ARCHETYPE ID | openEHR-EHR-CLUSTER.exam_middle_ear.v0 |
Concept | Examination of middle ear |
Description | Findings observed during the physical examination of the middle ear. |
Use | Use to record a narrative description of the overall findings observed during the physical examination of the middle ear. 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 ENTRY or CLUSTER archetypes, where clinically appropriate - for example, ACTION.procedure. Use to provide a framework in which CLUSTER archetypes can be nested in the 'Examination findings' SLOT to record additional structured physical examination findings. 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. |
Misuse | Not to be used for recording data not related to the physical examination of the middle ear. 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.tympanogram_226hz. |
Purpose | For recording a narrative description and clinical interpretation of the findings observed during the physical examination of the middle ear. |
References | Derived from: Examination of middle ear, Draft archetype [Internet]. Australian Digital Health Agency (NEHTA), ADHA Clinical Knowledge Manager. Authored: 2015 Jun 08. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1255 (discontinued). |
Copyright | © Northern Territory Department of Health (Australia), openEHR Foundation |
Authors | Author name: Heather Leslie Organisation: Atomica Informatics, Australia Email: heather.leslie@atomicainformatics.com Date originally authored: 2015-06-08 |
Other Details Language | Author name: Heather Leslie Organisation: Atomica Informatics, Australia Email: heather.leslie@atomicainformatics.com Date originally authored: 2015-06-08 |
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, references=Derived from: Examination of middle ear, Draft archetype [Internet]. Australian Digital Health Agency (NEHTA), ADHA Clinical Knowledge Manager. Authored: 2015 Jun 08. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1255 (discontinued)., current_contact=Heather Leslie, Atomica Informatics, Australia |
Keywords | |
Lifecycle | rejected |
UID | 29c5c2f3-53af-4160-b67a-0f1bff4947a8 |
Language used | en |
Citeable Identifier | 1013.1.3188 |
Revision Number | 0.0.1 |
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Runtime name constraint:
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