| ARCHETYPE ID | openEHR-EHR-CLUSTER.scar.v1 |
|---|---|
| Concept | Examination of Scar |
| Description | Physical examination of a single scar in the skin resulting from repair of a wound or injury. |
| Use | Use to record the examination findings from the physical examination of a single scar in the skin. If multiple scars are observed during examination, these should be recorded separately. Designed to be used with SLOTs within clinically appropriate OBSERVATION or other CLUSTER archetypes as part of recording the findings on clinical examination. |
| Purpose | For recording the examination findings from the physical examination of a single scar in the skin. |
| References | |
| Copyright | © openEHR Foundation |
| Authors | Author name: Heather Leslie Organisation: Ocean Informatics, Australia Email: heather.leslie@oceaninformatics.com Date originally authored: 01-11-2012 |
| Other Details Language | Author name: Heather Leslie Organisation: Ocean Informatics, Australia Email: heather.leslie@oceaninformatics.com Date originally authored: 01-11-2012 |
| Other Details (Language Independent) |
|
| Keywords | scar, examination, inspection, skin, wound, healing, keloid, hypertrophic |
| Lifecycle | CommitteeDraft |
| Language used | en |
| Citeable Identifier | 1013.1.1019 |
| items | |
| Anatomical Location | Anatomical Location: Identification of an anatomical location under examination for a scar. Coding with a terminology is desirable, where possible. For example, mid-sternum, or right iliac fossa. |
| Presence of Scar? | Presence of Scar?: Is a scar present in the anatomical location being examined? |
| Clinical Description | Clinical Description: Narrative description of the scar. For example, the extent and possible cause of the scar. |
| Healing | Healing: Description of the healing that has occurred.
|
| Clinical Interpretation | Clinical Interpretation: Single word, phrase or brief summary description of the scar. For example, the |
| Other contributors | |
| Translators |