<status value="draft" /> <date value="2024-06-18" /> <publisher value="openEHR" /> <contact> <telecom> <system value="url" /> <value value="http://www.veratech.es" /> </telecom> </contact> <description value="Findings observed by palpation of the cervix." /> <purpose value="To record a narrative description and clinical interpretation of the findings observed only by palpation of the cervix." /> <fhirVersion value="4.0.0" /> <mapping> <identity value="openEHR" /> <uri value="http://openehr.org" /> <name value="openEHR Mapping" /> </mapping> <mapping> <identity value="openEHR-natural" /> <uri value="http://openehr.org" /> <name value="openEHR natural path" /> </mapping> <kind value="logical" /> <abstract value="false" /> <type value="StructureDefinition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <snapshot> <element id="Palpation_of_the_cervix"> <path value="Palpation_of_the_cervix" /> <short value="Palpation of the cervix" /> <definition value="Findings observed by palpation of the cervix." /> <min value="1" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix" /> <min value="1" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.System_or_structure_examined"> <path value="Palpation_of_the_cervix.System_or_structure_examined" /> <short value="System or structure examined" /> <definition value="Identification of the examined body system or anatomical structure." /> <min value="1" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.System_or_structure_examined" /> <min value="1" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.System_or_structure_examined.value"> <path value="Palpation_of_the_cervix.System_or_structure_examined.value" /> <short value="System or structure examined" /> <definition value="Identification of the examined body system or anatomical structure." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.System_or_structure_examined.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Body_site"> <path value="Palpation_of_the_cervix.Body_site" /> <short value="Body site" /> <definition value="Identification of the area of the body under examination." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Body_site" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Body_site.value"> <path value="Palpation_of_the_cervix.Body_site.value" /> <short value="Body site" /> <definition value="Identification of the area of the body under examination." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Body_site.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Structured_body_site"> <path value="Palpation_of_the_cervix.Structured_body_site" /> <short value="Structured body site" /> <definition value="A structured description of the area of the body under examination." /> <min value="0" /> <max value="*" /> <base> <path value="Palpation_of_the_cervix.Structured_body_site" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.No_abnormality_detected"> <path value="Palpation_of_the_cervix.No_abnormality_detected" /> <short value="No abnormality detected" /> <definition value="Statement that no abnormality was detected (NAD) on physical examination." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.No_abnormality_detected" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.No_abnormality_detected.value"> <path value="Palpation_of_the_cervix.No_abnormality_detected.value" /> <short value="No abnormality detected" /> <definition value="Statement that no abnormality was detected (NAD) on physical examination." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.No_abnormality_detected.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Clinical_description"> <path value="Palpation_of_the_cervix.Clinical_description" /> <short value="Clinical description" /> <definition value="Narrative description of the overall findings observed during the physical examination." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Clinical_description" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Clinical_description.value"> <path value="Palpation_of_the_cervix.Clinical_description.value" /> <short value="Clinical description" /> <definition value="Narrative description of the overall findings observed during the physical examination." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Clinical_description.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Relative_position"> <path value="Palpation_of_the_cervix.Relative_position" /> <short value="Relative position" /> <definition value="Actual cervical position in relation to the expected, central anatomical position." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Relative_position" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Relative_position.value"> <path value="Palpation_of_the_cervix.Relative_position.value" /> <short value="Relative position" /> <definition value="Actual cervical position in relation to the expected, central anatomical position." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Relative_position.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Consistency"> <path value="Palpation_of_the_cervix.Consistency" /> <short value="Consistency" /> <definition value="The firmness of the cervix." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Consistency" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Consistency.value"> <path value="Palpation_of_the_cervix.Consistency.value" /> <short value="Consistency" /> <definition value="The firmness of the cervix." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Consistency.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Surface_description"> <path value="Palpation_of_the_cervix.Surface_description" /> <short value="Surface description" /> <definition value="Narrative description about the surface of the cervix." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Surface_description" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Surface_description.value"> <path value="Palpation_of_the_cervix.Surface_description.value" /> <short value="Surface description" /> <definition value="Narrative description about the surface of the cervix." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Surface_description.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Mobility"> <path value="Palpation_of_the_cervix.Mobility" /> <short value="Mobility" /> <definition value="Narrative description of the mobility of the cervix." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Mobility" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Mobility.value"> <path value="Palpation_of_the_cervix.Mobility.value" /> <short value="Mobility" /> <definition value="Narrative description of the mobility of the cervix." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Mobility.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Tenderness"> <path value="Palpation_of_the_cervix.Tenderness" /> <short value="Tenderness" /> <definition value="Narrative description of the tenderness of the cervix, especially on movement." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Tenderness" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Tenderness.value"> <path value="Palpation_of_the_cervix.Tenderness.value" /> <short value="Tenderness" /> <definition value="Narrative description of the tenderness of the cervix, especially on movement." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Tenderness.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Thickness"> <path value="Palpation_of_the_cervix.Thickness" /> <short value="Thickness" /> <definition value="The thickness of the cervix." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Thickness" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Thickness.value"> <path value="Palpation_of_the_cervix.Thickness.value" /> <short value="Thickness" /> <definition value="The thickness of the cervix." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Thickness.