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openEHR-EHR-CLUSTER.exam_sputum.v0

- 4/10/18 - 1 form, 1 itemgroup, 19 items, 1 language

Itemgroup: openEHR-EHR-CLUSTER.exam_sputum.v0.xml

http://openehr.org/ckm/ Use to record a narrative description, structured details and clinical interpretation about the findings observed during examination of sputum, which could occur during routine clinical observations or as part of a physical examination. This archetype has been designed to record the examination findings of sputum being observed. It is assumed that the option to record whether sputum is present/absent or if a cough is productive/unproductive will be captured in the relevant parent archetype. This archetype has been designed to be used within: - the 'Examination findings' SLOT in the OBSERVATION.exam and related CLUSTER archetypes; - the OBSERVATION.fluid_output to describe the sputum being measured; or - the OBSERVATION.laboratory_test to desctibe physical properties about a sputum sample/specimen. It can also be used within other OBSERVATION or CLUSTER archetypes, where clinically appropriate.

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openEHR-EHR-CLUSTER.exam_sputum.v0

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openEHR-EHR-CLUSTER.exam_sputum.v0

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