| ARCHETYPE ID | openEHR-EHR-CLUSTER.exam-abdomen.v1 |
|---|---|
| Concept | Examination of the abdomen |
| Description | For recording findings on physical examination of the abdomen. |
| Purpose | A cluster for recording findings on physical examination of the abdomen. |
| References | |
| Copyright | copyright (c) 2010 openEHR Foundation |
| Authors | Author name: Heather Leslie Organisation: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date originally authored: 11/04/2007 |
| Other Details Language | Author name: Heather Leslie Organisation: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date originally authored: 11/04/2007 |
| Other Details (Language Independent) |
|
| Keywords | examination, physical |
| Lifecycle | AuthorDraft |
| Language used | en |
| Citeable Identifier | 1013.1.219 |
| items | |
| Normal statements | Normal statements: A group of statements about the normality of the examination. |
| Normal statement | Normal statement: A specific statement of normality. |
| Clinical description | Clinical description: Textural description of the part examined. |
| Findings | Findings: Clinical findings. |
| Abdominal wall | Abdominal wall: Findings related to the abdominal wall. |
| Description | Description: Clinical description of findings related to the abdominal wall. |
| Abdominal wall detail | Abdominal wall detail: Details of abdominal wall findings. Include: openEHR-EHR-CLUSTER.palpation.v1 and specialisations or openEHR-EHR-CLUSTER.inspection.v1 and specialisations or openEHR-EHR-CLUSTER.exam-generic.v1 and specialisations |
| Abdominal region | Abdominal region: Findings related to a specific abdominal region. |
| Region | Region: The abdominal region being described.
|
| Description | Description: Clinical description of findings related to the abdominal wall. |
| Abdominal region detail | Abdominal region detail: Detailed findings of a specific abdominal region. Include: openEHR-EHR-CLUSTER.exam-generic.v1 and specialisations or openEHR-EHR-CLUSTER.inspection.v1 and specialisations or openEHR-EHR-CLUSTER.palpation.v1 and specialisations or openEHR-EHR-CLUSTER.auscultation.v1 and specialisations |
| Abdominal contents | Abdominal contents: Findings related to abdominal contents. |
| Description | Description: Clinical description of findings related to the abdominal wall. |
| Organs | Organs: * |
| Liver | Liver: Findings related to liver. |
| Description | Description: Clinical description of findings related to the abdominal wall. |
| Liver detail | Liver detail: Detailed liver findings. Include: openEHR-EHR-CLUSTER.palpation.v1 and specialisations or openEHR-EHR-CLUSTER.physical_ openEHR-EHR-CLUSTER.percussion.v1 and specialisations or openEHR-EHR-CLUSTER.exam-generic.v1 and specialisations |
| Spleen | Spleen: Findings related to spleen. |
| Description | Description: Clinical description of findings related to the abdominal wall. |
| Spleen detail | Spleen detail: Detailed spleen findings. Include: openEHR-EHR-CLUSTER.palpation.v1 and specialisations or openEHR-EHR-CLUSTER.physical_ openEHR-EHR-CLUSTER.percussion.v1 and specialisations or openEHR-EHR-CLUSTER.exam-generic.v1 and specialisations |
| Kidney | Kidney: Findings related to kidney. |
| Description | Description: Clinical description of findings related to the abdominal wall. |
| Kidney detail | Kidney detail: Detailed kidney findings. Include: openEHR-EHR-CLUSTER.palpation.v1 and specialisations or openEHR-EHR-CLUSTER.physical_ openEHR-EHR-CLUSTER.percussion.v1 and specialisations or openEHR-EHR-CLUSTER.exam-generic.v1 and specialisations |
| Bowel | Bowel: Findings related to bowel. |
| Description | Description: Clinical description of findings related to the abdominal wall. |
| Bowel detail | Bowel detail: Detailed bowel findings. Include: openEHR-EHR-CLUSTER.palpation.v1 and specialisations or openEHR-EHR-CLUSTER.physical_ openEHR-EHR-CLUSTER.percussion.v1 and specialisations or openEHR-EHR-CLUSTER.exam-generic.v1 and specialisations or openEHR-EHR-CLUSTER.auscultation.v1 and specialisations |
| Abdominal contents detail | Abdominal contents detail: Detailed findings of abdominal contents. Include: openEHR-EHR-CLUSTER.palpation.v1 and specialisations or openEHR-EHR-CLUSTER.physical_ openEHR-EHR-CLUSTER.percussion.v1 and specialisations or openEHR-EHR-CLUSTER.exam-generic.v1 and specialisations or openEHR-EHR-CLUSTER.auscultation.v1 and specialisations |
| Detail | Detail: 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_ |
| Image | Image: Drawing or image of the area examined. image/gif, image/png, image/jpeg |
| Other contributors | |
| Translators |