archetype (adl_version=1.4)
    openEHR-EHR-OBSERVATION.tendon_babinski_reflexes.v1

concept
    [at0000]    -- Tendon and Babinski reflexes
language
    original_language = <[ISO_639-1::en]>
description
    original_author = <
        ["name"] = <"Sam Heard">
        ["organisation"] = <"Ocean Informatics">
        ["date"] = <"2004-05-18">
        ["email"] = <"sam.heard@oceaninformatics.biz">
    >
    details = <
        ["en"] = <
            language = <[ISO_639-1::en]>
            purpose = <"Recording of the assessment of tendon reflexes">
            use = <"Use to record tendon reflexes and babinski response">
            keywords = <"reflexes", "tendon">
            misuse = <"">
        >
    >
    lifecycle_state = <"AuthorDraft">
    other_contributors = <>

definition
    OBSERVATION[at0000]  {    -- Tendon and Babinski reflexes
        data  {
            HISTORY[at0001]  {    -- history
                events cardinality  {1..*; unordered}  {
                    EVENT[at0002] occurrences  {0..*}  {    -- Any event
                        data  {
                            ITEM_TABLE[at0003]  {    -- structure
                                rotated  {True}
                                number_key_columns  {|1|}
                                rows cardinality  {0..1; unordered}  {
                                    CLUSTER[at0050] occurrences  {0..2}  {    -- row
                                        items cardinality  {7; ordered}  {
                                            ELEMENT[at0012] occurrences  {0..1}  {    -- row_head
                                                value  {
                                                    DV_CODED_TEXT  {
                                                        defining_code  {
                                                            [local::
                                                            at0011,     -- Left
                                                            at0013]    -- Right
                                                        }
                                                    }
                                                }
                                            }
                                            ELEMENT[at0004] occurrences  {0..1}  {    -- Biceps
                                                value  {
                                                    0|[local::at0005],     -- Absent
                                                    1|[local::at0006],     -- +/-
                                                    2|[local::at0007],     -- +
                                                    3|[local::at0008],     -- ++
                                                    4|[local::at0009],     -- +++
                                                    5|[local::at0010]      -- ++++
                                                }
                                            }
                                            ELEMENT[at0014] occurrences  {0..1}  {    -- Triceps
                                                value  {
                                                    0|[local::at0005],     -- Absent
                                                    1|[local::at0006],     -- +/-
                                                    2|[local::at0007],     -- +
                                                    3|[local::at0008],     -- ++
                                                    4|[local::at0009],     -- +++
                                                    5|[local::at0010]      -- ++++
                                                }
                                            }
                                            ELEMENT[at0021] occurrences  {0..1}  {    -- Supinator
                                                value  {
                                                    0|[local::at0005],     -- Absent
                                                    1|[local::at0006],     -- +/-
                                                    2|[local::at0007],     -- +
                                                    3|[local::at0008],     -- ++
                                                    4|[local::at0009],     -- +++
                                                    5|[local::at0010]      -- ++++
                                                }
                                            }
                                            ELEMENT[at0028] occurrences  {0..1}  {    -- Knee
                                                value  {
                                                    0|[local::at0005],     -- Absent
                                                    1|[local::at0006],     -- +/-
                                                    2|[local::at0007],     -- +
                                                    3|[local::at0008],     -- ++
                                                    4|[local::at0009],     -- +++
                                                    5|[local::at0010]      -- ++++
                                                }
                                            }
                                            ELEMENT[at0035] occurrences  {0..1}  {    -- Ankle
                                                value  {
                                                    0|[local::at0005],     -- Absent
                                                    1|[local::at0006],     -- +/-
                                                    2|[local::at0007],     -- +
                                                    3|[local::at0008],     -- ++
                                                    4|[local::at0009],     -- +++
                                                    5|[local::at0010]      -- ++++
                                                }
                                            }
                                            ELEMENT[at0042] occurrences  {0..1}  {    -- Babinski response
                                                value  {
                                                    0|[local::at0043],     -- Strongly down-going
                                                    1|[local::at0044],     -- down-going
                                                    2|[local::at0045],     -- equivocal
                                                    3|[local::at0046],     -- up-going
                                                    4|[local::at0047]      -- strongly up-going
                                                }
                                            }
                                        }
                                    }
                                }
                            }
                        }
                        state  {
                            ITEM_LIST[at0048]  {    -- structure
                                items cardinality  {0..1; ordered}  {
                                    ELEMENT[at0049] occurrences  {0..1}  {    -- With recruitment
                                        value  {
                                            DV_BOOLEAN  {
                                                value  {True, False}
                                            }
                                        }
                                    }
                                }
                            }
                        }
                    }
                }
            }
        }
    }

