Archetype : openEHR-EHR-CLUSTER.exam_wound

Modellbiblioteket openEHR Fork

Name

Examination of a wound

Description

Findings observed during the physical examination of a wound.

Purpose

For recording a narrative description and clinical interpretation of the findings observed during the physical examination of a wound.

Use

Use to record a narrative description and clinical interpretation of the findings observed during the physical examination of a wound.

This archetype has been specifically designed to be used in the 'Examination detail' SLOT within the OBSERVATION.exam or ACTION.procedure archetype, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate.

Use to provide a framework in which CLUSTER archetypes can be nested in the 'Examination findings' SLOT to record additional structured physical examination findings.

The CLUSTER.exclusion_exam archetype can be nested within the 'Examination not done' SLOT to optionally record explicit details about the examination not being performed.

Use to incorporate the narrative descriptions of clinical findings within existing or legacy clinical systems into an archetyped format, using the 'Clinical Description' data element.

Misuse

Not to be used to record stand-alone clinical measurements or test results - use specific OBSERVATION archetypes. For example OBSERVATION.head_circumference or OBSERVATION.glasgow_coma_scale.

Not to be used for recording the clinical history - use specific OBSERVATION and CLUSTER archetypes. For example OBSERVATION.story and CLUSTER.symptom_sign.

References

https://www.wwwoundcare.ca/Uploads/ContentDocuments/BWAT.pdf

HL7 FHIR Profile: Skin and Wound Assessment, Release 1 [cited 2019 03 18]. Available at: https://cimi.hl7.org/submissions/september_2018/skinwoundig/fullcimi/site/index.html.

http://www.healthcareimprovementscotland.org/our_work/patient_safety/tissue_viability_resources/general_wound_assessment_chart.aspx

https://zibs.nl/wiki/Wound-v3.1(2017EN)

Archetype Id

openEHR-EHR-CLUSTER.exam_wound.v0

Licencing

This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.

