ARCHETYPE Examination of Middle Ear (openEHR-EHR-CLUSTER.exam_middle_ear.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.exam_middle_ear.v1
ConceptExamination of Middle Ear
DescriptionExamination of the middle ear, usually at operation.
UseUse to record examination findings of the middle ear, usually at operation.
PurposeTo record examination findings of the middle ear, usually at operation.
ReferencesNT Health, Hearing Health Program, "ENT Pre Op Exam & Surgical Procedure Form"
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2013-03-20
Other Details LanguageAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2013-03-20
Other Details (Language Independent)
  • References: NT Health, Hearing Health Program, "ENT Pre Op Exam & Surgical Procedure Form"
  • Current Contact: Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com
  • MD5-CAM-1.0.1: 9728D9AA424EFF5D04644C42CC88D121
Keywordsoperation, myringoplasty
LifecycleCommitteeDraft
Language useden
Citeable Identifier1013.1.1510
items
Ear ExaminedEar Examined: Identification of the ear under examination.
  • Left [The left middle ear.]
  • Right [The right middle ear.]
No Abnormality DetectedNo Abnormality Detected: Statement that no abnormality was detected on examination of the middle ear.
Record as True if no abnormality was detected on examination. Specific statements about the examination can be included in the 'Clinical Interpretation' data element.
Allowed values: {true}
DescriptionDescription: Narrative description of findings observed during examination of the middle ear.
Ossicular Chain StateOssicular Chain State: Description of status of the ossicular chain.
  • Intact [Ossicular chain is intact.]
  • Not Intact [Ossicular chain is not intact.]
Ossicular Chain MobilityOssicular Chain Mobility: Description of the mobility of the ossicular chain.
  • Mobile [Ossicular chain is mobile.]
  • Immobile [Ossicular chain is not mobile.]
Clinical InterpretationClinical Interpretation: Single word, phrase or brief description representing a summary of the examination findings.
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