ID

29613

Beschreibung

http://openehr.org/ckm/ Use to record examination findings on palpation of the cervix, including findings during pregnancy and labour. This archetype has been designed to be nested inside the OBSERVATION.exam archetype (and its specialisations) or other relevant CLUSTER archetypes. For example, this archetype may be used as one component of a complete record of a bimanual pelvic examination - either nested within, or placed alongside, CLUSTER.palpation_of_uterus, as required by the specific clinical scenario being modelled.

Link

http://openehr.org/ckm/

Stichworte

Versionen (1)
  1. 10.04.18 10.04.18 - Halim Ugurlu
Rechteinhaber

openEHR Foundation

Hochgeladen am

10. April 2018

DOI

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Lizenz

Creative Commons BY-NC 3.0
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openEHR-EHR-CLUSTER.palpation_of_cervix.v1

Englisch

openEHR-EHR-CLUSTER.palpation_of_cervix.v1

1 Formulare  
  1. StudyEvent: openEHR-EHR-CLUSTER.palpation_of_cervix.v1
    1. openEHR-EHR-CLUSTER.palpation_of_cervix.v1
openEHR-EHR-CLUSTER.palpation_of_cervix.v1.xml
Beschreibung

openEHR-EHR-CLUSTER.palpation_of_cervix.v1.xml

Alias
UMLS CUI-1
C0030247
UMLS CUI-2
C0007874
Palpation of Cervix
Beschreibung

Examination of the uterine cervix by palpation.

Datentyp

text

Alias
UMLS CUI [1,1]
C0030247
UMLS CUI [1,2]
C0007874
Clinical Description
Beschreibung

Narrative description of findings on examination of the cervix.

Datentyp

text

Alias
UMLS CUI [1,1]
C0678257
UMLS CUI [1,2]
C0205210
Relative Position
Beschreibung

Actual cervical position in relation to the expected, central anatomical position.

Datentyp

text

Alias
UMLS CUI [1,1]
C0205064
UMLS CUI [1,2]
C1262869
Consistency
Beschreibung

Consistency of the cervix.

Datentyp

text

Alias
UMLS CUI [1]
C2026752
Surface
Beschreibung

Surface of the cervix.

Datentyp

text

Alias
UMLS CUI [1]
C0736457
Effacement
Beschreibung

Estimation of the proportion of cervical effacement, in late pregnancy or during labour.

Datentyp

text

Alias
UMLS CUI [1]
C0233157
Thickness
Beschreibung

Thickness of the cervix.

Datentyp

text

Alias
UMLS CUI [1]
C1286000
Application to Presenting Part
Beschreibung

Application of the cervix to the presenting part of the fetus.

Datentyp

text

Alias
UMLS CUI [1]
C0426022
Cervical Os
Beschreibung

Findings on palpation of the specified part of the cervical os.

Datentyp

text

Alias
UMLS CUI [1]
C0425895
Site
Beschreibung

Identification of the part of cervix which is being palpated.

Datentyp

text

Alias
UMLS CUI [1,1]
C0007874
UMLS CUI [1,2]
C0030247
Dilation
Beschreibung

Diameter of cervical os.

Datentyp

float

Alias
UMLS CUI [1]
C0404050
Description
Beschreibung

Narrative description of findings on palpation of cervical os.

Datentyp

text

Alias
UMLS CUI [1]
C0678257
Mobility
Beschreibung

Narrative description of the mobility of the cervix.

Datentyp

text

Alias
UMLS CUI [1,1]
C0425245
UMLS CUI [1,2]
C0007874
Tenderness
Beschreibung

Narrative description of the tenderness of the cervix, especially on movement.

Datentyp

text

Alias
UMLS CUI [1]
C0567228
Anterior Lip?
Beschreibung

Is an anterior lip of the cervix present?

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1280353
UMLS CUI [1,2]
C0150312
Cervical Length
Beschreibung

Estimation of the length of the cervix.

Datentyp

float

Alias
UMLS CUI [1,1]
C0205064
UMLS CUI [1,2]
C1444754
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Ähnliche Modelle

openEHR-EHR-CLUSTER.palpation_of_cervix.v1

1 Formulare
  1. StudyEvent: openEHR-EHR-CLUSTER.palpation_of_cervix.v1
    1. openEHR-EHR-CLUSTER.palpation_of_cervix.v1
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
openEHR-EHR-CLUSTER.palpation_of_cervix.v1.xml
C0030247 (UMLS CUI-1)
C0007874 (UMLS CUI-2)
Palpation of Cervix
Item
Palpation of Cervix
text
C0030247 (UMLS CUI [1,1])
C0007874 (UMLS CUI [1,2])
Clinical Description
Item
Clinical Description
text
C0678257 (UMLS CUI [1,1])
C0205210 (UMLS CUI [1,2])
Item
Relative Position
text
C0205064 (UMLS CUI [1,1])
C1262869 (UMLS CUI [1,2])
Relative Position
Code List
Relative Position
CL Item
Anterior (1)
CL Item
Intermediate (2)
CL Item
Posterior (3)
CL Item
Right (4)
CL Item
Left (5)
Item
Consistency
text
C2026752 (UMLS CUI [1])
Consistency
Code List
Consistency
CL Item
Firm (1)
CL Item
Intermediate (2)
CL Item
Soft (3)
Item
Surface
text
C0736457 (UMLS CUI [1])
Surface
Code List
Surface
CL Item
Regular/smooth (1)
CL Item
Irregular (2)
Effacement
Item
Effacement
text
C0233157 (UMLS CUI [1])
Item
Thickness
text
C1286000 (UMLS CUI [1])
Thickness
Code List
Thickness
CL Item
Thick (1)
CL Item
Thin (2)
CL Item
Paper-thin (3)
CL Item
Oedematous (4)
Item
Application to Presenting Part
text
C0426022 (UMLS CUI [1])
Application to Presenting Part
Code List
Application to Presenting Part
CL Item
Loosely applied (1)
CL Item
Tightly applied (2)
Cervical Os
Item
Cervical Os
text
C0425895 (UMLS CUI [1])
Item
Site
text
C0007874 (UMLS CUI [1,1])
C0030247 (UMLS CUI [1,2])
Site
Code List
Site
CL Item
External Os (1)
CL Item
Internal Os (2)
Dilation
Item
Dilation
float
C0404050 (UMLS CUI [1])
Description
Item
Description
text
C0678257 (UMLS CUI [1])
Mobility
Item
Mobility
text
C0425245 (UMLS CUI [1,1])
C0007874 (UMLS CUI [1,2])
Tenderness
Item
Tenderness
text
C0567228 (UMLS CUI [1])
Anterior Lip?
Item
Anterior Lip?
boolean
C1280353 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
Cervical Length
Item
Cervical Length
float
C0205064 (UMLS CUI [1,1])
C1444754 (UMLS CUI [1,2])
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