TEMPLATE NT HHIMS ENT Nurse Consultation (NT HHIMS ENT Nurse Consultation)

TEMPLATE IDNT HHIMS ENT Nurse Consultation
ConceptNT HHIMS ENT Nurse Consultation
DescriptionTo record the details of a consultation by an ENT nurse in the NT Hearing Health Program
UseUse to record the details of a nursing consultation for the purposes of nursing assessment, sharing of details with remote ENT specialists via teleotology and pre-operative assessment.
PurposeTo record the details of a consultation by an ENT nurse in the NT Hearing Health Program
References
Other Details (Language Independent)
  • MetaDataSet:Sample Set : Template metadata sample set
Language useden
Citeable Identifier1013.26.531
Root archetype idopenEHR-EHR-COMPOSITION.encounter.v1
ENT Nurse ConsultationENT Nurse Consultation: Generic encounter or progress note composition.

Annotations

  • Notes.Authors Note: Authors Note HHIMS team would like to note if a translator is present during any consultation. This is usually recorded as part of participations and has not been modelled explicitly.
Reason for ContactReason for Contact: Identification of administrative reason for intiation of a healthcare encounter.
For example, a clinical consultation, emergency consultation, pre-employment medical, routine antenatal visit, women's health check, pre-operative assessment, or annual medical check-up. Coding of the 'Reason for Contact' with a terminology is desirable, where possible.
  • Teleotology
  • Surgical Care
  • Consultation

Annotations

  • Notes.Example: May be used to trigger the full template presented - ie based on role plus the reason for attendance for consultation.
Clinical HistoryClinical History: A generic heading for contextual renaming within a template.
Patient Story/HistoryPatient Story/History: The subjective observation by an individual about their health and health issues, as told to a clinician or recorded directly by an individual/patient. Commonly referred to by clinicians as 'Clinical History' or 'History of Presenting Complaint'.
Presenting HistoryPresenting History: Narrative description of the clinical history or story.
Reported Ear DischargeReported Ear Discharge: A generic cluster heading for contextual renaming within a template.
Nil SignificantNil Significant: The person has not had any significant experience of the symptom.
Clinical DescriptionClinical Description: Description of the symptom.
Body SiteBody Site: Identification of body site.
Coding with a pre-coordinated terminology value set is preferred, if possible.
  • Left Ear
  • Right Ear
DurationDuration: The duration of the symptom since onset.
Units:
  • Year
  • Month
  • Week
  • Day
Number of OccurrencesNumber of Occurrences: The number of times this symptom has occurred.
AppearanceAppearance: The character of the symptom.
OdourOdour: The character of the symptom.
Reported Ear PainReported Ear Pain: A generic cluster heading for contextual renaming within a template.
Nil SignificantNil Significant: The person has not had any significant experience of the symptom.
Clinical DescriptionClinical Description: Description of the symptom.
Body SiteBody Site: Identification of body site.
Coding with a pre-coordinated terminology value set is preferred, if possible.
  • Left Ear
  • Right Ear
DurationDuration: The duration of the symptom since onset.
Units:
  • Month
  • Week
  • Day
Precipitating FactorPrecipitating Factor: An event or activity that brings on or triggers the symptom.
Nil SignificantNil Significant: The person has not had any significant experience of the symptom.
Clinical DescriptionClinical Description: Description of the symptom.
DurationDuration: The duration of the symptom since onset.
Units:
  • Year
  • Month
  • Week
  • Day
CharacterCharacter: The character of the symptom.
Reported Hearing LossReported Hearing Loss: A generic cluster heading for contextual renaming within a template.
Nil SignificantNil Significant: The person has not had any significant experience of the symptom.
Clinical DescriptionClinical Description: Description of the symptom.
Body SiteBody Site: Identification of body site.
Coding with a pre-coordinated terminology value set is preferred, if possible.
  • Left Ear
  • Right Ear
  • Both Ears
DurationDuration: The duration of the symptom since onset.
