ARCHETYPE Inspection of a tympanic membrane perforation (openEHR-EHR-CLUSTER.inspection-tympanic_perforation.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.inspection-tympanic_perforation.v1
ConceptInspection of a tympanic membrane perforation
DescriptionThe findings on physical examination by inspection of a tympanic membrane perforation
UseFor use with the exam clusters for recording findings on inspection
MisuseShould only be used in the exam observation
PurposeFor recording the findings on inspection of a tympanic membrane perforation
References
Copyrightcopyright (c) 2009 openEHR Foundation
AuthorsAuthor name: Ian McNicoll
Organisation: Ocan Informatics
Date originally authored: 10/11/2007
Other Details LanguageAuthor name: Ian McNicoll
Organisation: Ocan Informatics
Date originally authored: 10/11/2007
OtherDetails Language Independent{references=}
Keywordsinspect, visual, tympanic, perforation, ear, ENT
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.242
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[path=/items[at0006]/items[at0051], code=at0051, itemType=ELEMENT, level=2, text=Contour, description=The contour of the object of inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0027], code=at0027, itemType=ELEMENT, level=2, text=Overlying skin or surface, description=A description of the surface, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0024], code=at0024, itemType=ELEMENT, level=2, text=Surrounds, description=Description of immediate surrounds to object, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0028], code=at0028, itemType=CLUSTER, level=2, text=Edge, description=Findings about the edge of the object under inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0028]/items[at0033], code=at0033, itemType=ELEMENT, level=3, text=Description, description=Description of the edge or border of the object of inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, 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  • 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]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0034], code=at0034, itemType=ELEMENT, level=2, text=Translucent, description=Is the object of inspection translucent?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.54], code=at0.54, itemType=CLUSTER, level=2, text=Middle ear structures visible, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.54]/items[at0.60], code=at0.60, itemType=ELEMENT, level=3, text=Malleus, description=Malleus visible, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.54]/items[at0.59], code=at0.59, itemType=ELEMENT, level=3, text=Incus, description=Incus visible, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.54]/items[at0.58], code=at0.58, itemType=ELEMENT, level=3, text=Stapes, description=Stapes visible, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.54]/items[at0.57], code=at0.57, itemType=ELEMENT, level=3, text=Clinical description, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0049], code=at0049, itemType=CLUSTER, level=2, text=Detail, description=Detailed examination of a finding on inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0049]/items[at0052], code=at0052, itemType=SLOT, level=3, text=Cluster: Exam, description=Exam details, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.exam.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.56], code=at0.56, itemType=CLUSTER, level=2, text=Size of perforation, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.56]/items[at0.61], code=at0.61, itemType=SLOT, level=3, text=Cluster: Dmensions, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.dimensions.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0050], code=at0050, itemType=ELEMENT, level=1, text=Drawing, description=A drawing of the findings on inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=image/cgm, image/gif, image/png, image/tiff, image/jpeg, extendedValues=null]], events=[], provider=[], content=[], target=[], contacts=[], protocol=[], other_participations=[], relationships=[], ism_transition=[], description=[], source=[], data=[], context=[], details=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000.1, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..*, 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values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0036], code=at0036, itemType=ELEMENT, level=2, text=Colour description, description=The colour of the object under inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0005], code=at0005, itemType=CLUSTER, level=2, text=Location, description=The location of any findings, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0005]/items[at0022], code=at0022, itemType=ELEMENT, level=3, text=Description, description=Description of the location of the findings, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0018], code=at0018, itemType=CLUSTER, level=2, text=Shape or distribution, description=The shape or distribution of the object inspected, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0018]/items[at0019], code=at0019, itemType=ELEMENT, level=3, text=Description, description=Description of the , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0018]/items[at0020], code=at0020, itemType=ELEMENT, level=3, text=Symmetrical, description=Whether the distribution is symmetrical, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0051], code=at0051, itemType=ELEMENT, level=2, text=Contour, description=The contour of the object of inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0027], code=at0027, itemType=ELEMENT, level=2, text=Overlying skin or surface, description=A description of the surface, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0024], code=at0024, itemType=ELEMENT, level=2, text=Surrounds, description=Description of immediate surrounds to object, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0028], code=at0028, itemType=CLUSTER, level=2, text=Edge, description=Findings about the edge of the object under inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0028]/items[at0033], code=at0033, itemType=ELEMENT, level=3, text=Description, description=Description of the edge or border of the object of inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0028]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Definition, description=The nature of the edge of the object of examination, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0034], code=at0034, itemType=ELEMENT, level=2, text=Translucent, description=Is the object of inspection translucent?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.54], code=at0.54, itemType=CLUSTER, level=2, text=Middle ear structures visible, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.54]/items[at0.60], code=at0.60, itemType=ELEMENT, level=3, text=Malleus, description=Malleus visible, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.54]/items[at0.59], code=at0.59, itemType=ELEMENT, level=3, text=Incus, description=Incus visible, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.54]/items[at0.58], code=at0.58, itemType=ELEMENT, level=3, text=Stapes, description=Stapes visible, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.54]/items[at0.57], code=at0.57, itemType=ELEMENT, level=3, text=Clinical description, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0049], code=at0049, itemType=CLUSTER, level=2, text=Detail, description=Detailed examination of a finding on inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0049]/items[at0052], code=at0052, itemType=SLOT, level=3, text=Cluster: Exam, description=Exam details, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.exam.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.56], code=at0.56, itemType=CLUSTER, level=2, text=Size of perforation, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0.56]/items[at0.61], code=at0.61, itemType=SLOT, level=3, text=Cluster: Dmensions, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.dimensions.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0050], code=at0050, itemType=ELEMENT, level=1, text=Drawing, description=A drawing of the findings on inspection, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=image/cgm, image/gif, image/png, image/tiff, image/jpeg, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]