Original Author

Heather Leslie
Atomica Informatics

Date Originally Authored

2019-03-18

Name	Card	Type	Description
Wound label	0..1	DV_TEXT	A name or alias for a single wound, so that it can be distinguished from other wounds.
Type	0..1	CHOICE OF DV_TEXT DV_CODED_TEXT	The type of wound examined. Constraint for DV_CODED_TEXT Abrasion Avulsion Bite Blister Burn Gunshot wound Contusion Crush injury Erythema Fissure Laceration Maceration Pressure ulcer Ulcer Puncture Rash Graft Surgical incision Trauma
System or structure examined	0..1	DV_TEXT	Identification of the examined body system or anatomical structure. Comment For example: the very generic term "skin", which will likely require additional qualification using one of the 'Body site' data elements, or the complete phrase "skin of right knee". Coding of the system or structure examined with a terminology is preferred, where possible.
Body site	0..1	DV_TEXT	Identification of the area of the body under examination. Comment For example: "entire body", "face" or "right cheek". If the body site has been fully identified in the 'System or structure examined' data element, this data element becomes redundant.
Structured body site	0..*	Slot (Cluster)	A structured description of the area of the body under examination. Comment If the body site has been fully identified in the 'System or structure examined' or the 'Body site' data element, this SLOT becomes redundant. Slot Slot
Clinical description	0..1	DV_TEXT	Narrative description of the overall findings observed during the examination of a wound.
Length	0..1	DV_QUANTITY	The length of the wound, in the longest dimension. DV_QUANTITY
Width	0..1	DV_QUANTITY	The width of the wound, perpendicular to longest dimension. DV_QUANTITY
Depth	0..1	DV_QUANTITY	The depth of the wound. DV_QUANTITY
Depth category	0..1	DV_CODED_TEXT	Description of the depth of the wound. Comment As per Bates-Jensen wound assessment tool. Constraint for DV_CODED_TEXT Tissues damaged but no break in skin surface Superficial, abrasion, blister or shallow crater [Even with, &/or elevated above skin surface (e.g.,hyperplasia).] Deep crater with or without undermining of adjacent tissue Visualization of tissue layers not possible due to necrosis Supporting structures include tendon, joint capsule
Area	0..1	DV_QUANTITY	The area of the wound. DV_QUANTITY
Volume	0..1	DV_QUANTITY	The volume of the wound. DV_QUANTITY
Shape	0..1	CHOICE OF DV_CODED_TEXT DV_TEXT	The shape of the wound. Constraint for DV_CODED_TEXT Round Ovoid Square Rectangular Quadrangular [A four sided shape.] Club-shaped Dumbbell-shaped Funnel-shaped Horseshoe-shaped J-shaped Pear-shaped Saddle-shaped V-shaped Wedge-shaped
Edge description	0..1	DV_TEXT	Narrative description about the edge of the wound.
Edge color	0..1	CHOICE OF DV_CODED_TEXT DV_TEXT	The colour of the wound edge. Constraint for DV_CODED_TEXT Red/Healthy Red/Hyperemic Pink/Pale Yellow Black Brown Gray
Edge appearance	0..1	DV_CODED_TEXT	The appearance of the edge of the wound.
Edge outline	0..1	DV_CODED_TEXT	Description of the outline of the wound. Constraint for DV_CODED_TEXT Well-defined [Distinct wound outline.] Poorly-defined [Indistinct or diffuse wound outline.]
Edge type	0..1	CHOICE OF DV_CODED_TEXT DV_TEXT	The type of wound edge. Constraint for DV_CODED_TEXT Scabbed Rolled [Soft to firm and flexible to touch.] Hyperkeratotic [Callous-like tissue formation around wound & at edges.] Fibrotic [Scarred, hard, rigid to touch.]
Edge attachment	0..1	DV_CODED_TEXT	The attachment of the edge to the wound base. Constraint for DV_CODED_TEXT Attached [The edge appears flush with the wound base or has a sloping edge.] Not attached [The edge has sides or walls present; floor or base of wound is deeper than edge.]
Periwound description	0..*	DV_TEXT	Description of the skin surrounding the wound.
Periwound appearance	0..*	CLUSTER	Appearance of the skin around the edge of the wound. Comment Multiple occurrences allow for the use of coded text to describe various types of skin around the wound. CLUSTER
Skin type	1..1	CHOICE OF DV_CODED_TEXT DV_TEXT	Type of skin surrounding the wound. Constraint for DV_CODED_TEXT Boggy Blanched Blistered Calloused Dry Ecchymotic Edematous Erythematous Excoriated Fluctuant Friable Hemorrhagic Indurated Lacerated Macerated Moist Purpuric Rash Rupture Scarred Swollen (inflammed) Healthy and intact
Presence	0..1	DV_CODED_TEXT	Constraint for DV_CODED_TEXT Present Absent
Periwound tenderness	0..1	DV_CODED_TEXT	The presence of tenderness in and around the wound. Constraint for DV_CODED_TEXT Present Absent
Periwound temperature	0..1	DV_CODED_TEXT	The relative temperature of the skin surrounding the wound. Constraint for DV_CODED_TEXT Normal skin temperature Raised skin temperature
Association	0..*	CLUSTER	Details about factors that may be associated with the wound. CLUSTER
Factor	1..1	DV_TEXT	Associated factor that may causing or influencing the healing of the wound. Comment For example: a device; a drain tube; or a pressure point.
Present or absent?	1..1	DV_CODED_TEXT	Is the identified factor present? Constraint for DV_CODED_TEXT Present [The identified factor is observed.] Absent [The identified factor is not observed.] Indeterminate [It is not possible to tell if the identified factor is present or absent.]
Wound bed colour	0..*	CLUSTER	Details about the colour of the base of the wound. Comment Multiple occurrences of this Cluster allow for recordings of more than one colour. CLUSTER
Colour	1..1	CHOICE OF DV_CODED_TEXT DV_TEXT	Description of the colour of the wound base. Comment For example: red/healthy; red/hyperaemic; pink, yellow; black, brown; or grey. Constraint for DV_CODED_TEXT Red/Healthy Red/Hyperemic Pink/Pale Yellow Black Brown Gray
Proportion	0..1	DV_PROPORTION	The proportion of the wound that is the identified colour. Comment This is the the area of the base of the wound that is a specific colour, compared to the total area of the wound bed and represented as a percentage. DV_PROPORTION
Wound bed tissue	0..*	CLUSTER	Details about the appearance of the base of the wound. Comment Multiple occurrences of this Cluster allow for recordings of multiple discrete areas of different appearances.. CLUSTER