Units:
  • Year
  • Month
ImpactImpact: The character of the symptom.
VariationVariation: The variation of the symptom.
  • Constant 
  • Intermittent 
  • Fluctuating 
Reported ConcernsReported Concerns: An issue or concern reported by the subject or caregiver.
ConcernConcern: Identification of the issue or concern reported by the subject or caregiver.
  • Speech Production Concerns
  • Language Concerns
  • Behavioural Concerns
  • Learning Concerns
DescriptionDescription: Narrative description about the identified issue.
Risk FactorsRisk Factors: A generic heading for contextual renaming within a template.

Annotations

  • Notes.Authors Note: This section is not commonly recorded by an ENT Nurse, however it may occasionally be required. It is required to view existing Risk Factor data.
ExposureExposure: Exposure of the subject to a chemical, physical or biological agent within their environment that has caused, or may possibly cause in the future, a negative impact on health.
Data
AgentAgent: Identification of the chemical, physical or biological agent to which the subject was exposed.
For example: passive smoking or industrial noise.
  • Passive Smoking
  • Campfire Smoke
  • Noise
DescriptionDescription: Description of the exposure to the identified substance.
Ongoing ExposureOngoing Exposure: Does the subject remain exposed to the substance to a degree that could be regarded as a potential risk to health?
Pregnancy/Early Childhood Risk FactorsPregnancy/Early Childhood Risk Factors: Record of known risk factors for an identified disease, condition, or other potentially adverse health issue , and/or an evaluation of the likelihood of the subject experiencing it in the future.
Risk FactorRisk Factor: Known risk factor that may contribute to the evaluation of risk.
  • Low Birth weight (<1500gms )
  • Family History of Permanent Childhood Hearing Loss
  • Hyperbilirubinaemia
  • Severe Respiratory Distress (APGAR 0-3, no breathing by 10 mins or hypotonia to 2hrs)
  • Admission to SCBU/NICU for >48 Hours
  • Craniofacial Abnormality
  • Meningitis (Confirmed or Suspected)
  • Intra-uterine or Peri-natal Infection (Syphilis/Toxoplasmosis/Rubella/CMV/Herpes)
  • Fetal Alcohol Syndrome
  • Trauma/Head Injury
  • Abnormalities of Head and Neck, including Atresia
Infant Feeding SummaryInfant Feeding Summary: Summary of early infant feeding activity, particularly focused on breast and formula feeding.
TypeType: The predominant type of feeding for a period of time.
  • Predominantly Formula 
Age CommencedAge Commenced: The age of the infant when the selected type of feeding was commenced.
If commenced at birth, which will be recorded as 0 days, weeks or months, then this could be captured or displayed in a system as 'Birth'.
>P0Y
Units:
  • Year
  • Month
  • Week
  • Day
Social SummarySocial Summary: A generic heading for contextual renaming within a template.

Annotations

  • Notes.Authors Note: This section is not commonly recorded by an ENT Nurse, however it may occasionally be required. It is required to view existing Social Summary data.
Social SummarySocial Summary: Summary information about social circumstances or experiences that may have a potential impact on an individual's health.
OverviewOverview: Narrative summary about social circumstances or experiences that may have a potential impact on an individual's health.
May be used to record a narrative summary of the complete social circumstances or experiences or key aspects of the social summary, which will be supported by additioanl structured data. Details of specific structured findings can be included using CLUSTER archetypes in the 'Social Summary Detail' slot.
HouseholdHousehold: Summary of the people and pets with whom the subject lives.
DescriptionDescription: Narrative description about the household members.
For example: a full detailed description of individuals and relatioships; or 'living with spouse, mother-in-law and 4 dependant children'; or 'living with friends'.
Children Under 5 yearsChildren Under 5 years: Number of children under the age of 5 years in the household.
HousingHousing: Summary of the housing or accomodation in which the subject resides.
