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
Other Details (Language Independent)
  • References:
Keywordsinspect, visual, tympanic, perforation, ear, ENT
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.242
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
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
ContourContour: The contour of the object of inspection
Overlying skin or surfaceOverlying skin or surface: A description of the surface
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?
Middle ear structures visibleMiddle ear structures visible: *
MalleusMalleus: Malleus visible
IncusIncus: Incus visible
StapesStapes: Stapes visible
Clinical descriptionClinical description: *
DetailDetail: Detailed examination of a finding on inspection
Cluster: ExamCluster: Exam: Exam details
Include:
openEHR-EHR-CLUSTER.exam.v1
Size of perforationSize of perforation: *
Cluster: DmensionsCluster: Dmensions: *
Include:
openEHR-EHR-CLUSTER.dimensions.v1
DrawingDrawing: A drawing of the findings on inspection
image/cgm, image/gif, image/png, image/tiff, image/jpeg
Other contributorsHeather Leslie
Translators