| ARCHETYPE ID | openEHR-EHR-OBSERVATION.hirsutism_scales.v1 |
|---|---|
| Concept | Hirsutism scales |
| Description | A grouping of related assessment scales used to quantify distribution and growth of body hair in women. |
| Use | Use 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. |
| Misuse | Not to be used to record information about generalised or excessive hair growth that does not represent hirsutism. |
| Purpose | To 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. |
| 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. |
| Copyright | © openEHR Foundation |
| Authors | Author name: Peter Fedorcsak Organisation: Oslo University Hospital Email: peter.fedorcsak@medisin.uio.no Date originally authored: 2021-09-21 |
| Other Details Language | Author name: Peter Fedorcsak Organisation: Oslo University Hospital Email: peter.fedorcsak@medisin.uio.no Date originally authored: 2021-09-21 |
| Other Details (Language Independent) |
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| Keywords | Ferriman Gallwey score, hirsutes, hirsutism, hyperandrogenism, body hair growth, terminal hair, virilization, male-pattern hair growth, androgen-sensitive hair growth, androgenic hair |
| Lifecycle | published |
| UID | a0def596-d035-4b45-88ae-07a5b9b38525 |
| Language used | en |
| Citeable Identifier | 1246.145.2648 |
| Revision Number | 1.0.0 |
| protocol | |
| Extension | Extension: Additional information required to capture local content or to align with other reference models/formalisms. For example: local information requirements or additional metadata to align with FHIR. Include: All not explicitly excluded archetypes |
| data | |
| Upper lip hair | Upper lip hair: Hair score on the upper lip. 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.] |
| Chin hair | Chin hair: Hair score on the chin. 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.] |
| Sideburn hair | Sideburn hair: Hair score on the sideburns. 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.] |
| Chest hair | Chest hair: Hair score on the chest. 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.] |
| Upper back hair | Upper back hair: Hair score on the upper back. 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.] |
| Lower back hair | Lower back hair: Hair score on the lower back. 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.] |
| Upper abdomen hair | Upper abdomen hair: Hair score on the upper abdomen. 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.] |
| Lower abdomen hair | Lower abdomen hair: Hair score on the lower abdomen. 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.] |
| Upper arm hair | Upper arm hair: Hair score on the upper arms. 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.] |
| Lower arm hair | Lower arm hair: Hair score on the lower arms. 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.] |
| Thigh hair | Thigh hair: Hair score on the thighs. 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.] |
| Lower leg hair | Lower leg hair: Hair score on the lower legs. 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.] |
| Perineum hair | Perineum hair: Hair score on the perineum. 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.] |
| Total score | Total score: The total sum of the hair scores recorded for each of the body area. min: >=0; max: <=52 |
| Ferriman-Gallwey score | Ferriman-Gallwey score: The total sum of the hair scores recorded for each of eleven body areas. The total sum of the hair scores recorded for each of eleven body areas originally proposed by Ferriman and Gallwey (excluding scores for the sideburn area and the perineum). min: >=0; max: <=44 |
| Modified Ferriman-Gallwey score | Modified Ferriman-Gallwey score: The total sum of the hair scores recorded for each of nine body areas. The total sum of the hair scores recorded for each of nine body areas (excluding scores for the lower arm, lower leg, sideburn area and perineum). min: >=0; max: <=36 |
| events | |
| Any event | Any event: Default, unspecified point in time event which may be explicitly defined in a template or at run-time. |
| Other contributors | 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 |
| Translators |