TransientTransient: Is the subject moving between multiple home environements?
DescriptionDescription: Description of the housing or accommodation.
Home EnvironmentHome Environment: Details about the home environment of a subject.
Working RefrigeratorWorking Refrigerator: Presence of a working refrigerator in the home.
For example: required to store medicines adequately, especially in a remote environment or tropical climate.
Education and TrainingEducation and Training: Summary of the educational and training background of the subject.
Current School AttendanceCurrent School Attendance: Description of attendance at primary or secondary school.
Only applicable for primary and secondary age children. Reference: METeOR - http://meteor.aihw.gov.au/content/index.phtml/itemId/401809
  • Enrolled; Attending 
  • Enrolled; Not Always Attending 
  • Enrolled; Not Attending 
  • Enrolled; Waiting to Commence 
  • Home Schooled 
  • Not Enrolled; Not Home Schooled 
  • Not Applicable 
Current Early Childhood Education AttendanceCurrent Early Childhood Education Attendance: Description of attendance at early childhood education centre.
  • Enrolled; Attending 
  • Enrolled; Not Always Attending 
  • Enrolled; Not Attending 
  • Enrolled; Waiting to Commence 
  • Not Applicable 
Ear Examination FindingsEar Examination Findings: A generic heading for contextual renaming within a template.
PinnaPinna: Findings observed during the physical examination of each pinna, or the external structure of the ears, and the adjacent periauricular region.
Symmetry?Symmetry?: Description of the appearance of symmetry of both ears in comparison to one another.
The appearance of symmetry required observation of size, shape and position on the head. If asymmetry is found, further details can be recorded in the 'Clinical Description' data elements for each pinna.
  • Symmetrical 
  • Asymmetrical 
Per PinnaPer Pinna: Physical examination findings of an identified pinna.
Pinna ExaminedPinna Examined: Identification of the pinna examined.
  • Left pinna 
  • Right pinna 
No Abnormality DetectedNo Abnormality Detected: Statement that no abnormality was detected on examination.
Record as True if no abnormality was detected on examination.
Clinical DescriptionClinical Description: Narrative description of the findings observed during a physical examination of a single identified pinna, including size, shape and position.
May be used to record a narrative summary of the complete clinical examination of the body system or anatomical strucutre or key aspects of physical examination findings, which will be further supported by the additional structured data, using CLUSTER archetypes in the 'Examination Detail' slot. This data element may be used to capture legacy data that is not available in a structured format.
Surgical ScarSurgical Scar: Findings about surgical scars identified on, or related to the identified pinna.
The key intent of these data element is to identify the possible existence of significant middle ear surgery where this has not been previously recorded in the subject. This is a not uncommon occurrence in the remote communities managed by NT Hearing Health.
Site of ScarSite of Scar: Identification of the the specific anatomical structure of the pinna or related anatomical region examined.
Coding of the System/Stucture with a terminology is desirable, where possible.
Scar DescriptionScar Description: Narrative description of the scar, including likely aetiology and state of healing.
ImageImage: Digital image or video taken, or a diagram drawn, during the physical examination of the body system or anatomical structure.
OtoscopyOtoscopy: Physical examination of the external auditory canal and tympanic membrane by a clinician.
Ear ExaminedEar Examined: Identification of the ear under examination.
  • Left 
  • Right 
No Abnormality DetectedNo Abnormality Detected: Statement that no abnormality was detected (NAD) on examination of the external auditory canal and tympanic membrane.
Record as True if no abnormality was detected on examination. Specific statements can be included in the 'Clinical Interpretation' data element.
Clinical DescriptionClinical Description: Narrative description of findings observed by a clinician during a physical examination of the external auditory canal and tympanic membrane.
Use this data element to provide additional, narrative description of any data elements related to the external auditory canal and tympanic membrane examination as a whole, that are not represented by structured values. For example, the relative size and surface of the auditory canal; or increased vascularity of the tympanic membrane.
