ARCHETYPE Ferriman-Gallwey score (openEHR-EHR-OBSERVATION.Ferriman_Gallwey_score.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.Ferriman_Gallwey_score.v0
ConceptFerriman-Gallwey score
DescriptionA tool to quantify distribution and growth of body hair in women.
UseUse to record pattern of growth of androgen-sensitive terminal hair in women. The score originally proposed by Ferriman and Gallwey included eleven body sites, which in the modified score can by extended with additional area prone to androgen-sensitive hair growth, such as the sideburn, buttocks and the perineum.
MisuseNot to be used in conditions characterised by generalised or excessive hair growth that do not represent hirsutism, such as hypertrichosis, or growth of light unprigmented hairs.
PurposeTo record hair grading for twelve body area and the total sum of grades for the hirsutism score, 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.
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., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=18EC06184A63649A05A932CAC39D2CF3, build_uid=41ee4182-cf10-4e9d-9ba5-5ebb13539064, 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=0.0.1-alpha}
KeywordsFerriman Gallwey score, hirsutes, hirsutism, hyperandrogenism, body hair growth, terminal hair, virilization, male-pattern hair growth, androgen-sensitive hair growth, androgenic hair
Lifecyclein_development
UIDdf0264d5-ae2a-4204-ade8-dce8ae070efa
Language useden
Citeable Identifier1013.1.5800
Revision Number0.0.1-alpha
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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 score, description=Hair grading on the chins., 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 score, description=Hair grading 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 score, description=Hair grading 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 og 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 score, description=Hair grading 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 score, description=Hair grading 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 score, description=Hair grading 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 score, description=Hair grading 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 score, description=Hair grading 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 score, description=Hair grading 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 score, description=Hair grading 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.]
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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.]
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