Tissue type	1..1	CHOICE OF DV_TEXT DV_CODED_TEXT	Description of the tissue in the wound base. Comment For example: necrotic; sloughing; fibrinous; eschar; or granulation tissue. Constraint for DV_CODED_TEXT White/gray non-viable tissue [May appear prior to wound opening; skin surface is white or grey.] Non-adherent, yellow slough [Thin, mucinous substance; scattered throughout wound bed; easily separated from wound tissue.] Loosely adherent, yellow slough [Thick, stringy, clumps of debris; attached to wound tissue.] Adherent, soft, black eschar [Soggy tissue; strongly attached to tissue in centre or base of wound.] Firmly adherent, hard/black eschar [Firm, crusty tissue; strongly attached to wound base and edges (like a hard scab).] Non-blanchable erythema Epithelialization Fibrinous tissue Granulation tissue
Proportion	0..1	DV_PROPORTION	The proportion of the wound that has the identified appearance. Comment This is the the area of the base of the wound that has a specific appearance, compared to the total area of the wound bed and represented as a percentage. DV_PROPORTION
Internal object or structure	0..*	CLUSTER	Details about the observation of any exposed body structures, devices, and/or foreign bodies visible by the naked eye in a wound. CLUSTER
Object/structure	1..*	CHOICE OF DV_TEXT DV_CODED_TEXT	Idnetification of an exposed body structure, device, and/or foreign body visible by the naked eye within the wound. Comment Coding of the visible internal structure if preferred, if possible. Constraint for DV_CODED_TEXT Bone Blood vessel Cartilage Fascia Joint capsule Mesh Muscle Musculoskeletal implant Pin Prosthesis Subcutaneous tissue Tendon Foreign body
Present or absent?	0..1	DV_CODED_TEXT	Is the object/structure present? Constraint for DV_CODED_TEXT Present [The identified object or structure is observed in the wound.] Absent [The identified object or structure is not observed in the wound.] Indeterminate [It is not possible to tell if the identified object or structure is present or absent in the wound.]
Description	0..1	DV_TEXT	Narrative description about the associated factor.
Comment	0..1	DV_TEXT	Additional narrative about the associated factor, not captured in other fields.
Tunnelling present?	0..1	DV_CODED_TEXT	Is tunnelling present in the wound? Constraint for DV_CODED_TEXT Present [Tunnelling is observed in the wound.] Absent [Tunnelling is not observed in the wound.] Indeterminate [It is not possible to tell if a tunnel is present or absent.]
Tunnelling details	0..*	CLUSTER	Details about tunnelling into other tissues. Comment Multiple occurrences of this cluster will allow recording about each tunnel that leads from the wound. CLUSTER
Tunnel length	0..1	DV_QUANTITY	Length of an identified tunnel radiating out from the centre of the wound. DV_QUANTITY
Direction of tunnel	1..1	CHOICE OF DV_TEXT DV_CODED_TEXT	Direction of the tunnel radiating outward from the centre of the wound, as described by a clock-face. Comment For example: one o'clock. Constraint for DV_CODED_TEXT One o'clock [The tunnel is located at the one o'clock position relative to the identified reference point.] Two o'clock [The tunnel is located at the two o'clock position relative to the identified reference point.] Three o'clock [The tunnel is located at the three o'clock position relative to the identified reference point.] Four o'clock [The tunnel is located at the four o'clock position relative to the identified reference point.] Five o'clock [The tunnel is located at the five o'clock position relative to the identified reference point.] Six o'clock [The tunnel is located at the six o'clock position relative to the identified reference point.] Seven o'clock [The tunnel is located at the seven o'clock position relative to the identified reference point.] Eight o'clock [The tunnel is located at the eight o'clock position relative to the identified reference point.] Nine o'clock [The tunnel is located at the nine o'clock position relative to the identified reference point.] Ten o'clock [The tunnel is located at the ten o'clock position relative to the identified reference point.] Eleven o'clock [The tunnel is located at the eleven o'clock position relative to the identified reference point.] Twelve o'clock [The tunnel is located at the twelve o'clock position relative to the identified reference point.]
Description	0..1	DV_TEXT	Narrative description of a tunnel.
Undermining present?	0..*	DV_CODED_TEXT	Is undermining present in the wound? Comment For example: color; induration; warmth; or oedema. Constraint for DV_CODED_TEXT Present [Undermining is observed in the wound.] Absent [Undermining is not observed in the wound.] Indeterminate [It is not possible to tell if undermining is present or absent.]
Undermining description	0..1	DV_TEXT	Narrative description about undermining of the whole wound.
Undermining details	0..*	CLUSTER	Details about undermining of the wound. Comment Multiple occurrences of this cluster will allow recording of the undermining occurring in different parts of the wound. CLUSTER
Amount of undermining	1..1	DV_QUANTITY	Amount of tissue destruction that extends under the intact wound edge. DV_QUANTITY
Direction of undermining	0..1	DV_TEXT	Direction of the undermining outward from the centre of the wound, as described by a clock-face. Comment For example: one o'clock.
Exudate present?	0..1	DV_CODED_TEXT	Is an exudate present in the wound? Constraint for DV_CODED_TEXT Present [An exudate is observed in the wound.] Absent [An exudate is not observed in the wound.] Indeterminate [It is not possible to tell if an exudate is present or absent.]
Exudate amount	0..1	DV_CODED_TEXT	The amount of exudate observed. Constraint for DV_CODED_TEXT Scant Moderate Large
Exudate colour	0..1	CHOICE OF DV_CODED_TEXT DV_TEXT	The colour of the exudate. Constraint for DV_CODED_TEXT Blue Green Orange Pink Red White Yellow Brown Clay Maroon Violet Tan Colorless
Exudate type	0..1	CHOICE OF DV_CODED_TEXT DV_TEXT	The category of exudate. Constraint for DV_CODED_TEXT Sanguinous Serosanguinous Serous Purulent Seropurulent Viscous
Odour	0..1	DV_CODED_TEXT	Description of the odour of the wound. Constraint for DV_CODED_TEXT None, undetectable Offensive
Additional findings	0..*	Slot (Cluster)	Structured details about the wound not captured in the other fields. Slot Slot
Multimedia representation	0..*	Slot (Cluster)	Digital image, video or diagram representing the wound findings. Slot Slot
Clinical interpretation	0..*	DV_TEXT	Single word, phrase or brief description that represents the clinical meaning and significance of the wound findings. Comment Coding of the 'Clinical interpretation' with a terminology is preferred, where possible.
Comment	0..1	DV_TEXT	Additional narrative about the wound findings, not captured in other fields.
Examination not done	0..*	Slot (Cluster)	Details to explicitly record that this examination was not performed. Slot Slot

