Modelling pattern - imaging examination - what do you think?

I forgot to mention something important - in ADL 1.4-based systems (currently most vendors today), the query engine can work out if there is data from specialised archetypes just by searching on the top archetype id with any extended form of the concept part of the id, i.e. if the parent is

openEHR-EHR-CLUSTER.exam.v1

in ADL 1.4, children are named like

openEHR-EHR-CLUSTER.exam-palpation.v1

and

openEHR-EHR-CLUSTER.exam-palpation-cervix.v1

So the query engine just has to know to search for openEHR-EHR-CLUSTER.exam%.v1 or similar (maybe there is something smarter you can do - need to check with SQL experts) - no need to have access to archetype repository.