ARCHETYPE Examination of face (openEHR-EHR-CLUSTER.exam_face.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.exam_face.v0
ConceptExamination of face
DescriptionFindings observed during the physical examination of the face.
UseUse to record a description of the overall findings observed during the physical examination of the face. 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 findings' SLOT within the CLUSTER.exam_head or CLUSTER.exam_cranial_nerves archetype, but can also be used within the OBSERVATION.exam and 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_eyes, CLUSTER.exam_mouth and CLUSTER.exam_nose. 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.
MisuseNot to be used for recording the clinical history about the face - use OBSERVATION.story and CLUSTER.symptom for this purpose.
PurposeFor recording a description and clinical interpretation of the findings observed during the physical examination of the face.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2018-09-13
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2018-09-13
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=1DD84CA490E5E772AAB43D998FC65C96, build_uid=28a708aa-0dea-4791-84e9-b49a68805717, revision=0.0.2-alpha}
Keywords
Lifecyclein_development
UID7950e3f9-5149-4b50-8d27-a55a168c0d78
Language useden
Citeable Identifier1013.1.3475
Revision Number0.0.2-alpha
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Ian McNicoll, freshEHR Clinical Informatics, United Kingdom
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