archetype (adl_version=1.4; uid=681e56d9-d0e3-4708-8281-6f827b7ed792)
	openEHR-EHR-CLUSTER.exam_wound.v0

concept
	[at0000]	-- Examination of a wound
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2019-03-18">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"For recording a narrative description and clinical interpretation of the findings observed during the physical examination of a wound.">
			use = <"Use to record a narrative description and clinical interpretation of the findings observed during the physical examination of a wound.

This archetype has been specifically designed to be used in the 'Examination detail' SLOT within the OBSERVATION.exam or ACTION.procedure archetype, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate.

Use to provide a framework in which CLUSTER archetypes can be nested in the 'Examination findings' SLOT to record additional structured physical examination findings.

The CLUSTER.exclusion_exam archetype can be nested within the 'Examination not done' SLOT to optionally record explicit details about the examination not being performed.

Use to incorporate the narrative descriptions of clinical findings within existing or legacy clinical systems into an archetyped format, using the 'Clinical Description' data element.">
			misuse = <"Not to be used to record stand-alone clinical measurements or test results - use specific OBSERVATION archetypes. For example OBSERVATION.head_circumference or OBSERVATION.glasgow_coma_scale.

Not to be used for recording the clinical history - use specific OBSERVATION and CLUSTER archetypes. For example OBSERVATION.story and CLUSTER.symptom_sign.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["references"] = <"https://www.wwwoundcare.ca/Uploads/ContentDocuments/BWAT.pdf
		
HL7 FHIR Profile: Skin and Wound Assessment, Release 1 [cited 2019 03 18]. Available at: https://cimi.hl7.org/submissions/september_2018/skinwoundig/fullcimi/site/index.html.

http://www.healthcareimprovementscotland.org/our_work/patient_safety/tissue_viability_resources/general_wound_assessment_chart.aspx

https://zibs.nl/wiki/Wound-v3.1(2017EN)">
		["current_contact"] = <"Heather Leslie, Atomica Informatics<heather.leslie@atomicainformatics.com>">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"16CFECB52BBBA7A6F3C74F436C7DB908">
		["build_uid"] = <"d87ba094-4e60-4cb5-93be-4c0eae0839c3">
		["revision"] = <"0.0.1-alpha">
	>

definition
	CLUSTER[at0000] matches {    -- Examination of a wound
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0016] occurrences matches {0..1} matches {    -- Wound label
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0066] occurrences matches {0..1} matches {    -- Type
				value matches {
					DV_TEXT matches {*}
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0067,    -- Abrasion
							at0068,    -- Avulsion
							at0069,    -- Bite
							at0070,    -- Blister
							at0071,    -- Burn
							at0072,    -- Gunshot wound
							at0073,    -- Contusion
							at0074,    -- Crush injury
							at0075,    -- Erythema
							at0076,    -- Fissure
							at0077,    -- Laceration
							at0078,    -- Maceration
							at0079,    -- Pressure ulcer
							at0080,    -- Ulcer
							at0081,    -- Puncture
							at0082,    -- Rash
							at0083,    -- Graft
							at0084,    -- Surgical incision
							at0085]    -- Trauma
						}
					}
				}
			}
			ELEMENT[at0001] occurrences matches {0..1} matches {    -- System or structure examined
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0012] occurrences matches {0..1} matches {    -- Body site
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0011] occurrences matches {0..*} matches {    -- Structured body site
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.anatomical_location(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.anatomical_location_circle(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.anatomical_location_relative(-[a-zA-Z0-9_]+)*\.v2/}
			}
			ELEMENT[at0003] occurrences matches {0..1} matches {    -- Clinical description
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0036] occurrences matches {0..1} matches {    -- Length
				value matches {
					C_DV_QUANTITY <
						property = <[openehr::122]>
						list = <
							["1"] = <
								units = <"cm">
								magnitude = <|>=0.0|>
							>
							["2"] = <
								units = <"[in_i]">
								magnitude = <|>=0.0|>
							>
							["3"] = <
								units = <"mm">
								magnitude = <|>=0.0|>
							>
						>
					>
				}
			}
			ELEMENT[at0037] occurrences matches {0..1} matches {    -- Width
				value matches {
					C_DV_QUANTITY <
						property = <[openehr::122]>
						list = <
							["1"] = <
								units = <"cm">
								magnitude = <|>=0.0|>
							>
							["2"] = <
								units = <"mm">
								magnitude = <|>=0.0|>
							>
							["3"] = <
								units = <"[in_i]">
								magnitude = <|>=0.0|>
							>
						>
					>
				}
			}
			ELEMENT[at0038] occurrences matches {0..1} matches {    -- Depth
				value matches {
					C_DV_QUANTITY <
						property = <[openehr::122]>
						list = <
							["1"] = <
								units = <"cm">
								magnitude = <|>=0.0|>
							>
							["2"] = <
								units = <"mm">
								magnitude = <|>=0.0|>
							>
							["3"] = <
								units = <"[in_i]">
								magnitude = <|>=0.0|>
							>
						>
					>
				}
			}
			ELEMENT[at0114] occurrences matches {0..1} matches {    -- Depth category
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0115,    -- Tissues damaged but no break in skin surface
							at0116,    -- Superficial, abrasion, blister or shallow crater
							at0117,    -- Deep crater with or without undermining of adjacent tissue
							at0118,    -- Visualization of tissue layers not possible due to necrosis
							at0119]    -- Supporting structures include tendon, joint capsule
						}
					}
				}
			}
			ELEMENT[at0039] occurrences matches {0..1} matches {    -- Area
				value matches {
					C_DV_QUANTITY <
						property = <[openehr::335]>
						list = <
							["1"] = <
								units = <"cm2">
								magnitude = <|>=0.0|>
							>
							["2"] = <
								units = <"mm2">
								magnitude = <|>=0.0|>
							>
							["3"] = <
								units = <"[sin_i]">
								magnitude = <|>=0.0|>
							>
						>
					>
				}
			}
			ELEMENT[at0101] occurrences matches {0..1} matches {    -- Volume
				value matches {
					C_DV_QUANTITY <
						
