| ARCHETYPE ID | openEHR-EHR-CLUSTER.exam-bone.v1 |
|---|---|
| Concept | Examination of bone |
| Description | Record clinical findings on physical examination of a bone. |
| Purpose | A generic cluster for recording findings on physical examination. |
| References | |
| Copyright | copyright (c) 2010 openEHR Foundation |
| Authors | Author name: Heather Leslie Organisation: Ocean Informatics, Australia Email: heather.leslie@oceaninformatics.com Date originally authored: 10/07/2010 |
| Other Details Language | Author name: Heather Leslie Organisation: Ocean Informatics, Australia Email: heather.leslie@oceaninformatics.com Date originally authored: 10/07/2010 |
| Other Details (Language Independent) |
|
| Keywords | examination, physical |
| Lifecycle | AuthorDraft |
| Language used | en |
| Citeable Identifier | 1013.1.220 |
| items | |
| Name of bone | Name of bone: Name of bone under examination. |
| 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 bone being examined. |
| Findings | Findings: Clinical findings. |
| Abnormal findings | Abnormal findings: Details of any abnormal findings. |
| Location | Location: Location of abnormality. |
| Clinical description | Clinical description: Description of abnormal local bony findings. |
| Breach of bone integrity | Breach of bone integrity: Presence of fracture or displacement of bone on palpation. Allowed values: {true} |
| Angulation present | Angulation present: Presence of angulation in bone. Allowed values: {true} |
| Crepitus present | Crepitus present: Presence of bone crepitus. Allowed values: {true} |
| 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 |