uterus at 12 weeks.] at0010::At umbilicus [The fundus of the uterus is palpable at, or about, the level of the umbilicus.] at0011::At xiphisternum [The fundus of the uterus is palpable at, or about, the xiphisternum.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Position, description=Position of uterus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0003::Anteverted [Uterine fundus is tipped forward.] at0038::Upright [Uterine fundus is neither anteverted nor retroverted.] at0004::Retroverted [Uterine fundus is tipped backward.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0030], code=at0030, itemType=ELEMENT, level=1, text=Mobility, description=Mobility of the uterus., comment=Consistent with SNOMED values., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0036::Mobile [Uterus is moveable.] at0037::Fixed [Uterus is fixed and immobile.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0027], code=at0027, itemType=ELEMENT, level=1, text=Surface, description=Narrative description of the surface and shape of the uterus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Valgfritt, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0029], code=at0029, itemType=ELEMENT, level=1, text=Tenderness, description=Narrative description of any findings of tenderness., comment=True if the uterus is tender. 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