ARCHETYPE Hirsutism scales (openEHR-EHR-OBSERVATION.hirsutism_scales.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.hirsutism_scales.v1
ConceptHirsutism scales
DescriptionA grouping of related assessment scales used to quantify distribution and growth of body hair in women.
UseUse to record pattern of growth of androgen-sensitive terminal hair in women. This archetype has been designed to be inclusive of all hirsutism scales that are associated with the original scale originally proposed by Ferriman and Gallwey which includes eleven body sites. The extended version is inclusive of all the original sites plus the sideburn area and the perineum. The modified Ferriman-Gallwey score, includes nine body sites, excluding the lower arm, lower leg, sideburn area and perineum. Use a template to constrain the data elements to represent the dataset for the required scale.
MisuseNot to be used to record information about generalised or excessive hair growth that does not represent hirsutism.
PurposeTo record hair scores for up to thirteen body areas and a total sum of scores, in order to quantify excessive male-pattern hair growth in women.
ReferencesFerriman, D. and J.D. Gallwey, CLINICAL ASSESSMENT OF BODY HAIR GROWTH IN WOMEN. The Journal of Clinical Endocrinology & Metabolism, 1961. 21(11): p. 1440-1447.

Hatch, R., et al., Hirsutism: Implications, etiology, and management. American Journal of Obstetrics and Gynecology, 1981. 140(7): p. 815-830.

Rosenfield, R.L., Clinical practice. Hirsutism. N Engl J Med, 2005. 353(24): p. 2578-88.

The Practice Committee of the American Society for Reproductive Medicine. The evaluation and treatment of androgen excess. Fertility and Sterility, 2006. 86(5): p. S241-S247.

