ARCHETYPE ID | openEHR-EHR-CLUSTER.exam-cranial_nerves.v0 |
Concept | Examination of cranial nerves |
Description | Findings observed during the physical examination of the cranial nerves. |
Use | Use to record a narrative description and clinical interpretation of the findings observed during the physical examination of the cranial nerves. This archetype has been specifically designed to be used in the 'Examination detail' SLOT within the OBSERVATION.exam or CLUSTER.exam-nervous_system archetypes, but can also be used within other ENTRY or CLUSTER archetypes, where clinically appropriate. Use to provide a framework in which CLUSTER archetypes for each cranial nerve can be nested in the appropriate SLOTs and other 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 the clinical history - use specific OBSERVATION and CLUSTER archetypes. For example OBSERVATION.story and CLUSTER.symptom_sign. Not to be used to record the results of visual field testing - use OBSERVATION.visual_field_measurement for this purpose. Not to be used to record the results of visual acuity testing - use OBSERVATION.visual_acuity for this purpose. |
Purpose | To record a narrative description and clinical interpretation of the findings observed during the physical examination of the cranial nerves. |
References | |
Copyright | © openEHR Foundation |
Authors | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2015-06-24 |
Other Details Language | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2015-06-24 |
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, Australia |
Keywords | |
Lifecycle | in_development |
UID | c189c249-abad-40de-908c-5c3c39308aef |
Language used | en |
Citeable Identifier | 1013.1.3884 |
Revision Number | 0.0.1-alpha |
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