ARCHETYPE Examination (openEHR-EHR-CLUSTER.exam.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.exam.v1
ConceptExamination
DescriptionBasic examination cluster for describing findings on physical examination when there is no named focus of examination.
PurposeA generic cluster for recording findings on physical examination.
References
Copyrightcopyright (c) 2010 openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Ocean Informatics, Australia
Email: heather.leslie@oceaninformatics.com
Date originally authored: 10/07/2010
Other Details LanguageAuthor name: Heather Leslie
Organisation: Ocean Informatics, Australia
Email: heather.leslie@oceaninformatics.com
Date originally authored: 10/07/2010
Other Details (Language Independent)
  • References:
  • MD5-CAM-1.0.1: 7A4C2ADCBED13A3BACDF8182872F37C0
Keywordsexamination, physical
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.218
items
Normal statementsNormal statements: A group of statements about the normality of the examination.
Normal statementNormal statement: A specific statement of normality.
Clinical descriptionClinical description: Textural description of the part examined.
FindingsFindings: Clinical findings.
DetailDetail: More focused examination findings.
Include:
openEHR-EHR-CLUSTER.exam-generic.v1 and specialisations or
openEHR-EHR-CLUSTER.auscultation.v1 and specialisations or
openEHR-EHR-CLUSTER.inspection.v1 and specialisations or
openEHR-EHR-CLUSTER.palpation.v1 and specialisations or
openEHR-EHR-CLUSTER.percussion.v1 and specialisations or
openEHR-EHR-CLUSTER.physical_properties.v1 and specialisations
ImageImage: Drawing or image of the area examined.
image/gif, image/png, image/jpeg
Other contributorsSam Heard, Ocean Informatics, Australia
Translators