ARCHETYPE Sensation finding (openEHR-EHR-CLUSTER.sensation_finding.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.sensation_finding.v0
ConceptSensation finding
DescriptionThe observed response to applying a light touch, pain or temperature stimulus to an identified area of skin.
UseUse to record the observed response to applying a light touch, pain or temperature stimulus to an identified area of skin, usually a dermatome or dermatome group. This archetype has been specifically designed to be used in the 'Examination detail' SLOT within the OBSERVATION.exam or the CLUSTER.exam-nervous_system archetype. It can also be nested within any other relevant OBSERVATION or Physical examination-related family of CLUSTER archetypes, where clinically appropriate. In clinical scenarios requiring documentation of the sensory responses in more than one area of skin or modality, use a separate instance of this archetype for each area/modality pair tested.
MisuseNot to be used to record the sensory response to vibration applied to a bony prominence - use the CLUSTER.vibration_finding for this purpose. Not to be used to record the most caudal sensory level in response to applying a light touch, pain or temperature stimulus - use the CLUSTER.sensory_level for this purpose.
PurposeTo record the observed response to applying a light touch, pain or temperature stimulus to an identified area of skin.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2023-06-14
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2023-06-14
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=F636088477B33F39471F2FDB1590E92F, build_uid=193cf267-3c1d-4d6d-988c-fa84a1bf4220, revision=0.0.1-alpha}
Keywordsdermatome, dermatomes, limb, sensation, touch, pain, temperature, hot, cold, pinprick
Lifecyclein_development
UID31c6b858-0cbc-436a-a18d-26bde2b3dce5
Language useden
Citeable Identifier1013.1.6960
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The observed response to applying a light touch, pain or temperature stimulus to an identified area of skin., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[], contacts=[], details=[], description=[], content=[], provider=[], data=[], identities=[], other_participations=[], activities=[], protocol=[], credentials=[], events=[], context=[], relationships=[], target=[], capabilities=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Body site, description=Identification of the dermatome, or group of dermatomes or skin area being tested., comment=For example: C5, C5/C6, or right arm., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Modality, description=The type of sensation tested., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Light touch
    • Pain
    • Temperature
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=ELEMENT, level=1, text=Stimulus, description=Description of the stimulus used., comment=For example: testing light touch with cotton wool; or pain using a needle., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0007], code=at0007, itemType=ELEMENT, level=1, text=Response, description=The elicited response to the stimulus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Ordinal
    0: Absent [No sensation is present. May be recorded as '0' or '-'.]
    1: Decreased [Sensation is present but less than considered normal. May be recorded as '+' or '1+'.]
    2: Normal [Sensation is present and considered normal. May be recorded as '++' or '2+'.]
    3: Increased [Sensation is present but more than considered normal. May be recorded as '+++' or '3+'.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0012], code=at0012, itemType=ELEMENT, level=1, text=Comment, description=Additional narrative about the dermatomal sensory finding, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], source=[], ism_transition=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Body site, description=Identification of the dermatome, or group of dermatomes or skin area being tested., comment=For example: C5, C5/C6, or right arm., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Modality, description=The type of sensation tested., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Light touch
    • Pain
    • Temperature
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=ELEMENT, level=1, text=Stimulus, description=Description of the stimulus used., comment=For example: testing light touch with cotton wool; or pain using a needle., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0007], code=at0007, itemType=ELEMENT, level=1, text=Response, description=The elicited response to the stimulus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Ordinal
    0: Absent [No sensation is present. May be recorded as '0' or '-'.]
    1: Decreased [Sensation is present but less than considered normal. May be recorded as '+' or '1+'.]
    2: Normal [Sensation is present and considered normal. May be recorded as '++' or '2+'.]
    3: Increased [Sensation is present but more than considered normal. May be recorded as '+++' or '3+'.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0012], code=at0012, itemType=ELEMENT, level=1, text=Comment, description=Additional narrative about the dermatomal sensory finding, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]