| ARCHETYPE ID | openEHR-EHR-CLUSTER.sade.v1 |
|---|---|
| Concept | Sade Classification |
| Description | Grading of the degree of tympanic membrane pars tensa retraction / atelectasis. |
| Use | Use to record the grading of tympanic membrane retraction, particularly by specialist physicians. Designed to be optionally nested within the CLUSTER.exam_tympanic_membrane archetype to provide additional detail on tympanic membrane retraction, if it is useful within a given clinical scenario. This archetype extends the Sade Classification to allow recording of 'No visible retraction' where applicable. Sade Stage 5 (spontaneous perforation) is described in some documentation but is not described in the original paper and appears not to be in common usage. |
| Purpose | To record the grading of tympanic membrane pars tensa retraction based on the classification by Sade. |
| References | Personal communication with clinical domain experts. Sadé J, Berco E. Atelectasis and secretory otitis media. Ann. Otol. Rhinol. Laryngol. 1976 Apr;85(2 Suppl 25 Pt 2):6 Lancaster J, Srinivasan V. Management of tympanic membrane retraction pockets. Australian Journal of Otolaryngology 2002;5(1):17–20. |
| Copyright | © National E-Health Transition Authority, openEHR Foundation |
| Authors | Author name: Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2012-09-07 |
| Other Details Language | Author name: Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2012-09-07 |
| Other Details (Language Independent) |
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| Keywords | retraction, atelectasis, tympanic, membrane, drum, pars tensa |
| Lifecycle | published |
| UID | 06c24595-eeeb-4375-8ba8-e3e669151ca1 |
| Language used | en |
| Citeable Identifier | 1013.1.1849 |
| Revision Number | 1.0.0 |
| items | |
| Sade Classification | Sade Classification: Grading of the degree of tympanic membrane pars tensa retraction / atelectasis based on the Sade Classification. 0: No visible retraction [The tympanic membrane pars tensa is not visibly retracted.] 1: Stage 1 : Mild retraction [The tympanic membrane pars tensa is mildly retracted.] 2: Stage 2 : Retraction onto incudostapedial joint [The tympanic membrane pars tensa is retracted onto the incudostapedial joint.] 3: Stage 3 : Retraction onto promontory [The tympanic membrane pars tensa is retracted onto the promontary.] 4: Stage 4 : Adhesion of pars tensa to medial wall [The tympanic membrane pars tensa is adherent to the medial wall.] 5: Stage 5 : Spontaneous perforation with otorrhea and polyp formation [The tympanic membrane is spontaneously perforated with evidence of otorrhea and polyp formation.] |
| Other contributors | Heather Leslie, Ocean Informatics, Australia |
| Translators |