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Effacement"> <path value="Palpation_of_the_cervix.Effacement" /> <short value="Effacement" /> <definition value="Estimation of the proportion of cervical effacement during late pregnancy or labour." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Effacement" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Effacement.value"> <path value="Palpation_of_the_cervix.Effacement.value" /> <short value="Effacement" /> <definition value="Estimation of the proportion of cervical effacement during late pregnancy or labour." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Effacement.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Ratio" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Cervical_length"> <path value="Palpation_of_the_cervix.Cervical_length" /> <short value="Cervical length" /> <definition value="Estimation of the length of the cervix during late pregnancy or labour." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Cervical_length" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Cervical_length.value"> <path value="Palpation_of_the_cervix.Cervical_length.value" /> <short value="Cervical length" /> <definition value="Estimation of the length of the cervix during late pregnancy or labour." /> <min value="1" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Cervical_length.value" /> <min value="1" /> <max value="1" /> </base> <type> <code value="Quantity" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Application_to_presenting_part"> <path value="Palpation_of_the_cervix.Application_to_presenting_part" /> <short value="Application to presenting part" /> <definition value="Application of the cervix to the presenting part of the fetus during late pregnancy or labour." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Application_to_presenting_part" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Application_to_presenting_part.value"> <path value="Palpation_of_the_cervix.Application_to_presenting_part.value" /> <short value="Application to presenting part" /> <definition value="Application of the cervix to the presenting part of the fetus during late pregnancy or labour." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Application_to_presenting_part.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Anterior_lip_presence"> <path value="Palpation_of_the_cervix.Anterior_lip_presence" /> <short value="Anterior lip presence" /> <definition value="The presence of an anterior lip of the cervix." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Anterior_lip_presence" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Anterior_lip_presence.value"> <path value="Palpation_of_the_cervix.Anterior_lip_presence.value" /> <short value="Anterior lip presence" /> <definition value="The presence of an anterior lip of the cervix." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Anterior_lip_presence.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.External_os_dilation"> <path value="Palpation_of_the_cervix.External_os_dilation" /> <short value="External os dilation" /> <definition value="The amount of dilation of the external opening of the cervix." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.External_os_dilation" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.External_os_dilation.value"> <path value="Palpation_of_the_cervix.External_os_dilation.value" /> <short value="External os dilation" /> <definition value="The amount of dilation of the external opening of the cervix." /> <min value="1" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.External_os_dilation.value" /> <min value="1" /> <max value="1" /> </base> <type> <code value="Quantity" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Internal_os_dilation"> <path value="Palpation_of_the_cervix.Internal_os_dilation" /> <short value="Internal os dilation" /> <definition value="The amount of dilation of the internal opening of the cervix to the uterus." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Internal_os_dilation" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Internal_os_dilation.value"> <path value="Palpation_of_the_cervix.Internal_os_dilation.value" /> <short value="Internal os dilation" /> <definition value="The amount of dilation of the internal opening of the cervix to the uterus." /> <min value="1" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Internal_os_dilation.value" /> <min value="1" /> <max value="1" /> </base> <type> <code value="Quantity" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Cervical_os_description"> <path value="Palpation_of_the_cervix.Cervical_os_description" /> <short value="Cervical os description" /> <definition value="Narrative description of findings on palpation of cervical os." /> <min value="0" /> <max value="*" /> <base> <path value="Palpation_of_the_cervix.Cervical_os_description" /> <min value="0" /> <max value="*" /> </base> </element> <element id="Palpation_of_the_cervix.Cervical_os_description.value"> <path value="Palpation_of_the_cervix.Cervical_os_description.value" /> <short value="Cervical os description" /> <definition value="Narrative description of findings on palpation of cervical os." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Cervical_os_description.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Examination_findings"> <path value="Palpation_of_the_cervix.Examination_findings" /> <short value="Examination findings" /> <definition value="Structured details about the physical examination findings." /> <min value="0" /> <max value="*" /> <base> <path value="Palpation_of_the_cervix.Examination_findings" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Multimedia_representation"> <path value="Palpation_of_the_cervix.Multimedia_representation" /> <short value="Multimedia representation" /> <definition value="Digital image, video or diagram representing the physical examination findings." /> <min value="0" /> <max value="*" /> <base> <path value="Palpation_of_the_cervix.Multimedia_representation" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Clinical_interpretation"> <path value="Palpation_of_the_cervix.Clinical_interpretation" /> <short value="Clinical interpretation" /> <definition value="Single word, phrase or brief description that represents the clinical meaning and significance of the physical examination findings." /> <min value="0" /> <max value="*" /> <base> <path value="Palpation_of_the_cervix.Clinical_interpretation" /> <min value="0" /> <max value="*" /> </base> </element> <element id="Palpation_of_the_cervix.Clinical_interpretation.value"> <path value="Palpation_of_the_cervix.Clinical_interpretation.value" /> <short value="Clinical interpretation" /> <definition value="Single word, phrase or brief description that represents the clinical meaning and significance of the physical examination findings." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Clinical_interpretation.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Comment"> <path value="Palpation_of_the_cervix.Comment" /> <short value="Comment" /> <definition value="Additional narrative about the physical examination findings, not captured in other fields." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Comment" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Palpation_of_the_cervix.Comment.value"> <path value="Palpation_of_the_cervix.Comment.value" /> <short value="Comment" /> <definition value="Additional narrative about the physical examination findings, not captured in other fields." /> <min value="0" /> <max value="1" /> <base> <path value="Palpation_of_the_cervix.Comment.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Palpation_of_the_cervix.Examination_not_done"> <path value="Palpation_of_the_cervix.Examination_not_done" /> <short value="Examination not done" /> <definition value="Details to explicitly record that this examination was not performed." /> <min value="0" /> <max value="*" /> <base> <path value="Palpation_of_the_cervix.Examination_not_done" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> </snapshot> </StructureDefinition>