Consistency of WaxConsistency of Wax: Description of the type of wax in the external auditory canal.
Presence of hard wax has implications on treatment decisions. Presence of soft wax may be a causative factor in visual occlusion.
  • Hard 
  • Soft 
State of WaxState of Wax: Description of the state of the wax observed in the external auditory canal.
  • Impacted 
  • Not impacted 
View of Tympanic MembraneView of Tympanic Membrane: View of the tympanic membrane.
  • Full View 
  • Partial View 
  • Total Occlusion 
Reason for Occlusion of ViewReason for Occlusion of View: Description of the reason for occlusion to the view of the tympanic membrane.
For example, soft wax or foreign body.
Tenderness of CanalTenderness of Canal: Presence of tenderness in the external auditory canal.
  • Present 
  • Absent 
Oedema of CanalOedema of Canal: Presence of oedema in the external auditory canal.
  • Present 
  • Absent 
Erythema of CanalErythema of Canal: Presence of erythema or redness in the external auditory canal.
  • Present 
  • Absent 
Offensive OdourOffensive Odour: Presence of any offensive odour originating from the external auditory canal.
  • Present 
  • Absent 
Discharge TypeDischarge Type: Type of discharge observed in the external auditory canal or at the tympanic membrane perforation.
  • Serous 
  • Bloody 
  • Purulent 
  • Mucous 
  • Mucopurulent 
  • Haemoserous 
Discharge AmountDischarge Amount: Amount of discharge observed in the external auditory canal or at the tympanic membrane perforation.
  • None 
  • Scant 
  • Moderate 
  • Profuse 
Ventilation Tube PositionVentilation Tube Position: Observed position of the ventilation tube (or grommet) in the tympanic membrane or the auditory canal.
There is value in identifying the presence of ventilation tubes in all examinations. There is no value in recording the absence of ventilation tubes if they have never been inserted. Note, however, that it is useful to record the extrusion of ventilation tubes if there is a known history of previous ventilation tube insertion.
  • In situ 
  • Partially extruded 
  • Extruded - remains in canal 
  • Extruded - missing 
  • Unknown 
Foreign BodyForeign Body: Presence of a foreign body in the external auditory canal.
  • Present 
  • Absent 
Location of Foreign BodyLocation of Foreign Body: Location of the foreign body within the external auditory canal.
  • Outer Canal 
  • Deep Canal 
  • Middle Ear 
Tympanic Membrane DetailsTympanic Membrane Details: Details about findings on examination of the tympanic membrane.
Membrane Intact?Membrane Intact?: Is the tympanic membrane intact?
  • Intact 
  • Perforated 
  • Indeterminate 
AppearanceAppearance: Category describing the appearance of the tympanic membrane.
In most situations, this data element would only be recorded if the tympanic membrane is intact.
  • Translucent 
  • Opaque 
Normal Light ReflexNormal Light Reflex: Presence of a normal light reflex noted.
In most situations, this data element would only be recorded if the tympanic membrane is intact. A 'normal' light reflex may be described as : a complete, bright triangular area of reflected light seen in the anteroinferior portion of the tympanic membrane.
  • Present 
  • Absent 
Surface FeaturesSurface Features: Features observed on the surface of the tympanic membrane.
Data element has multiple occurrences to enable multiple selections, if required. In most situations, this data element would only be recorded if the tympanic membrane is intact.
  • Blistering present 
  • Scarring present 
  • Granulation present 
  • Thickening present 
  • Tympanosclerosis present 
ColourColour: Description of the overall colour of the tympanic membrane.
For example: red, bluish, or yellow.
Position of Tympanic MembranePosition of Tympanic Membrane: Description of the position of the tympanic membrane.
  • Bulging 
  • Neutral 
  • Retracted 
Description of RetractionDescription of Retraction: Description of retraction of the tympanic membrane.
Fluid Level PresenceFluid Level Presence: Presence of a fluid level behind the tympanic membrane.
