ARCHETYPE Examination of oedema (openEHR-EHR-CLUSTER.oedema.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.oedema.v0
ConceptExamination of oedema
DescriptionFindings observed during examination of oedema.
UseUse to record a description of the overall findings observed during the physical examination of oedema at an identified body site. This archetype has been designed to be used within the 'Examination findings' SLOT of CLUSTER archetypes for physical examination findings. If used within a CLUSTER.exam_pattern related archetype, the 'Body site' data element and 'Structured body site' SLOT are redundant as the location of oedema will be identified in the Exam CLUSTER. If used within the OBSERVATION.exam archetype or CLUSTERs where the site has not been identified, then 'Body site' and/or 'Structured body site' SLOT will be required. The CLUSTER.exclusion_exam archetype can be nested within the 'Examination not done' SLOT to optionally record explicit details about the examination not being performed. Use to incorporate the narrative descriptions of clinical findings within existing or legacy clinical systems into an archetyped format, using the 'Clinical Description' data element.
PurposeFor recording a description and clinical interpretation of the findings observed during the physical examination of oedema at an identified body site.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2007-04-09
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2007-04-09
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, current_contact=Heather Leslie, Atomica Informatics, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=7CA9FE1FBE6CF341ED66F94D40BA921A, build_uid=6a864435-8cd6-4a6a-a206-883adbbe55c7, revision=0.0.1-alpha}
Keywordsoedema, swelling
Lifecyclein_development
UID55633e41-adbb-4197-9289-0072aca61cc1
Language useden
Citeable Identifier1013.1.117
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Findings observed during examination of oedema., archetypeConceptComment=null, otherContributors=Heather Leslie, Atomica Informatics, Australia (Editor)
Ian McNicoll, freshEHR Clinical Informatics Ltd, United Kingdom (Editor)
Hildegard McNicoll, freshEHR Clinical Informatics Ltd., United Kingdom (Editor), originalLanguage=en, translators=Russian: Andrey Tsaplin, Moscow DGP 99, Russian State University
Arabic (Syria): Mona Saleh
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  • Mild (+) [The oedema is mild.]
  • Moderate (++) [The oedema is moderate.]
  • Severe (+++) [The oedema is severe.]
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  • No pitting [No pitting occurs on finger pressure.]
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openEHR-EHR-CLUSTER.anatomical_location.v1 and specialisations Or
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  • Moderate (++) [The oedema is moderate.]
  • Severe (+++) [The oedema is severe.]
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  • No pitting [No pitting occurs on finger pressure.]
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