ARCHETYPE Auscultation (openEHR-EHR-CLUSTER.auscultation.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.auscultation.v1
ConceptAuscultation
DescriptionFindings on Auscultation.
UseTo be embedded in an openEHR-EHR-OBSERVATION.exam cluster to express findings determined by auscultation.
MisuseNot for use in any other context at present.
PurposeTo record data found on examination by auscultation/listening.
References
Copyrightcopyright (c) 2010 openEHR Foundation
AuthorsAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 7/04/2007
Other Details LanguageAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 7/04/2007
Other Details (Language Independent)
  • References:
  • MD5-CAM-1.0.1: C66B38E8B00A3C982EC70C9B7C514266
Keywordsauscultate, listen, auscultation, listening, bruit, bowel sounds, sounds
LifecycleOrganisationDraft
Language useden
Citeable Identifier1013.1.110
items
Normal StatementsNormal Statements: A group of statements about the normality of auscultation.
Normal StatementNormal Statement: Statements about the normality of the auscultation.
  • No murmur [No murmur is heard.]
  • No bruit [No bruit is heard.]
  • Normal bowel sounds [Bowel sounds are normal in intensity and character.]
  • No abnormality detected [Nothing abnormal on auscultation.]
Clinical DescriptionClinical Description: Detailed clinical description of the findings on auscultation.
FindingsFindings: Findings on auscultation.
Bowel soundsBowel sounds: Group of findings about auscultation of the bowel.
Specific FindingsSpecific Findings: Specific auscultatory findings related to examination of the bowels.
  • Absent bowel sounds [No bowel sounds can be heard.]
  • Decreased bowel sounds [Bowel sounds are less than normal.]
  • Increased bowel sounds [Bowel sounds are more intense than normal.]
  • Tinkling bowel sounds [High pitched and very frequent bowel sounds can be heard.]
Clinical DescriptionClinical Description: Detailed clinical description of the findings on auscultation.
Vessel bruitVessel bruit: Group of findings about auscultation of a major blood vessel.
Vessel nameVessel name: The name of the vessel to which is being listened.
Maximal LocationMaximal Location: Site where finding is heard maximally.
DescriptionDescription: Description of the bruit.
Other soundsOther sounds: Recording of sounds of a different nature.
DescriptionDescription: Description of other sounds.
Maximal LocationMaximal Location: Site where finding is heard maximally.
Localised auscultationLocalised auscultation: Auscultation in a particular site.
Site or regionSite or region: The site of the localised findings.
Cluster auscultationCluster auscultation: Description of the cluster.
Include:
openEHR-EHR-CLUSTER.auscultation.v1
Other contributorsHeather Leslie
Translators