ARCHETYPE Cranial Nerves (openEHR-EHR-CLUSTER.cranial_nerves.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.cranial_nerves.v1
ConceptCranial Nerves
DescriptionFindings on examination of Cranial nerves.
UseAs a cluster within an examination archetype.
PurposeA cluster to capture the details of a cranial nerve examination.
References
Copyrightcopyright (c) 2010 openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 12/03/2007
Other Details LanguageAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 12/03/2007
Other Details (Language Independent)
  • References:
  • MD5-CAM-1.0.1: 10EE0F3D29E2ECEB23BA78A7107D52E9
Keywordscranial nerves, CNS, examination
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.114
items
Normal StatementsNormal Statements: *
Normal statementNormal statement: *
  • Normal cranial nerve examination [*]
  • Cranial nerves - no abnormality detected [*]
  • Normal sense of smell [*]
  • First cranial nerve normal [*]
  • Second cranial nerve normal [*]
  • Normal oculomotor movements [*]
  • Full range of ocular movements [*]
  • Normal Corneal reflex [*]
  • Pupils equal and reactive to light and accomodation (PERLA) [*]
FindingsFindings: *
Clinical DescriptionClinical Description: Detailed findings on examination of cranial nerve/s.
First Cranial NerveFirst Cranial Nerve: Findings on examination of First Cranial Nerve.
Cluster: Sense of smellCluster: Sense of smell: *
Include:
openEHR-EHR-CLUSTER.sense_of_smell.v1
Exclude:
All not explicitly included archetypes
Second Cranial NerveSecond Cranial Nerve: Findings on examination of Second Cranial Nerve.
Fundoscopic examinationFundoscopic examination: Findings on fundoscopic examination.
LeftLeft: Findings on examination of left fundus.
RightRight: Findings on examination of right fundus.
Visual field testingVisual field testing: *
Clinical DescriptionClinical Description: Detailed findings on examination of cranial nerve/s.
Third, Fourth and Sixth Cranial NervesThird, Fourth and Sixth Cranial Nerves: Findings on examination of Third, Fourth and Sixth Cranial Nerves.
Cluster: Exam of eyesCluster: Exam of eyes: *
Include:
openEHR-EHR-CLUSTER.exam-eyes.v1
Exclude:
All not explicitly included archetypes
Fifth Cranial NerveFifth Cranial Nerve: Findings on examination of Fifth Cranial Nerve.
Abnormal Corneal reflexAbnormal Corneal reflex: Examination of corneal reflex is normal.
Allowed values: {true}
Sensory examination findingsSensory examination findings: Detailed description of sensory examination findings.
Motor examination findingsMotor examination findings: Detailed description of motor examination findings.
Clinical DescriptionClinical Description: Detailed findings on examination of cranial nerve/s.
Seventh Cranial NerveSeventh Cranial Nerve: Findings on examination of Seventh Cranial Nerve.
Normal statementsNormal statements: Normal statements on examination of Seventh cranial nerve.
  • Eyebrow elevation [*]
  • Forehead wrinkling [*]
  • Frowning [*]
  • Tightly closed eyes [*]
  • Showing teeth [*]
  • Whistling [*]
  • Puff out cheeks [*]
  • Smile [*]
Abnormal findingsAbnormal findings: *
Abnormal StatementsAbnormal Statements: *
  • Eyebrow elevation [*]
  • Forehead wrinkling [*]
  • Frowning [*]
  • Tightly closed eyes [*]
  • Showing teeth [*]
  • Whistling [*]
  • Puff out cheeks [*]
  • Smile [*]
Level of lesionLevel of lesion: *
  • Upper motor neurone [*]
  • Lower motor neurone [*]
Clinical DescriptionClinical Description: Detailed findings on examination of cranial nerve/s.
Eighth Cranial NerveEighth Cranial Nerve: *
Hearing Test resultsHearing Test results: Detailed description of hearing test results.
Vestibular testing resultsVestibular testing results: Detailed description of vestibular test results
Clinical DescriptionClinical Description: Detailed findings on examination of cranial nerve/s.
Ninth and Tenth Cranial NervesNinth and Tenth Cranial Nerves: *
DetailsDetails: *
Cluster: Exam of mouthCluster: Exam of mouth: *
Include:
openEHR-EHR-CLUSTER.exam-mouth.v1
Exclude:
All not explicitly included archetypes
Eleventh Cranial NerveEleventh Cranial Nerve: Findings on examination of Eleventh Cranial Nerve.
Clinical DescriptionClinical Description: Detailed findings on examination of cranial nerve/s.
Twelfth Cranial NerveTwelfth Cranial Nerve: Findings on examination of Twelfth Cranial Nerve.
Tongue inspectionTongue inspection: *
DetailsDetails: *
Cluster: Inspection of tongueCluster: Inspection of tongue: *
Include:
openEHR-EHR-CLUSTER.inspection-tongue.v1
Exclude:
All not explicitly included archetypes
Other contributors
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