ontology
    term_definitions = <
        ["en"] = <
            items = <
                ["at0000"] = <
                    description = <"Reflexes tested during routine neurological examination">
                    text = <"Tendon and Babinski reflexes">
                >
                ["at0001"] = <
                    description = <"@ internal @">
                    text = <"history">
                >
                ["at0002"] = <
                    description = <"Any recording event">
                    text = <"Any event">
                >
                ["at0003"] = <
                    description = <"@ internal @">
                    text = <"structure">
                >
                ["at0004"] = <
                    description = <"Reflex of the biceps tendon">
                    text = <"Biceps">
                >
                ["at0005"] = <
                    description = <"Reflex not evident">
                    text = <"Absent">
                >
                ["at0006"] = <
                    description = <"Reflex possibly present - markedly reduced amplitude">
                    text = <"+/-">
                >
                ["at0007"] = <
                    description = <"Reflex present but reduced amplitude">
                    text = <"+">
                >
                ["at0008"] = <
                    description = <"Reflex normal">
                    text = <"++">
                >
                ["at0009"] = <
                    description = <"Reflex increased">
                    text = <"+++">
                >
                ["at0010"] = <
                    description = <"Reflex markedly increased">
                    text = <"++++">
                >
                ["at0011"] = <
                    description = <"Reflexes on the left side of the body">
                    text = <"Left">
                >
                ["at0012"] = <
                    description = <"@internal@">
                    text = <"row_head">
                >
                ["at0013"] = <
                    description = <"Reflexes on the right side of the body">
                    text = <"Right">
                >
                ["at0014"] = <
                    description = <"Reflex of the triceps tendon">
                    text = <"Triceps">
                >
                ["at0021"] = <
                    description = <"Reflex of supinator muscle">
                    text = <"Supinator">
                >
                ["at0028"] = <
                    description = <"Quadriceps tendon reflex">
                    text = <"Knee">
                >
                ["at0035"] = <
                    description = <"Archilles tendon reflex">
                    text = <"Ankle">
                >
                ["at0042"] = <
                    description = <"The babinski reflex">
                    text = <"Babinski response">
                >
                ["at0043"] = <
                    description = <"Babinski response is strongly towards the sole of the foot">
                    text = <"Strongly down-going">
                >
                ["at0044"] = <
                    description = <"Babinski response is towards the sole of the foot">
                    text = <"down-going">
                >
                ["at0045"] = <
                    description = <"Babinski response is neither up-going or down-going">
                    text = <"equivocal">
                >
                ["at0046"] = <
                    description = <"Babinski response is towards the dorsum of the foot">
                    text = <"up-going">
                >
                ["at0047"] = <
                    description = <"Babinski response is strongly towards the dorsum of the foot">
                    text = <"strongly up-going">
                >
                ["at0048"] = <
                    description = <"@ internal @">
                    text = <"structure">
                >
                ["at0049"] = <
                    description = <"Using muscle recruitment elsewhere in the body">
                    text = <"With recruitment">
                >
                ["at0050"] = <
                    description = <"@internal@">
                    text = <"row">
                >
            >
        >
    >