ARCHETYPE Inspection of Tympanic Membrane (openEHR-EHR-CLUSTER.inspection-tympanic_membrane.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.inspection-tympanic_membrane.v1
ConceptInspection of Tympanic Membrane
DescriptionThe findings on physical examination by inspection of the tympanic membrane
UseFor use with the exam clusters for recording findings on inspection of the tmpanic membrane
MisuseShould only be used in the exam observation
PurposeFor recording the findings on inspection of the tympanic membrane
References
Copyrightcopyright (c) 2009 openEHR Foundation
AuthorsAuthor name: Ian McNicoll
Organisation: Ocean Informatics
Date originally authored: 02/11/2007
Other Details LanguageAuthor name: Ian McNicoll
Organisation: Ocean Informatics
Date originally authored: 02/11/2007
Other Details (Language Independent)
  • References:
Keywordsinspect, visual, ear, tympanic, perforation, drum
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.241
items
Normal statementsNormal statements: An optional group of statements about the normality of the inspection
Normal statementNormal statement: A specific statement about the normality of inspection
  • Tympanic membrane normal [*]
Clinical DescriptionClinical Description: Clinical description of the findings on inspection
FindingsFindings: Specific findings on inspection
Colour descriptionColour description: The colour of the object under inspection
LocationLocation: The location of any findings
DescriptionDescription: Description of the location of the findings
Shape or distributionShape or distribution: The shape or distribution of the object inspected
DescriptionDescription: Description of the
SymmetricalSymmetrical: Whether the distribution is symmetrical
SurfaceSurface: A description of the surface
  • No evidence of inflammation [*]
  • Evidence of inflammation [*]
SurroundsSurrounds: Description of immediate surrounds to object
EdgeEdge: Findings about the edge of the object under inspection
DescriptionDescription: Description of the edge or border of the object of inspection
DefinitionDefinition: The nature of the edge of the object of examination
  • Well defined [The edge is clearly defined]
  • Moderately defined [The edge is defined but less clear in places]
  • Poorly defined [The edge is not defined clearly in many places]
TranslucentTranslucent: Is the object of inspection translucent?
Adequacy of ViewAdequacy of View: How good is the view of the membrane?
0: Unobscured [The TM is not obscured]
1: Slightly obscured [The TM is slightly obscured]
2: Moderately obscured [The TM is moderately obscured]
3: Mostly obscured [The TM is mostly obscured]
4: Totally obscured [The TM is totally obscured]
Specific AppearanceSpecific Appearance: The appearance of the drum
Clinical DescriptionClinical Description: The general appearance of the tympanic membrane
Light Reflex presentLight Reflex present: *
ContourContour: The contour of the object of inspection
RetractionRetraction: Degree of tympanic membrane retraction (Sade classification)
0: No retraction [Normal TM without retraction]
1: Slightly retracted [TM slighly retracted i.e tothe level of the annualt ligament]
2: touches the ossicular chain [TM touchs the ossicular chain]
3: reaches the level of the promontory [TM reaches the promontory without adhering to it ]
4: adheres to the promontory [TM reaches the promontory and adheres to it]

Assumed value: 0: No retraction
Air/Fluid level visible?Air/Fluid level visible?: Is a fluid level visible behind the membrane?
ScarringScarring: *
Description of scarringDescription of scarring: *
  • Evidence of Atrophy [*]
  • Evidence of tympanosclerosis [*]
Clinical DescriptionClinical Description: Text Description of the appearance of the drum
Ventilation TubeVentilation Tube: Details of any ventilation tube inserted
Cluster: Ventilation tubeCluster: Ventilation tube: *
Include:
openEHR-EHR-CLUSTER.tympanic_ventilation_tube.v1
PerforationPerforation: Details of any perforation
Cluster: PerforationCluster: Perforation: *
Include:
openEHR-EHR-CLUSTER.inspection-tympanic_perforation.v1
DetailDetail: Detailed examination of a finding on inspection
Cluster: ExamCluster: Exam: Exam details
Include:
openEHR-EHR-CLUSTER.exam.v1
DrawingDrawing: An image of the findings on inspection - drawing, photo or video
image/cgm, image/gif, image/png, image/tiff, image/jpeg
Other contributorsHeather Leslie
Translators