						list = <
							["1"] = <
								units = <"mm3">
								magnitude = <|>=0.0|>
							>
							["2"] = <
								units = <"cm3">
								magnitude = <|>=0.0|>
							>
							["3"] = <
								units = <"[cin_i]">
								magnitude = <|>=0.0|>
							>
						>
					>
				}
			}
			ELEMENT[at0086] occurrences matches {0..1} matches {    -- Shape
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0087,    -- Round
							at0088,    -- Ovoid
							at0089,    -- Square
							at0090,    -- Rectangular
							at0091,    -- Quadrangular
							at0092,    -- Club-shaped
							at0093,    -- Dumbbell-shaped
							at0094,    -- Funnel-shaped
							at0095,    -- Horseshoe-shaped
							at0096,    -- J-shaped
							at0097,    -- Pear-shaped
							at0098,    -- Saddle-shaped
							at0099,    -- V-shaped
							at0100]    -- Wedge-shaped
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0048] occurrences matches {0..1} matches {    -- Edge description
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0049] occurrences matches {0..1} matches {    -- Edge color
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0120,    -- Red/Healthy
							at0121,    -- Red/Hyperemic
							at0122,    -- Pink/Pale
							at0123,    -- Yellow
							at0124,    -- Black
							at0125,    -- Brown
							at0126]    -- Gray
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0105] occurrences matches {0..1} matches {    -- Edge appearance
				value matches {
					DV_CODED_TEXT matches {*}
				}
			}
			ELEMENT[at0102] occurrences matches {0..1} matches {    -- Edge outline
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0103,    -- Well-defined
							at0104]    -- Poorly-defined
						}
					}
				}
			}
			ELEMENT[at0109] occurrences matches {0..1} matches {    -- Edge type
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0110,    -- Scabbed
							at0111,    -- Rolled
							at0112,    -- Hyperkeratotic
							at0113]    -- Fibrotic
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0106] occurrences matches {0..1} matches {    -- Edge attachment
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0107,    -- Attached
							at0108]    -- Not attached
						}
					}
				}
			}
			ELEMENT[at0057] occurrences matches {0..*} matches {    -- Periwound description
				value matches {
					DV_TEXT matches {*}
				}
			}
			CLUSTER[at0150] occurrences matches {0..*} matches {    -- Periwound appearance
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0127] matches {    -- Skin type
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0128,    -- Boggy
									at0129,    -- Blanched
									at0130,    -- Blistered
									at0131,    -- Calloused
									at0132,    -- Dry
									at0133,    -- Ecchymotic
									at0134,    -- Edematous
									at0135,    -- Erythematous
									at0136,    -- Excoriated
									at0137,    -- Fluctuant
									at0138,    -- Friable
									at0139,    -- Hemorrhagic
									at0140,    -- Indurated
									at0141,    -- Lacerated
									at0142,    -- Macerated
									at0143,    -- Moist
									at0144,    -- Purpuric
									at0145,    -- Rash
									at0146,    -- Rupture
									at0147,    -- Scarred
									at0148,    -- Swollen (inflammed)
									at0149]    -- Healthy and intact
								}
							}
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0151] occurrences matches {0..1} matches {    -- Presence
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0152,    -- Present
									at0153]    -- Absent
								}
							}
						}
					}
				}
			}
			ELEMENT[at0154] occurrences matches {0..1} matches {    -- Periwound tenderness
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0152,    -- Present
							at0153]    -- Absent
						}
					}
				}
			}
			ELEMENT[at0155] occurrences matches {0..1} matches {    -- Periwound temperature
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0156,    -- Normal skin temperature
							at0157]    -- Raised skin temperature
						}
					}
				}
			}
			CLUSTER[at0060] occurrences matches {0..*} matches {    -- Association
				items cardinality matches {2..*; unordered} matches {
					ELEMENT[at0061] matches {    -- Factor
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0062] matches {    -- Present or absent?
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0063,    -- Present
									at0064,    -- Absent
									at0065]    -- Indeterminate
								}
							}
						}
					}
				}
			}
			CLUSTER[at0054] occurrences matches {0..*} matches {    -- Wound bed colour
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0055] matches {    -- Colour
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0120,    -- Red/Healthy
									at0121,    -- Red/Hyperemic
									at0122,    -- Pink/Pale
									at0123,    -- Yellow
									at0124,    -- Black
									at0125,    -- Brown
									at0126]    -- Gray
								}
							}
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0056] occurrences matches {0..1} matches {    -- Proportion
						value matches {
							DV_PROPORTION matches {
								numerator matches {|0.0..100.0|}
								type matches {2}
								precision matches {|0|}
							}
						}
					}
				}
			}
			CLUSTER[at0051] occurrences matches {0..*} matches {    -- Wound bed tissue
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0052] matches {    -- Tissue type
						value matches {
							DV_TEXT matches {*}
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0171,    -- White/gray non-viable tissue
									at0172,    -- Non-adherent, yellow slough
									at0173,    -- Loosely adherent, yellow slough
									at0174,    -- Adherent, soft, black eschar
									at0175,    -- Firmly adherent, hard/black eschar
									at0176,    -- Non-blanchable erythema
									at0177,    -- Epithelialization
									at0178,    -- Fibrinous tissue
									at0179]    -- Granulation tissue
								}
							}
						}
					}
					ELEMENT[at0053] occurrences matches {0..1} matches {    -- Proportion
						value matches {
							DV_PROPORTION matches {
								numerator matches {|0.0..100.0|}
								type matches {2}
								precision matches {|0|}
							}
						}
					}
				}
			}
			CLUSTER[at0014] occurrences matches {0..*} matches {    -- Internal object or structure
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0015] occurrences matches {1..*} matches {    -- Object/structure
						value matches {
							DV_TEXT matches {*}
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0180,    -- Bone
									at0181,    -- Blood vessel
									at0182,    -- Cartilage
									at0183,    -- Fascia
									at0184,    -- Joint capsule
									at0185,    -- Mesh
									at0186,    -- Muscle
									at0187,    -- Musculoskeletal implant
									at0188,    -- Pin
									at0189,    -- Prosthesis
									at0190,    -- Subcutaneous tissue
									at0191,    -- Tendon
									at0192]    -- Foreign body
								}
							}
						}
					}
					ELEMENT[at0020] occurrences matches {0..1} matches {    -- Present or absent?
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0021,    -- Present
									at0022,    -- Absent
									at0023]    -- Indeterminate
								}
							}
						}
					}
					ELEMENT[at0024] occurrences matches {0..1} matches {    -- Description
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0025] occurrences matches {0..1} matches {    -- Comment
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
			ELEMENT[at0017] occurrences matches {0..1} matches {    -- Tunnelling present?
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0029,    -- Present
							at0030,    -- Absent
							at0031]    -- Indeterminate
						}
					}
				}
			}
			CLUSTER[at0045] occurrences matches {0..*} matches {    -- Tunnelling details
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0046] occurrences matches {0..1} matches {    -- Tunnel length
						value matches {
							C_DV_QUANTITY <
								property = <[openehr::122]>
								list = <
									["1"] = <
										units = <"cm">
										magnitude = <|>=0.0|>
									>
									["2"] = <
										units = <"mm">
										magnitude = <|>=0.0|>
									>
									["3"] = <
										units = <"[in_i]">
										magnitude = <|>=0.0|>
									>
								>
							>
						}
					}
					ELEMENT[at0047] matches {    -- Direction of tunnel
						value matches {
							DV_TEXT matches {*}
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0193,    -- One o'clock
									at0194,    -- Two o'clock
									at0195,    -- Three o'clock
									at0196,    -- Four o'clock
									at0197,    -- Five o'clock
									at0198,    -- Six o'clock
									at0199,    -- Seven o'clock
									at0200,    -- Eight o'clock
									at0201,    -- Nine o'clock
									at0202,    -- Ten o'clock
									at0203,    -- Eleven o'clock
									at0204]    -- Twelve o'clock
								}
							}
						}
					}
					ELEMENT[at0058] occurrences matches {0..1} matches {    -- Description
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
			ELEMENT[at0013] occurrences matches {0..*} matches {    -- Undermining present?
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0026,    -- Present
							at0027,    -- Absent
							at0028]    -- Indeterminate
						}
					}
				}
			}
			ELEMENT[at0059] occurrences matches {0..1} matches {    -- Undermining description
				value matches {
					DV_TEXT matches {*}
				}
			}
			CLUSTER[at0041] occurrences matches {0..*} matches {    -- Undermining details
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0042] matches {    -- Amount of undermining
						value matches {
							C_DV_QUANTITY <
								property = <[openehr::122]>
								list = <
									["1"] = <
										units = <"cm">
										magnitude = <|>=0.0|>
									>
									["2"] = <
										units = <"mm">
										magnitude = <|>=0.0|>
									>
									["3"] = <
										units = <"[in_i]">
										magnitude = <|>=0.0|>
									>
								>
							>
						}
					}
					ELEMENT[at0044] occurrences matches {0..1} matches {    -- Direction of undermining
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
			ELEMENT[at0032] occurrences matches {0..1} matches {    -- Exudate present?
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0033,    -- Present
							at0034,    -- Absent
							at0035]    -- Indeterminate
						}
					}
				}
			}
			ELEMENT[at0205] occurrences matches {0..1} matches {    -- Exudate amount
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0206,    -- Scant
							at0207,    -- Moderate
							at0208]    -- Large
						}
					}
				}
			}
			ELEMENT[at0210] occurrences matches {0..1} matches {    -- Exudate colour
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0211,    -- Blue
							at0212,    -- Green
							at0213,    -- Orange
							at0214,    -- Pink
							at0215,    -- Red
							at0216,    -- White
							at0217,    -- Yellow
							at0218,    -- Brown
							at0219,    -- Clay
							at0220,    -- Maroon
							at0221,    -- Violet
							at0222,    -- Tan
							at0223]    -- Colorless
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0224] occurrences matches {0..1} matches {    -- Exudate type
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0225,    -- Sanguinous
							at0226,    -- Serosanguinous
							at0227,    -- Serous
							at0228,    -- Purulent
							at0229,    -- Seropurulent
							at0230]    -- Viscous
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0231] occurrences matches {0..1} matches {    -- Odour
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0232,    -- None, undetectable
							at0233]    -- Offensive
						}
					}
				}
			}
			allow_archetype CLUSTER[at0004] occurrences matches {0..*} matches {    -- Additional findings
				include
					archetype_id/value matches {/.*/}
			}
			allow_archetype CLUSTER[at0005] occurrences matches {0..*} matches {    -- Multimedia representation
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.media_file(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.media_file(-[a-zA-Z0-9_]+)*\.v1/}
			}
			ELEMENT[at0006] occurrences matches {0..*} matches {    -- Clinical interpretation
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0007] occurrences matches {0..1} matches {    -- Comment
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0008] occurrences matches {0..*} matches {    -- Examination not done
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.exclusion_exam(-[a-zA-Z0-9_]+)*\.v1/}
			}
		}
	}


