ARCHETYPE Examination of a named body part (openEHR-EHR-CLUSTER.exam-generic.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.exam-generic.v1
ConceptExamination of a named body part
DescriptionGeneric examination cluster for describing a finding on physical examination.
PurposeA generic cluster for recording findings about a named body part 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: 02/04/2007
Other Details LanguageAuthor name: Heather Leslie
Organisation: Ocean Informatics, Australia
Email: heather.leslie@oceaninformatics.com
Date originally authored: 02/04/2007
Other Details (Language Independent)
  • References:
  • MD5-CAM-1.0.1: 743A50896FCD3D7DC25634A4FA651377
Keywordsexamination, physical
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.224
items
Name of objectName of object: The object of examination.
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.
SizeSize: Information about the size of the object for examination.
Include:
openEHR-EHR-CLUSTER.physical_properties.v1 and specialisations
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
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