| ARCHETYPE ID | openEHR-EHR-CLUSTER.exam-mouth.v1 |
|---|---|
| Concept | Examination of mouth |
| Description | Record of clinical findings on physical examination of mouth. |
| Use | Use in conjunction with separate archetype/s for dental examinations when developed. |
| Purpose | Recording of clinical findings on physical examination of the mouth. |
| References | |
| Copyright | copyright (c) 2010 openEHR Foundation |
| Authors | Author name: Heather Leslie Organisation: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date originally authored: 23/05/2007 |
| Other Details Language | Author name: Heather Leslie Organisation: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date originally authored: 23/05/2007 |
| Other Details (Language Independent) |
|
| Keywords | examination, physical, mouth, tongue, lips, tonsils |
| Lifecycle | AuthorDraft |
| Language used | en |
| Citeable Identifier | 1013.1.227 |
| 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 about the mouth. |
| Lips | Lips: Findings about lips. |
| Description | Description: Text description of clinical findings. |
| Lips detail | Lips detail: Detail related to lips. Include: openEHR-EHR-CLUSTER.inspection.v1 |
| Angle of mouth | Angle of mouth: Findings about the angle of the mouth. |
| Description | Description: Text description of clinical findings. |
| Angle of mouth detail | Angle of mouth detail: Detail about the angle of mouth. Include: openEHR-EHR-CLUSTER.inspection.v1 |
| Hard palate | Hard palate: Findings about the hard palate. |
| Description | Description: Text description of clinical findings. |
| Soft palate | Soft palate: Findings about the soft palate. |
| Flexible and mobile | Flexible and mobile: The soft palate is flexible and mobile. |
| Gag response | Gag response: Estimate of the gag response. 0: Absent [Absent.] 1: + [Reduced.] 2: ++ [Normal.] 3: +++ [Increased] Assumed value: 0: Absent |
| Description of swallowing | Description of swallowing: Text description of swallowing. |
| Description | Description: Text description of clinical findings. |
| Uvula | Uvula: Findings about the uvula. |
| Deviation | Deviation: Findings of uvular deviation.
|
| Description | Description: Text description of clinical findings. |
| Tonsillar fossa | Tonsillar fossa: Findings about the tonsillar fossa. |
| Tonsils Present | Tonsils Present: The tonsils are present. |
| Relative Size | Relative Size: Relative size of tonsils in comparison to expected size. 0: Absent [The tonsils are absent.] 1: Reduced in size [The tonsils are reduced in size.] 2: Expected size [The tonsils are of expected size.] 3: Enlarged [The tonsils are enlarged.] 4: Grossly enlarged [The tonsils are grossly enlarged.] |
| Description | Description: Text description of clinical findings. |
| Pharynx | Pharynx: Findings about the pharynx. |
| Description | Description: Text description of clinical findings. |
| Tongue | Tongue: Findings about the tongue. |
| Tongue detail | Tongue detail: Detailed findings about the tongue. Include: openEHR-EHR-CLUSTER.cranial_ openEHR-EHR-CLUSTER.exam-generic.v1 and specialisations or openEHR-EHR-CLUSTER.inspection.v1 and specialisations or openEHR-EHR-CLUSTER.palpation.v1 and specialisations |
| Description | Description: Text description of clinical findings. |
| Detail | Detail: More focused examination findings. Include: openEHR-EHR-CLUSTER.exam-generic.v1 and specialisations or openEHR-EHR-CLUSTER.inspection.v1 and specialisations |
| Image | Image: Drawing or image of the area examined. image/gif, image/png, image/jpeg |
| Other contributors | |
| Translators |