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openEHR-EHR-CLUSTER.exam_pinna.v1

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  1. StudyEvent: openEHR-EHR-CLUSTER.exam_pinna.v1
    1. openEHR-EHR-CLUSTER.exam_pinna.v1
openEHR-EHR-CLUSTER.exam_pinna.v1.xml
Beschrijving

openEHR-EHR-CLUSTER.exam_pinna.v1.xml

Examination of Pinna
Beschrijving

Findings observed during the physical examination of the external structure of the ears, and scars in the adjacent periauricular region.

Datatype

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0013453
Clinical description
Beschrijving

Narrative description of the findings observed during a physical examination of a single identified pinna, including size, shape and position.

Datatype

text

Alias
UMLS CUI [1,1]
C0678257
UMLS CUI [1,2]
C0205210
Pinna details
Beschrijving

Structured details of physical examination findings for the specific parts of the identified pinna or related structures.

Datatype

text

Alias
UMLS CUI [1,1]
C1047272
UMLS CUI [1,2]
C1522508
Clinical interpretation
Beschrijving

Single word, phrase or brief description represents the clinical meaning and significance of the physical examination findings.

Datatype

text

Alias
UMLS CUI [1]
C4086187
Multimedia representation
Beschrijving

Digital image or video taken, or a diagram drawn, during the physical examination of the body system or anatomical structure.

Datatype

text

Alias
UMLS CUI [1]
C0681502
Pinna examined
Beschrijving

Identification of the pinna examined.

Datatype

text

Alias
UMLS CUI [1,1]
C0013453
UMLS CUI [1,2]
C0031809
Surgical scar
Beschrijving

Findings about surgical scars identified on, or related to the identified pinna.

Datatype

text

Alias
UMLS CUI [1]
C0334150
Site of scar
Beschrijving

Identification of the the specific anatomical structure of the pinna or related anatomical region examined.

Datatype

text

Alias
UMLS CUI [1,1]
C0449695
UMLS CUI [1,2]
C0241158
Scar description
Beschrijving

Narrative description of the scar, including likely aetiology and state of healing.

Datatype

text

Alias
UMLS CUI [1,1]
C0241158
UMLS CUI [1,2]
C0678257
No abnormality detected
Beschrijving

Statement that no abnormality was detected on examination.

Datatype

boolean

Alias
UMLS CUI [1]
C0559229
Present?
Beschrijving

Is a scar present in the periaural region?

Datatype

text

Alias
UMLS CUI [1,1]
C0241158
UMLS CUI [1,2]
C0150312
Exam not done
Beschrijving

Details to explicitly record that this examination was not performed.

Datatype

text

Alias
UMLS CUI [1,1]
C1272696
UMLS CUI [1,2]
C0031809
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Similar models

openEHR-EHR-CLUSTER.exam_pinna.v1

1 Formulieren
  1. StudyEvent: openEHR-EHR-CLUSTER.exam_pinna.v1
    1. openEHR-EHR-CLUSTER.exam_pinna.v1
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Examination of Pinna
Item
Examination of Pinna
text
C0031809 (UMLS CUI [1,1])
C0013453 (UMLS CUI [1,2])
Clinical description
Item
Clinical description
text
C0678257 (UMLS CUI [1,1])
C0205210 (UMLS CUI [1,2])
Pinna details
Item
Pinna details
text
C1047272 (UMLS CUI [1,1])
C1522508 (UMLS CUI [1,2])
Clinical interpretation
Item
Clinical interpretation
text
C4086187 (UMLS CUI [1])
Multimedia representation
Item
Multimedia representation
text
C0681502 (UMLS CUI [1])
Item
Pinna examined
text
C0013453 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Pinna examined
Code List
Pinna examined
CL Item
Left pinna (1)
CL Item
Right pinna (2)
Surgical scar
Item
Surgical scar
text
C0334150 (UMLS CUI [1])
Site of scar
Item
Site of scar
text
C0449695 (UMLS CUI [1,1])
C0241158 (UMLS CUI [1,2])
Scar description
Item
Scar description
text
C0241158 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
No abnormality detected
Item
No abnormality detected
boolean
C0559229 (UMLS CUI [1])
Item
Present?
text
C0241158 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
Present?
Code List
Present?
CL Item
Present (1)
CL Item
Absent (2)
Exam not done
Item
Exam not done
text
C1272696 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
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