  • Present 
  • Absent 
Fluid Level DescriptionFluid Level Description: Narrative description of the fluid level and other related features observed behind the tympanic membrane.
For example, presence of bubbles.
Mobility (Valsalva)Mobility (Valsalva): Description of mobility of the tympanic membrane, usually as determined by pneumatic otoscopy.
Occurrences has been set to 0..* to enable multiple methods of observing mobility to be recorded. For example: 'Mobiliy (Pneumatic Otoscopy'; or 'Mobility (Valsalva) with Mobile or Indeterminate as only appropriate value set.
  • Mobile 
  • Indeterminate 
Mobility (Pneumatic Otoscopy)Mobility (Pneumatic Otoscopy): Description of mobility of the tympanic membrane, usually as determined by pneumatic otoscopy.
Occurrences has been set to 0..* to enable multiple methods of observing mobility to be recorded. For example: 'Mobiliy (Pneumatic Otoscopy'; or 'Mobility (Valsalva) with Mobile or Indeterminate as only appropriate value set.
  • Immobile 
  • Hypomobile 
  • Mobile 
  • Hypermobile 
  • Indeterminate 
Perforation DetailsPerforation Details: Details about the tympanic membrane perforation.
Estimation of SizeEstimation of Size: Estimation of the size of the tympanic membrane perforation, based on anatomical landmarks.
Many clinicians record perforations between the well defined 'pinhole' and 'subtotal' perforations using a variety of terms with inconsistent usage and definitions, such as small, medium and large. 'Intermediate' has been proposed as a means to minimise inter-clinician variability for documenting the size of all perforations falling between the 'pinhole' and 'subtotal' definitions. If more detail is required, then measurement of the perforation should be recorded.
  • Pinhole 
  • Intermediate 
  • Subtotal 
  • Total 
Pars Flaccida vs Pars Tensa?Pars Flaccida vs Pars Tensa?: Description of the region of the tympanic membrane perforation.
To document explicitly whether the perforation is located in the Pars flaccida and may be potentially unsafe. If 'Total' or 'Subtotal' is selected in 'Estimation of Size' data element then this data element becomes redundant. Coding with a terminology is preferred, if possible.
  • Pars flaccida 
  • Pars tensa 
Marginal vs Central?Marginal vs Central?: Location of the tympanic membrane perforation.
To document explicitly whether the perforation is located marginally, and therefore might be clinically unsafe. If 'Total' is selected in 'Estimation of Size' data element then this data element becomes redundant.
  • Marginal 
  • Central 
EdgeEdge: Narrative description of the edge of the perforation.
Pre-cleaning Image/VideoPre-cleaning Image/Video: Image or video taken during the physical examination of the external auditory canal and tympanic membrane.
Multiple occurrences allow for pre- and post-cleaning images to be recorded as part of the examination findings.
Post-cleaning Image/VideoPost-cleaning Image/Video: Image or video taken during the physical examination of the external auditory canal and tympanic membrane.
Multiple occurrences allow for pre- and post-cleaning images to be recorded as part of the examination findings.
Confounding FactorsConfounding Factors: Description of any incidental factors that may have contributed to the physical examination findings.
Body WeightBody Weight: Measurement of the body weight of an individual.
WeightWeight: The weight of the individual.
While recorded as kilogram or pounds, weights can be displayed in systems as grams or as pounds and ounces, as required. Upper limits are set to validate entires based on orders of magnitude eg prevent accidental entry of an extra digit, not to represent possible upper limits of weight.
0..1000 kg
ActionsActions: A generic heading for contextual renaming within a template.
Ear CleaningEar Cleaning: A clinical activity carried out for therapeutic, evaluative, investigative, screening or diagnostic purposes.
Ear Cleaning DetailsEar Cleaning Details: Details about method for cleaning the external ear canal.
Ear CleanedEar Cleaned: Identification of the ear being cleaned.