Yildiz, B.O., et al., Visually scoring hirsutism. Human Reproduction Update, 2010. 16(1): p. 51-64.
Copyright© openEHR Foundation
AuthorsAuthor name: Peter Fedorcsak
Organisation: Oslo University Hospital
Email: peter.fedorcsak@medisin.uio.no
Date originally authored: 2021-09-21
Other Details LanguageAuthor name: Peter Fedorcsak
Organisation: Oslo University Hospital
Email: peter.fedorcsak@medisin.uio.no
Date originally authored: 2021-09-21
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Ferriman, D. and J.D. Gallwey, CLINICAL ASSESSMENT OF BODY HAIR GROWTH IN WOMEN. The Journal of Clinical Endocrinology & Metabolism, 1961. 21(11): p. 1440-1447. Hatch, R., et al., Hirsutism: Implications, etiology, and management. American Journal of Obstetrics and Gynecology, 1981. 140(7): p. 815-830. Rosenfield, R.L., Clinical practice. Hirsutism. N Engl J Med, 2005. 353(24): p. 2578-88. The Practice Committee of the American Society for Reproductive Medicine. The evaluation and treatment of androgen excess. Fertility and Sterility, 2006. 86(5): p. S241-S247. Yildiz, B.O., et al., Visually scoring hirsutism. Human Reproduction Update, 2010. 16(1): p. 51-64., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=0FA8E5082BA1AF5203E8677528AF4D07, build_uid=e22a0f2b-4636-4cd0-8f10-9dc35cdc5d47, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org., revision=1.0.0}
KeywordsFerriman Gallwey score, hirsutes, hirsutism, hyperandrogenism, body hair growth, terminal hair, virilization, male-pattern hair growth, androgen-sensitive hair growth, androgenic hair
Lifecyclepublished
UIDa0def596-d035-4b45-88ae-07a5b9b38525
Language useden
Citeable Identifier1013.1.5800
Revision Number1.0.0
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=A grouping of related assessment scales used to quantify distribution and growth of body hair in women., archetypeConceptComment=null, otherContributors=Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Nelio Borrozzino, Prontmed, Brazil
Peter Fedorcsak, University of Oslo, Norway
Mikkel Johan Gaup Grønmo, Forvaltningssenter EPJ, Helse-Nord, Norway (openEHR Editor)
Evelyn Hovenga, EJSH Consulting, Australia
Jörgen Kuylenstierna, eWeave AB, Sweden
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Jussara Rotzsch, Hospital Alemão Oswaldo Cruz, Brazil
Norwegian Review Summary, Nasjonal IKT HF, Norway
John Tore Valand, Helse Bergen, Norway (openEHR Editor)
Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor)
Jan Mellembakken, Oslo universitetssykehus, Norway
Elisabeth Qvigstad, Oslo universitetssykehus, Norway
Tom Tanbo, Oslo universitetssykehus, Norway
Eszter Vanky, St Olavs hospital, Norway, originalLanguage=en, translators=Norwegian Bokmål: Peter Fedorcsak, Vebjørn Arntzen, Oslo University Hospital, pfedorcs@ous-hf.no, varntzen@ous-hf.no
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={other_participations=[], provider=[], ism_transition=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], items=[], capabilities=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Upper lip hair, description=Hair score on the upper lip., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::302095008 | Upper lip hair score], values=0: None [No excess hair.]
1: Grade 1 [A few hairs at outer margin.]
2: Grade 2 [A small moustache at outer margin.]
3: Grade 3 [A moustache extending halfway from outer margin.]
4: Grade 4 [A moustache extending to mid-line.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0019], code=at0019, itemType=ELEMENT, level=4, text=Chin hair, description=Hair score on the chin., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::302096009 | Chin hair score], values=0: None [No excess hair.]
1: Grade 1 [A few scattered hairs.]
2: Grade 2 [Scattered hairs with small concentrations.]
3: Grade 3 [Complete light cover.]
4: Grade 4 [Complete heavy cover.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0082], code=at0082, itemType=ELEMENT, level=4, text=Sideburn hair, description=Hair score on the sideburns., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::302097000 | Sideburn hair score], values=0: None [No excess hair.]
1: Grade 1 [A few scattered hairs.]
2: Grade 2 [Scattered hairs with small concentrations.]
3: Grade 3 [Complete light cover.]
4: Grade 4 [Complete heavy cover.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0025], code=at0025, itemType=ELEMENT, level=4, text=Chest hair, description=Hair score on the chest., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::302098005 | Chest hair score], values=0: None [No excess hair.]
1: Grade 1 [Circumareolar hairs.]
2: Grade 2 [Circumareolar hairs with midline hair in addition.]
3: Grade 3 [Fusion of circumareolar and midline areas, with three-quarter cover.]
4: Grade 4 [Complete cover.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0031], code=at0031, itemType=ELEMENT, level=4, text=Upper back hair, description=Hair score on the upper back., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::302101009 | Upper back hair score], values=0: None [No excess hair.]
1: Grade 1 [A few scattered hairs.]
2: Grade 2 [Rather more hairs, still scattered.]
3: Grade 3 [Complete light cover.]
4: Grade 4 [Complete heavy cover.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0037], code=at0037, itemType=ELEMENT, level=4, text=Lower back hair, description=Hair score on the lower back., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::302102002 | Lower back hair score], values=0: None [No excess hair.]
1: Grade 1 [A sacral tuft of hair.]
2: Grade 2 [A sacral tuft of hair with some lateral extension.]
3: Grade 3 [Three-quarter cover.]
4: Grade 4 [Complete cover.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0043], code=at0043, itemType=ELEMENT, level=4, text=Upper abdomen hair, description=Hair score on the upper abdomen., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::302099002 | Upper abdomen hair score], values=0: None [No excess hair.]
1: Grade 1 [A few mid-line hairs.]
2: Grade 2 [Rather more hairs, still mid-line.]
3: Grade 3 [Half cover.]
4: Grade 4 [Full cover.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0049], code=at0049, itemType=ELEMENT, level=4, text=Lower abdomen hair, description=Hair score on the lower abdomen., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::302100005 | Lower abdomen hair score], values=0: None [No excess hair.]
1: Grade 1 [A few mid-line hairs.]
2: Grade 2 [A mid-line streak of hair.]
3: Grade 3 [A mid-line band of hair.]
4: Grade 4 [An inverted V-shaped growth.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0055], code=at0055, itemType=ELEMENT, level=4, text=Upper arm hair, description=Hair score on the upper arms., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::302103007 | Upper arm hair score], values=0: None [No excess hair.]
1: Grade 1 [Sparse growth not affecting more than a quarter of the limb surface.]
2: Grade 2 [More than sparse growth, cover still incomplete.]
3: Grade 3 [Complete light cover.]
4: Grade 4 [Complete heavy cover.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0061], code=at0061, itemType=ELEMENT, level=4, text=Lower arm hair, description=Hair score on the lower arms., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::302104001 | Lower arm hair score], values=0: None [No excess hair.]
1: Grade 1 [Light cover of dorsal surface.]
2: Grade 2 [Complete light cover of dorsal surface.]
3: Grade 3 [Heavy cover of dorsal surface.]
4: Grade 4 [Complete heavy cover of dorsal surface.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0067], code=at0067, itemType=ELEMENT, level=4, text=Thigh hair, description=Hair score on the thighs., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::302105000 | Thigh hair score], values=0: None [No excess hair.]
1: Grade 1 [Sparse growth affecting not more than a quarter of the limb surface.]
2: Grade 2 [More than sparse growth, cover still incomplete.]
3: Grade 3 [Complete light cover.]
4: Grade 4 [Complete heavy cover.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0073], code=at0073, itemType=ELEMENT, level=4, text=Lower leg hair, description=Hair score on the lower legs., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::302106004 | Lower leg hair score], values=0: None [No excess hair.]
1: Grade 1 [Sparse growth affecting not more than a quarter of the limb surface.]
2: Grade 2 [More than sparse growth, cover still incomplete.]
3: Grade 3 [Complete light growth.]
4: Grade 4 [Complete heavy growth.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0091], code=at0091, itemType=ELEMENT, level=4, text=Perineum hair, description=Hair score on the perineum., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: None [No excess hair.]
1: Grade 1 [Perianal terminal hair.]
2: Grade 2 [Lateral extension of terminal hair to edge of gluteal cleft.]
3: Grade 3 [Three-quarter coverage of buttocks.]
4: Grade 4 [Complete coverage of buttocks.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0079], code=at0079, itemType=ELEMENT, level=4, text=Total score, description=The total sum of the hair scores recorded for each of the body area., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=52

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