ontology
	terminologies_available = <"LOINC", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Examination of a wound">
					description = <"Findings observed during the physical examination of a wound.">
				>
				["at0001"] = <
					text = <"System or structure examined">
					description = <"Identification of the examined body system or anatomical structure.">
					comment = <"For example: the very generic term \"skin\", which will likely require additional qualification using one of the 'Body site' data elements, or the complete phrase \"skin of right knee\". Coding of the system or structure examined with a terminology is preferred, where possible.">
				>
				["at0003"] = <
					text = <"Clinical description">
					description = <"Narrative description of the overall findings observed during the examination of a wound.">
				>
				["at0004"] = <
					text = <"Additional findings">
					description = <"Structured details about the wound not captured in the other fields.">
				>
				["at0005"] = <
					text = <"Multimedia representation">
					description = <"Digital image, video or diagram representing the wound findings.">
				>
				["at0006"] = <
					text = <"Clinical interpretation">
					description = <"Single word, phrase or brief description that represents the clinical meaning and significance of the wound findings.">
					comment = <"Coding of the 'Clinical interpretation' with a terminology is preferred, where possible.">
				>
				["at0007"] = <
					text = <"Comment">
					description = <"Additional narrative about the wound findings, not captured in other fields.">
				>
				["at0008"] = <
					text = <"Examination not done">
					description = <"Details to explicitly record that this examination was not performed.">
				>
				["at0011"] = <
					text = <"Structured body site">
					description = <"A structured description of the area of the body under examination.">
					comment = <"If the body site has been fully identified in the 'System or structure examined' or the 'Body site' data element, this SLOT becomes redundant.">
				>
				["at0012"] = <
					text = <"Body site">
					description = <"Identification of the area of the body under examination.">
					comment = <"For example: \"entire body\", \"face\" or \"right cheek\". If the body site has been fully identified in the 'System or structure examined' data element, this data element becomes redundant.">
				>
				["at0013"] = <
					text = <"Undermining present?">
					description = <"Is undermining present in the wound?">
					comment = <"For example: color; induration; warmth; or oedema.">
				>
				["at0014"] = <
					text = <"Internal object or structure">
					description = <"Details about the observation of any exposed body structures, devices, and/or foreign bodies visible by the naked eye in a wound.">
				>
				["at0015"] = <
					text = <"Object/structure">
					description = <"Idnetification of an exposed body structure, device, and/or foreign body visible by the naked eye within the wound.">
					comment = <"Coding of the visible internal structure if preferred, if possible.">
				>
				["at0016"] = <
					text = <"Wound label">
					description = <"A name or alias for a single wound, so that it can be distinguished from other wounds.">
				>
				["at0017"] = <
					text = <"Tunnelling present?">
					description = <"Is tunnelling present in the wound?">
				>
				["at0020"] = <
					text = <"Present or absent?">
					description = <"Is the object/structure present?">
				>
				["at0021"] = <
					text = <"Present">
					description = <"The identified object or structure is observed in the wound.">
				>
				["at0022"] = <
					text = <"Absent">
					description = <"The identified object or structure is not observed in the wound.">
				>
				["at0023"] = <
					text = <"Indeterminate">
					description = <"It is not possible to tell if the  identified object or structure is present or absent in the wound.">
				>
				["at0024"] = <
					text = <"Description">
					description = <"Narrative description about the associated factor.">
				>
				["at0025"] = <
					text = <"Comment">
					description = <"Additional narrative about the associated factor, not captured in other fields.">
				>
				["at0026"] = <
					text = <"Present">
					description = <"Undermining is observed in the wound.">
				>
				["at0027"] = <
					text = <"Absent">
					description = <"Undermining is not observed in the wound.">
				>
				["at0028"] = <
					text = <"Indeterminate">
					description = <"It is not possible to tell if undermining is present or absent.">
				>
				["at0029"] = <
					text = <"Present">
					description = <"Tunnelling is observed in the wound.">
				>
				["at0030"] = <
					text = <"Absent">
					description = <"Tunnelling is not observed in the wound.">
				>
				["at0031"] = <
					text = <"Indeterminate">
					description = <"It is not possible to tell if a tunnel is present or absent.">
				>
				["at0032"] = <
					text = <"Exudate present?">
					description = <"Is an exudate present in the wound?">
				>
				["at0033"] = <
					text = <"Present">
					description = <"An exudate is observed in the wound.">
				>
				["at0034"] = <
					text = <"Absent">
					description = <"An exudate is not observed in the wound.">
				>
				["at0035"] = <
					text = <"Indeterminate">
					description = <"It is not possible to tell if an exudate is present or absent.">
				>
				["at0036"] = <
					text = <"Length">
					description = <"The length of the wound, in the longest dimension.">
				>
				["at0037"] = <
					text = <"Width">
					description = <"The width of the wound, perpendicular to longest dimension.">
				>
				["at0038"] = <
					text = <"Depth">
					description = <"The depth of the wound.">
				>
				["at0039"] = <
					text = <"Area">
					description = <"The area of the wound.">
				>
				["at0041"] = <
					text = <"Undermining details">
					description = <"Details about undermining of the wound.">
					comment = <"Multiple occurrences of this cluster will allow recording of the undermining occurring in different parts of the wound.">
				>
				["at0042"] = <
					text = <"Amount of undermining">
					description = <"Amount of tissue destruction that extends under the intact wound edge.">
				>
				["at0044"] = <
					text = <"Direction of undermining">
					description = <"Direction of the undermining outward from the centre of the wound, as described by a clock-face.">
					comment = <"For example: one o'clock.">
				>
				["at0045"] = <
					text = <"Tunnelling details">
					description = <"Details about tunnelling into other tissues.">
					comment = <"Multiple occurrences of this cluster will allow recording about each tunnel that leads from the wound.">
				>
				["at0046"] = <
					text = <"Tunnel length">
					description = <"Length of an identified tunnel radiating out from the centre of the wound.">
				>
				["at0047"] = <
					text = <"Direction of tunnel">
					description = <"Direction of the tunnel radiating outward from the centre of the wound, as described by a clock-face.">
					comment = <"For example: one o'clock.">
				>
				["at0048"] = <
					text = <"Edge description">
					description = <"Narrative description about the edge of the wound.">
				>
				["at0049"] = <
					text = <"Edge color">
					description = <"The colour of the wound edge.">
				>
				["at0051"] = <
					text = <"Wound bed tissue">
					description = <"Details about the appearance of the base of the wound.">
					comment = <"Multiple occurrences of this Cluster allow for recordings of multiple discrete areas of different appearances..">
				>
				["at0052"] = <
					text = <"Tissue type">
					description = <"Description of the tissue in the wound base.">
					comment = <"For example: necrotic; sloughing; fibrinous; eschar; or granulation tissue.">
				>
				["at0053"] = <
					text = <"Proportion">
					description = <"The proportion of the wound that has the identified appearance.">
					comment = <"This is the the area of the base of the wound that has a specific appearance, compared to the total area of the wound bed and represented as a percentage.">
				>
				["at0054"] = <
					text = <"Wound bed colour">
					description = <"Details about the colour of the base of the wound.">
					comment = <"Multiple occurrences of this Cluster allow for recordings of more than one colour.">
				>
				["at0055"] = <
					text = <"Colour">
					description = <"Description of the colour of the wound base.">
					comment = <"For example: red/healthy; red/hyperaemic; pink, yellow; black, brown; or grey.">
