| ARCHETYPE ID | openEHR-EHR-CLUSTER.exam-nose.v1 |
|---|---|
| Concept | Examination of nose |
| Description | For recording findings on physical examination of the nose. |
| Use | To recording findings on physical examination of the nose, generally within an OBSERVATION archetype. |
| Purpose | A generic cluster for recording findings on physical examination of the nose. |
| References | |
| Copyright | copyright (c) 2010 openEHR Foundation |
| Authors | Author name: Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 02/11/2007 |
| Other Details Language | Author name: Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 02/11/2007 |
| Other Details (Language Independent) |
|
| Keywords | examination, physical, nose, turbinates, smell |
| Lifecycle | AuthorDraft |
| Language used | en |
| Citeable Identifier | 1013.1.228 |
| 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. |
| External | External: Findings on inspection of the external nose. |
| Description | Description: Clinical description of external aspect of nose. |
| Detail | Detail: More focused examination findings. 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.physical_ openEHR-EHR-CLUSTER.exam-bone.v1 and specialisations or openEHR-EHR-CLUSTER.inspection-trauma.v1 and specialisations |
| Nares | Nares: Examination of the nares/nostrils. |
| Nares patent? | Nares patent?: Are the nares patent? |
| Nasal breathing? | Nasal breathing?: Is the patient breathing nasally? |
| Description | Description: Clinical description of external aspect of nose. |
| Internal | Internal: Internal inspection of the nose. |
| Description | Description: Clinical description of external aspect of nose. |
| Nasal septum | Nasal septum: Inspection of the nasal septum. |
| Description | Description: Clinical description of external aspect of nose. |
| Septal haematoma | Septal haematoma: Presence of septal haematoma. |
| Septal detail | Septal detail: Detail about nasal septa. Include: openEHR-EHR-CLUSTER.inspection.v1 or openEHR-EHR-CLUSTER.inspection-trauma.v1 |
| Nasal mucosa | Nasal mucosa: Findings on inspection of the nasal mucosa. |
| Description | Description: Clinical description of external aspect of nose. |
| Mucosal detail | Mucosal detail: Detail about nasal mucosa. Include: openEHR-EHR-CLUSTER.inspection.v1 and specialisations |
| Turbinates | Turbinates: Inspection of the nasal turbinates. |
| Description | Description: Clinical description of external aspect of nose. |
| Turbinate detail | Turbinate detail: detail about turbinates. Include: openEHR-EHR-CLUSTER.inspection.v1 and specialisations |
| Discharge | Discharge: Nasal discharge. |
| Description | Description: Clinical description of external aspect of nose. |
| Discharge detail | Discharge detail: Details of nasal discharge. Include: openEHR-EHR-CLUSTER.bodily_ |
| Image | Image: Drawing or image of the area examined. image/gif, image/png, image/jpeg |
| Other contributors | Heather Leslie, Ocean Informatics, Australia |
| Translators |