| ARCHETYPE ID | openEHR-EHR-CLUSTER.exam_vulva.v0 |
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| Concept | Examination of vulva |
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| Description | Findings observed during the physical examination of the vulva. |
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| Use | Use to record a narrative description of the overall findings observed during the physical examination of the vulva. This initial draft archetype consists only of the core examination pattern data elements (as per CLUSTER.exam_pattern) and will likely be expanded further over time as specific clinical requirements are identified.
This archetype has been specifically designed to be used in the 'Examination detail' SLOT within the OBSERVATION.exam archetype, but can also be used within other OBSERVATION or CLUSTER archetypes, where clinically appropriate.
Use to provide a framework in which CLUSTER archetypes can be nested in the 'Examination findings' SLOT to record additional structured physical examination findings - for example, CLUSTER.exam_urethra.
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. |
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| Misuse | Not to be used for recording data not related to the physical examination of the vulva.
Not to be used for recording the clinical history - use specific OBSERVATION and CLUSTER archetypes. For example OBSERVATION.story and CLUSTER.symptom.
Not to be used to record stand-alone clinical observations or measurements or test results - use specific OBSERVATION archetypes. For example OBSERVATION.blood_pressure or OBSERVATION.imaging_exam. |
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| Purpose | For recording a narrative description and clinical interpretation of the findings observed during the physical examination of the vulva. |
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| References | |
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| Copyright | © openEHR Foundation |
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| Authors | Author name: Silje Ljosland Bakke
Organisation: Nasjonal IKT, Norway
Email: silje.ljosland.bakke@nasjonalikt.no
Date originally authored: 2015-06-08
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| Other Details Language | Author name: Silje Ljosland Bakke
Organisation: Nasjonal IKT, Norway
Email: silje.ljosland.bakke@nasjonalikt.no
Date originally authored: 2015-06-08
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| Other Details (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: AA446B5BA4F8BE5063D0EF06D4B133D7
- Build Uid: 0d7dd269-b5dd-4e85-8f3e-334e903387f0
- Revision: 0.0.1
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| Keywords | |
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| Lifecycle | rejected |
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| UID | 7a31898c-2748-4e8c-9c30-718ac0be88f2 |
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| Language used | en |
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| Citeable Identifier | 1013.1.2099 |
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| Revision Number | 0.0.1 |
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| items | |
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| No abnormality detected | No abnormality detected: Statement that no abnormality was detected (NAD) on physical examination.
Record as True if no abnormality was detected on examination. Specific statements about the examination can be included in the 'Clinical Interpretation' data element.
Allowed values: {true} |
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| Clinical description | Clinical description: Narrative description of the overall findings observed during the physical examination. |
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| Examination findings | Examination findings: Structured details about the physical examination findings.
Include:
openEHR-EHR-CLUSTER.exam_skin.v0 and specialisations or
openEHR-EHR-CLUSTER.exam_urethral_meatus.v0 and specialisations or
openEHR-EHR-CLUSTER.inspection_vagina.v0 and specialisations |
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| Multimedia representation | Multimedia representation: Digital image, video or diagram representing the physical examination findings.
Include:
openEHR-EHR-CLUSTER.multimedia.v1 and specialisations |
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| Clinical interpretation | Clinical interpretation: Single word, phrase or brief description that represents the clinical meaning and significance of the physical examination findings. |
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| Comment | Comment: Additional narrative about the physical examination findings, not captured in other fields. |
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| Examination not done | Examination not done: Details to explicitly record that this examination was not performed.
Include:
openEHR-EHR-CLUSTER.exclusion_exam.v1 and specialisations |
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| Detailed examination | Detailed examination: A detailed examination of a specific part of the vulva. |
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| Site | Site: The specific named site examined.
Choice of:
 Text
 Coded Text
- at0013::Left labia minora [The left labia minora.]
- at0014::Right labia minora [The right labia minora.]
- at0015::Left labia majora [The left labia majora.]
- at0016::Right labia majora [The right labia majora.]
- at0017::Posterior fourchette [The posterior fourchette.]
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| Structured anatomical location | Structured anatomical location: A structured anatomical location of the site examined.
Include:
openEHR-EHR-CLUSTER.anatomical_location.v1 and specialisations or
openEHR-EHR-CLUSTER.anatomical_location_relative.v1 and specialisations |
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| Tenderness | Tenderness: Presence or absence of tenderness. |
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| Swelling | Swelling: Presence or absence of swelling. |
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| Other contributors | Ian McNicoll, freshEHR Clinical Informatics, United Kingdom
John Tore Valand, Haukeland Universitetssjukehus, Norway
Heather Leslie, Ocean Informatics, Australia |
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| Translators | |
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