  • Left Ear 
  • Right Ear 
DescriptionDescription: Narrative description of the ear cleaning activity.
For example, describing any difficulties encountered and/or the nature of the returned fluid.
MethodMethod: Method used for ear wash.
Coding with a terminology is preferred, if possible. For example: ear wash; suction; instrument; or tissue spears.
  • Dry mopping
  • Curetting
  • Irrigation
  • Suctioning
Wash AgentWash Agent: Substance used for ear wash.
Coding with a terminology is preferred, if possible. For example: water, acetic acid or betadine 5%.
  • Water
  • 5% aqueous Betadine solution
InstrumentInstrument: Instrument used to assist cleaning.
Coding with a terminology is preferred, if possible. For example Jobson Horne probe, or micro forceps.
  • Tissue Spear
  • Jobson Horne probe
  • Alligator Forceps
  • Syringe - Tri-stream tip
  • Syringe - Butterfly clip
OutcomeOutcome: Description of the outcome of ear cleaning.
Coding with a terminology is preferred, if possible. For example: attempted, partially completed or successful removal of ear wax, pus or a foreign body.
  • Wax - removed
  • Wax - partially removed
  • Wax - unable to remove
  • Pus - cleared
  • Pus - partially cleared
  • Pus - unable to clear
  • Foreign body - removed
  • Foreign body - partially removed
  • Foreign body - unable to remove
Other ProceduresOther Procedures: A generic heading for contextual renaming within a template.
ProcedureProcedure: A clinical activity carried out for therapeutic, evaluative, investigative, screening or diagnostic purposes.
Procedure nameProcedure name: The name of the procedure (to be) performed. Coding of the specific procedure with a terminology is preferred, where possible.
DescriptionDescription: Narrative description about the activity or care pathway step for the identified procedure, for example description about the performance and findings from the the procedure, the failed attempt or the cancellation of the procedure.
ConclusionConclusion: A generic heading for contextual renaming within a template.
Nursing DiagnosisNursing Diagnosis: Identification of the problem or diagnosis. Coding of the problem or diagnosis with a terminology is preferred, where possible.
  • ETD
  • OME
  • Persistent OME (>3 months)
  • AOM with Perforation
  • AOM without Perforation
  • Recurrent AOM
  • Resolving AOM
  • CSOM
  • Dry Perforation
  • Dry Perforation (>6 months)
  • Otitis Externa
  • Foreign Body
  • Indeterminate
  • Other
  • [...]
Nursing DiagnosisNursing Diagnosis: Identification of the problem or diagnosis. Coding of the problem or diagnosis with a terminology is preferred, where possible.
  • ETD
  • OME
  • Persistent OME (>3 months)
  • AOM with Perforation
  • AOM without Perforation
  • Recurrent AOM
  • Resolving AOM
  • CSOM
  • Dry Perforation
  • Dry Perforation (>6 months)
  • Otitis Externa
  • Foreign Body
  • Indeterminate
  • Other
  • [...]
CommentComment: An abstract or summary narrative of the assessment, conclusion or evaluation of the clinical findings.
ManagementManagement: A generic heading for contextual renaming within a template.
Medication AdministeredMedication Administered: A generic heading for contextual renaming within a template.
MedicineMedicine: The medicine, vaccine or other therapeutic good which was the focus of the action.
Value set: ac0001
ReasonReason: The reason(s) the specific action or step was carried out. Note: This is not the reason for the medication instruction, rather the specific reason e.g. for administration or for ceasing the medication.
Dose AdministeredDose Administered: Free text description of the amount which may consist of the quantity and dose unit.
CommentComment: A comment on the action taken.
Medication administrationMedication administration: Information about the future or actual administration of medication.
RouteRoute: The route by which the medication is administered (e.g. oral, sublingual etc).
Value set: ac0001
SiteSite: A description of the site of administration.
  • Left Ear
  • Right Ear
  • Both Ears
  • Other
  • [...]
