openEHR-EHR-OBSERVATION.exam.v1.xml
Findings observed during the physical examination of a subject of care.
text
@ internal @
Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Narrative description of the overall findings observed during a physical examination of a patient.
Structured details of the physical examination.
Single word, phrase or brief description which represents the clinical meaning and significance of the physical examination findings.
Description of any incidental factors that may have contributed to the physical examination findings.
Details about any device used during the physical examination.
Additional narrative about the overall physical examination findings not captured in other fields.
Additional information required to capture local content or to align with other reference models/formalisms.
The body position of the subject during the examination.