				>
				["at0056"] = <
					text = <"Proportion">
					description = <"The proportion of the wound that is the identified colour.">
					comment = <"This is the the area of the base of the wound that is a specific colour, compared to the total area of the wound bed and represented as a percentage.">
				>
				["at0057"] = <
					text = <"Periwound description">
					description = <"Description of the skin surrounding the wound.">
				>
				["at0058"] = <
					text = <"Description">
					description = <"Narrative description of a tunnel.">
				>
				["at0059"] = <
					text = <"Undermining description">
					description = <"Narrative description about undermining of the whole wound.">
				>
				["at0060"] = <
					text = <"Association">
					description = <"Details about factors that may be associated with the wound.">
				>
				["at0061"] = <
					text = <"Factor">
					description = <"Associated factor that may causing or influencing the healing of the wound.">
					comment = <"For example: a device; a drain tube; or a pressure point.">
				>
				["at0062"] = <
					text = <"Present or absent?">
					description = <"Is the identified factor present?">
				>
				["at0063"] = <
					text = <"Present">
					description = <"The identified factor is observed.">
				>
				["at0064"] = <
					text = <"Absent">
					description = <"The identified factor is not observed.">
				>
				["at0065"] = <
					text = <"Indeterminate">
					description = <"It is not possible to tell if the identified factor is present or absent.">
				>
				["at0066"] = <
					text = <"Type">
					description = <"The type of wound examined.">
				>
				["at0067"] = <
					text = <"Abrasion">
					description = <"">
				>
				["at0068"] = <
					text = <"Avulsion">
					description = <"">
				>
				["at0069"] = <
					text = <"Bite">
					description = <"">
				>
				["at0070"] = <
					text = <"Blister">
					description = <"">
				>
				["at0071"] = <
					text = <"Burn">
					description = <"">
				>
				["at0072"] = <
					text = <"Gunshot wound">
					description = <"">
				>
				["at0073"] = <
					text = <"Contusion">
					description = <"">
				>
				["at0074"] = <
					text = <"Crush injury">
					description = <"">
				>
				["at0075"] = <
					text = <"Erythema">
					description = <"">
				>
				["at0076"] = <
					text = <"Fissure">
					description = <"">
				>
				["at0077"] = <
					text = <"Laceration">
					description = <"">
				>
				["at0078"] = <
					text = <"Maceration">
					description = <"">
				>
				["at0079"] = <
					text = <"Pressure ulcer">
					description = <"">
				>
				["at0080"] = <
					text = <"Ulcer">
					description = <"">
				>
				["at0081"] = <
					text = <"Puncture">
					description = <"">
				>
				["at0082"] = <
					text = <"Rash">
					description = <"">
				>
				["at0083"] = <
					text = <"Graft">
					description = <"">
				>
				["at0084"] = <
					text = <"Surgical incision">
					description = <"">
				>
				["at0085"] = <
					text = <"Trauma">
					description = <"">
				>
				["at0086"] = <
					text = <"Shape">
					description = <"The shape of the wound.">
				>
				["at0087"] = <
					text = <"Round">
					description = <"">
				>
				["at0088"] = <
					text = <"Ovoid">
					description = <"">
				>
				["at0089"] = <
					text = <"Square">
					description = <"">
				>
				["at0090"] = <
					text = <"Rectangular">
					description = <"">
				>
				["at0091"] = <
					text = <"Quadrangular">
					description = <"A four sided shape.">
				>
				["at0092"] = <
					text = <"Club-shaped">
					description = <"">
				>
				["at0093"] = <
					text = <"Dumbbell-shaped">
					description = <"">
				>
				["at0094"] = <
					text = <"Funnel-shaped">
					description = <"">
				>
				["at0095"] = <
					text = <"Horseshoe-shaped">
					description = <"">
				>
				["at0096"] = <
					text = <"J-shaped">
					description = <"">
				>
				["at0097"] = <
					text = <"Pear-shaped">
					description = <"">
				>
				["at0098"] = <
					text = <"Saddle-shaped">
					description = <"">
				>
				["at0099"] = <
					text = <"V-shaped">
					description = <"">
				>
				["at0100"] = <
					text = <"Wedge-shaped">
					description = <"">
				>
				["at0101"] = <
					text = <"Volume">
					description = <"The volume of the wound.">
				>
				["at0102"] = <
					text = <"Edge outline">
					description = <"Description of the outline of the wound.">
				>
				["at0103"] = <
					text = <"Well-defined">
					description = <"Distinct wound outline.">
				>
				["at0104"] = <
					text = <"Poorly-defined">
					description = <"Indistinct or diffuse wound outline.">
				>
				["at0105"] = <
					text = <"Edge appearance">
					description = <"The appearance of the edge of the wound.">
				>
				["at0106"] = <
					text = <"Edge attachment">
					description = <"The attachment of the edge to the wound base.">
				>
				["at0107"] = <
					text = <"Attached">
					description = <"The edge appears flush with the wound base or has a sloping edge.">
				>
				["at0108"] = <
					text = <"Not attached">
					description = <"The edge has sides or walls present; floor or base of wound is deeper than edge.">
				>
				["at0109"] = <
					text = <"Edge type">
					description = <"The type of wound edge.">
				>
				["at0110"] = <
					text = <"Scabbed">
					description = <"">
				>
				["at0111"] = <
					text = <"Rolled">
					description = <"Soft to firm and flexible to touch.">
				>
				["at0112"] = <
					text = <"Hyperkeratotic">
					description = <"Callous-like tissue formation around wound & at edges.">
				>
				["at0113"] = <
					text = <"Fibrotic">
					description = <"Scarred, hard, rigid to touch.">
				>
				["at0114"] = <
					text = <"Depth category">
					description = <"Description of the depth of the wound.">
					comment = <"As per Bates-Jensen wound assessment tool.">
				>
				["at0115"] = <
					text = <"Tissues damaged but no break in skin surface">
					description = <"">
				>
				["at0116"] = <
					text = <"Superficial, abrasion, blister or shallow crater">
					description = <"Even with, &/or elevated above skin surface (e.g.,hyperplasia).">
				>
				["at0117"] = <
					text = <"Deep crater with or without undermining of adjacent tissue">
					description = <"">
				>
				["at0118"] = <
					text = <"Visualization of tissue layers not possible due to necrosis">
					description = <"">
				>
				["at0119"] = <
					text = <"Supporting structures include tendon, joint capsule">
					description = <"">
				>
				["at0120"] = <
					text = <"Red/Healthy">
					description = <"">
				>
				["at0121"] = <
					text = <"Red/Hyperemic">
					description = <"">
				>
				["at0122"] = <
					text = <"Pink/Pale">
					description = <"">
				>
				["at0123"] = <
					text = <"Yellow">
					description = <"">
				>
				["at0124"] = <
					text = <"Black">
					description = <"">
				>
				["at0125"] = <
					text = <"Brown">
					description = <"">
				>
				["at0126"] = <
					text = <"Gray">
					description = <"">
				>
				["at0127"] = <
					text = <"Skin type">
					description = <"Type of skin surrounding the wound.">
				>
				["at0128"] = <
					text = <"Boggy">
					description = <"">
				>
				["at0129"] = <
					text = <"Blanched">
					description = <"">
				>
				["at0130"] = <
					text = <"Blistered">
					description = <"">
				>
				["at0131"] = <
					text = <"Calloused">
					description = <"">
				>
				["at0132"] = <
					text = <"Dry">
					description = <"">
				>
				["at0133"] = <
					text = <"Ecchymotic">
					description = <"">
				>
				["at0134"] = <
					text = <"Edematous">
					description = <"">
				>
				["at0135"] = <
					text = <"Erythematous">
					description = <"">
				>
				["at0136"] = <
					text = <"Excoriated">
					description = <"">
				>
				["at0137"] = <
					text = <"Fluctuant">
					description = <"">
				>
				["at0138"] = <
					text = <"Friable">
					description = <"">
				>
				["at0139"] = <
					text = <"Hemorrhagic">
					description = <"">
				>
				["at0140"] = <
					text = <"Indurated">
					description = <"">
				>
				["at0141"] = <
					text = <"Lacerated">
					description = <"">
				>
				["at0142"] = <
					text = <"Macerated">
					description = <"">
				>
				["at0143"] = <
					text = <"Moist">
					description = <"">
				>
				["at0144"] = <
					text = <"Purpuric">
					description = <"">
				>
				["at0145"] = <
					text = <"Rash">
					description = <"">
				>
				["at0146"] = <
					text = <"Rupture">
					description = <"">
				>
				["at0147"] = <
					text = <"Scarred">