Medication CeasedMedication Ceased: A generic heading for contextual renaming within a template.
MedicineMedicine: The medicine, vaccine or other therapeutic good which was the focus of the action.
Value set: ac0001
ReasonReason: The reason(s) the specific action or step was carried out. Note: This is not the reason for the medication instruction, rather the specific reason e.g. for administration or for ceasing the medication.
Medication DispensedMedication Dispensed: A generic heading for contextual renaming within a template.
MedicineMedicine: The medicine, vaccine or other therapeutic good which was the focus of the action.
Value set: ac0001
InstructionsInstructions: Any instructions given to the subject of care or carer at the time of the action.
ReasonReason: The reason(s) the specific action or step was carried out. Note: This is not the reason for the medication instruction, rather the specific reason e.g. for administration or for ceasing the medication.
Dose DescriptionDose Description: Free text description of the amount which may consist of the quantity and dose unit.
CommentComment: A comment on the action taken.
BatchIDBatchID: Assigned by the manufacturer to identify the manufacturing batch of the item.
Expiry dateExpiry date: The expiry date of the medicine administered as documented by the manufacturer.
Dispensed toDispensed to: The name of the person to whom this was dispensed, if not the subject of care.
Health Education ProvidedHealth Education Provided: A generic heading for contextual renaming within a template.
TopicTopic: Topic of health education information provided.
  • Dry Ear Precautions
  • Hygiene/Spreading of Infection(Hand/Face Washing)
  • Mechanism of Ear Infection
  • Hearing Loss and Implications
  • Medication Administration
  • Medication Storage
  • Medication Compliance
  • Importance of Regular Ear Checks
  • Use of Tissue Spears
  • Other
  • [...]
DescriptionDescription: Narrative description of the health education information provided.
MethodMethod: Method by which the health education information was provided.
For example, verbal or written. This is not the same as participation. Material can be exchanged between an educator and a subject in various ways during a face-to-face consultation or via teleconference. In specific situations it may be important to document that writtern fact sheets have been physically handed to the subject, for example regarding the risks of vasectomy.
Material ProvidedMaterial Provided: Title or identifier of health education information provided.
LinkLink: Internet link to the information provided.
Protocol
Interpreter PresentInterpreter Present: Was an interpreter present?
Record as True if an Interpreter was present during the health education session.
ENT Teleotology Referral CompletedENT Teleotology Referral Completed: Activity regarding a referral from a clinician, or self-referral by a patient, for the patient to receive a specific service, advice or care from an expert healthcare provider.
Description
Referred serviceReferred service: Identification of the clinical service to be/being carried out. This is often coded with an external terminology.
  • Teleotology
DescriptionDescription: Description of the service provided.
Surgical DiscussionSurgical Discussion: A generic heading for contextual renaming within a template.
Surgery Education ProvidedSurgery Education Provided: A generic heading for contextual renaming within a template.
Description
TopicTopic: Topic of health education information provided.
  • Reasons for surgery
  • Risks associated with surgery
  • Prognosis for surgery
  • Post op care instructions following surgery
  • Escort for surgery (space for contact details of proposed escort)
  • Other
  • [...]
MethodMethod: Method by which the health education information was provided.
For example, verbal or written. This is not the same as participation. Material can be exchanged between an educator and a subject in various ways during a face-to-face consultation or via teleconference. In specific situations it may be important to document that writtern fact sheets have been physically handed to the subject, for example regarding the risks of vasectomy.
IdentificationIdentification: Title or identifier of health education information provided.
LinkLink: Internet link to the information provided.
Protocol
Interpreter PresentInterpreter Present: Was an interpreter present?
Record as True if an Interpreter was present during the health education session.
Family OpinionFamily Opinion: A narrative summary about a patient, from the perspective of a healthcare provider.
Data
SynopsisSynopsis: An abstract or summary narrative of the assessment, conclusion or evaluation of the clinical findings.
PlanPlan: A generic heading for contextual renaming within a template.
RecommendationRecommendation: Narrative description of the recommendation.
  • No Further Action Required
  • Further Follow-up/Review Required
RationaleRationale: Justification for the recommendation.
Primary Health Centre RecallPrimary Health Centre Recall: A generic heading for contextual renaming within a template.
Follow-up RequestedFollow-up Requested: Identification of the service requested. This is often coded with an external terminology.
  • Ear Cleaning
  • Ear Examination
  • Organise ENT Referral
  • Medication Review
  • Other
  • [...]
Reason descriptionReason description: A narrative description explaining the reason for request.
UrgencyUrgency: Urgency of the request.
  • Urgent 
  • Routine 
Date &/or time service requiredDate &/or time service required: The date and time that the service should be performed or completed.
Latest date service requiredLatest date service required: The latest date that is acceptable for the service to be completed.
ENT Teleotology RequestENT Teleotology Request: A generic heading for contextual renaming within a template.
Service requestedService requested: Identification of the service requested. This is often coded with an external terminology.
  • Clinical Assessment
  • Other
  • [...]
Description of serviceDescription of service: A detailed narrative description of the service requested.
  • Teleotology
Reason descriptionReason description: A narrative description explaining the reason for request.
UrgencyUrgency: Urgency of the request.
  • Urgent 
  • Routine 
Date &/or time service requiredDate &/or time service required: The date and time that the service should be performed or completed.
Latest date service requiredLatest date service required: The latest date that is acceptable for the service to be completed.
ENT Nurse Follow-upENT Nurse Follow-up: A generic heading for contextual renaming within a template.
Service requestedService requested: Identification of the service requested. This is often coded with an external terminology.
  • Clinical Assessment
  • Care Coordination
Reason descriptionReason description: A narrative description explaining the reason for request.
UrgencyUrgency: Urgency of the request.
  • Urgent 
  • Routine 
Date &/or time service requiredDate &/or time service required: The date and time that the service should be performed or completed.
Latest date service requiredLatest date service required: The latest date that is acceptable for the service to be completed.
Child Hearing Health Coordinator ReviewChild Hearing Health Coordinator Review: A generic heading for contextual renaming within a template.
Service requestedService requested: Identification of the service requested. This is often coded with an external terminology.
  • Clinical Assessment
  • Care Coordination
Reason descriptionReason description: A narrative description explaining the reason for request.
UrgencyUrgency: Urgency of the request.
  • Urgent 
  • Routine 
Date &/or time service requiredDate &/or time service required: The date and time that the service should be performed or completed.
Latest date service requiredLatest date service required: The latest date that is acceptable for the service to be completed.
Healthcare service requestHealthcare service request: Request for a range of different healthcare services, for example, a referral, lab request, equipment request.

Annotations

  • Notes.Authors Note: Use to create ad hoc requests for care from other healthcare providers as necessary eg Speech Pathology, Families as First Teachers program etc.
Service requestedService requested: Identification of the service requested. This is often coded with an external terminology.
Reason descriptionReason description: A narrative description explaining the reason for request.
UrgencyUrgency: Urgency of the request.
  • Urgent 
  • Routine 
Date &/or time service requiredDate &/or time service required: The date and time that the service should be performed or completed.
Latest date service requiredLatest date service required: The latest date that is acceptable for the service to be completed.
Procedure RequestProcedure Request: Request for a procedure to be performed.
Procedure requestedProcedure requested: Identification of the service requested. This is often coded with an external terminology.
Description of ProcedureDescription of Procedure: A detailed narrative description of the service requested.
Reason descriptionReason description: A narrative description explaining the reason for request.
UrgencyUrgency: Urgency of the request.
  • Urgent 
  • Routine 
Date &/or time service requiredDate &/or time service required: The date and time that the service should be performed or completed.
Latest date service requiredLatest date service required: The latest date that is acceptable for the service to be completed.