					description = <"">
				>
				["at0148"] = <
					text = <"Swollen (inflammed)">
					description = <"">
				>
				["at0149"] = <
					text = <"Healthy and intact">
					description = <"">
				>
				["at0150"] = <
					text = <"Periwound appearance">
					description = <"Appearance of the skin around the edge of the wound.">
					comment = <"Multiple occurrences allow for the use of coded text to describe various types of skin around the wound.">
				>
				["at0151"] = <
					text = <"Presence">
					description = <"">
				>
				["at0152"] = <
					text = <"Present">
					description = <"">
				>
				["at0153"] = <
					text = <"Absent">
					description = <"">
				>
				["at0154"] = <
					text = <"Periwound tenderness">
					description = <"The presence of tenderness in and around the wound.">
				>
				["at0155"] = <
					text = <"Periwound temperature">
					description = <"The relative temperature of the skin surrounding the wound.">
				>
				["at0156"] = <
					text = <"Normal skin temperature">
					description = <"">
				>
				["at0157"] = <
					text = <"Raised skin temperature">
					description = <"">
				>
				["at0171"] = <
					text = <"White/gray non-viable tissue">
					description = <"May appear prior to wound opening; skin surface is white or grey.">
				>
				["at0172"] = <
					text = <"Non-adherent, yellow slough">
					description = <"Thin, mucinous substance; scattered throughout wound bed; easily separated from wound tissue.">
				>
				["at0173"] = <
					text = <"Loosely adherent, yellow slough">
					description = <"Thick, stringy, clumps of debris; attached to wound tissue.">
				>
				["at0174"] = <
					text = <"Adherent, soft, black eschar">
					description = <"Soggy tissue; strongly attached to tissue in centre or base of wound.">
				>
				["at0175"] = <
					text = <"Firmly adherent, hard/black eschar">
					description = <"Firm, crusty tissue; strongly attached to wound base and edges (like a hard scab).">
				>
				["at0176"] = <
					text = <"Non-blanchable erythema">
					description = <"">
				>
				["at0177"] = <
					text = <"Epithelialization">
					description = <"">
				>
				["at0178"] = <
					text = <"Fibrinous tissue">
					description = <"">
				>
				["at0179"] = <
					text = <"Granulation tissue">
					description = <"">
				>
				["at0180"] = <
					text = <"Bone">
					description = <"">
				>
				["at0181"] = <
					text = <"Blood vessel">
					description = <"">
				>
				["at0182"] = <
					text = <"Cartilage">
					description = <"">
				>
				["at0183"] = <
					text = <"Fascia">
					description = <"">
				>
				["at0184"] = <
					text = <"Joint capsule">
					description = <"">
				>
				["at0185"] = <
					text = <"Mesh">
					description = <"">
				>
				["at0186"] = <
					text = <"Muscle">
					description = <"">
				>
				["at0187"] = <
					text = <"Musculoskeletal implant">
					description = <"">
				>
				["at0188"] = <
					text = <"Pin">
					description = <"">
				>
				["at0189"] = <
					text = <"Prosthesis">
					description = <"">
				>
				["at0190"] = <
					text = <"Subcutaneous tissue">
					description = <"">
				>
				["at0191"] = <
					text = <"Tendon">
					description = <"">
				>
				["at0192"] = <
					text = <"Foreign body">
					description = <"">
				>
				["at0193"] = <
					text = <"One o'clock">
					description = <"The tunnel is located at the one o'clock position relative to the identified reference point.">
				>
				["at0194"] = <
					text = <"Two o'clock">
					description = <"The tunnel is located at the two o'clock position relative to the identified reference point.">
				>
				["at0195"] = <
					text = <"Three o'clock">
					description = <"The tunnel is located at the three o'clock position relative to the identified reference point.">
				>
				["at0196"] = <
					text = <"Four o'clock">
					description = <"The tunnel is located at the four o'clock position relative to the identified reference point.">
				>
				["at0197"] = <
					text = <"Five o'clock">
					description = <"The tunnel is located at the five o'clock position relative to the identified reference point.">
				>
				["at0198"] = <
					text = <"Six o'clock">
					description = <"The tunnel is located at the six o'clock position relative to the identified reference point.">
				>
				["at0199"] = <
					text = <"Seven o'clock">
					description = <"The tunnel is located at the seven o'clock position relative to the identified reference point.">
				>
				["at0200"] = <
					text = <"Eight o'clock">
					description = <"The tunnel is located at the eight o'clock position relative to the identified reference point.">
				>
				["at0201"] = <
					text = <"Nine o'clock">
					description = <"The tunnel is located at the nine o'clock position relative to the identified reference point.">
				>
				["at0202"] = <
					text = <"Ten o'clock">
					description = <"The tunnel is located at the ten o'clock position relative to the identified reference point.">
				>
				["at0203"] = <
					text = <"Eleven o'clock">
					description = <"The tunnel is located at the eleven o'clock position relative to the identified reference point.">
				>
				["at0204"] = <
					text = <"Twelve o'clock">
					description = <"The tunnel is located at the twelve o'clock position relative to the identified reference point.">
				>
				["at0205"] = <
					text = <"Exudate amount">
					description = <"The amount of exudate observed.">
				>
				["at0206"] = <
					text = <"Scant">
					description = <"">
				>
				["at0207"] = <
					text = <"Moderate">
					description = <"">
				>
				["at0208"] = <
					text = <"Large">
					description = <"">
				>
				["at0210"] = <
					text = <"Exudate colour">
					description = <"The colour of the exudate.">
				>
				["at0211"] = <
					text = <"Blue">
					description = <"">
				>
				["at0212"] = <
					text = <"Green">
					description = <"">
				>
				["at0213"] = <
					text = <"Orange">
					description = <"">
				>
				["at0214"] = <
					text = <"Pink">
					description = <"">
				>
				["at0215"] = <
					text = <"Red">
					description = <"">
				>
				["at0216"] = <
					text = <"White">
					description = <"">
				>
				["at0217"] = <
					text = <"Yellow">
					description = <"">
				>
				["at0218"] = <
					text = <"Brown">
					description = <"">
				>
				["at0219"] = <
					text = <"Clay">
					description = <"">
				>
				["at0220"] = <
					text = <"Maroon">
					description = <"">
				>
				["at0221"] = <
					text = <"Violet">
					description = <"">
				>
				["at0222"] = <
					text = <"Tan">
					description = <"">
				>
				["at0223"] = <
					text = <"Colorless">
					description = <"">
				>
				["at0224"] = <
					text = <"Exudate type">
					description = <"The category of exudate.">
				>
				["at0225"] = <
					text = <"Sanguinous">
					description = <"">
				>
				["at0226"] = <
					text = <"Serosanguinous">
					description = <"">
				>
				["at0227"] = <
					text = <"Serous">
					description = <"">
				>
				["at0228"] = <
					text = <"Purulent">
					description = <"">
				>
				["at0229"] = <
					text = <"Seropurulent">
					description = <"">
				>
				["at0230"] = <
					text = <"Viscous">
					description = <"">
				>
				["at0231"] = <
					text = <"Odour">
					description = <"Description of the odour of the wound.">
				>
				["at0232"] = <
					text = <"None, undetectable">
					description = <"">
				>
				["at0233"] = <
					text = <"Offensive">
					description = <"">
				>
			>
		>
	>
	term_bindings = <
		["LOINC"] = <
			items = <
				["at0000"] = <[LOINC(2.27)::39135-9]>
				["at0013"] = <[LOINC(2.27)::72295-9]>
				["at0015"] = <[LOINC(2.27)::89250-5]>
				["at0017"] = <[LOINC(2.27)::72298-3]>
				["at0032"] = <[LOINC(2.27)::89259-6]>
				["at0036"] = <[LOINC(2.27)::39126-8]>
				["at0037"] = <[LOINC(2.27)::39125-0]>
				["at0038"] = <[LOINC(2.27)::39127-6]>
				["at0039"] = <[LOINC(2.27)::89260-4]>
				["at0042"] = <[LOINC(2.27)::72293-4]>
				["at0044"] = <[LOINC(2.27)::72294-2]>
				["at0046"] = <[LOINC(2.27)::72296-7]>
				["at0047"] = <[LOINC(2.27)::72297-5]>
				["at0048"] = <[LOINC(2.27)::72304-9]>
				["at0049"] = <[LOINC(2.27)::39133-4]>
				["at0052"] = <[LOINC(2.27)::72371-8]>
				["at0053"] = <[LOINC(2.27)::72370-0]>
				["at0055"] = <[LOINC(2.27)::39132-6]>
				["at0056"] = <[LOINC(2.27)::89255-4]>
				["at0057"] = <[LOINC(2.27)::72301-5]>
				["at0067"] = <[LOINC(2.27)::LA7410-9]>
				["at0068"] = <[LOINC(2.27)::LA18220-6]>
				["at0069"] = <[LOINC(2.27)::LA19023-3]>
				["at0070"] = <[LOINC(2.27)::LA19024-1]>
			>
		>
	>