ARCHETYPE Examination of the ears (openEHR-EHR-CLUSTER.exam-ears.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.exam-ears.v1
ConceptExamination of the ears
DescriptionExamination cluster for describing findings on physical examination of the eyes.
MisuseDo not use for recording audiology findings Should normally be contained within an OBSERVATION
PurposeFor recording findings on physical examination of the ears.
References
Copyright© openEHR Foundation
AuthorsIme avtorja: Ian McNicoll
Organizacija: Ocean Informatics
e-Pošta: ian.mcnicoll@oceaninformatics.com
Datum izvora: 02/11/2007
Other Details LanguageIme avtorja: Ian McNicoll
Organizacija: Ocean Informatics
e-Pošta: ian.mcnicoll@oceaninformatics.com
Datum izvora: 02/11/2007
OtherDetails Language Independent{references=, MD5-CAM-1.0.1=4C3FA1F70C90356DC3CA61F87EDAD866}
Keywordsexamination, physical, ears, ENT, tympanic, mastoid, Rinne, Weber
LifecycleAuthorDraft
Language useden
Citeable Identifier1075.67.667
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Examination cluster for describing findings on physical examination of the eyes., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=brez omejitev, archetypeTranslationTree=null, topLevelToAshis={source=[], state=[], description=[], content=[], provider=[], ism_transition=[], events=[], details=[], identities=[], contacts=[], activities=[], relationships=[], context=[], capabilities=[], other_participations=[], data=[], credentials=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=CLUSTER, level=1, text=Normal statements, description=A group of statements about the normality of the examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0004]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Normal statement, description=A specific statement of normality., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Both ears normal [Both ears are normal.]
  • Left ear normal [The left ear is normal.]
  • Right ear normal [The right ear is normal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Clinical description, description=Textural description of the part examined., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66], code=at0.66, itemType=CLUSTER, level=1, text=Lateral Findings, description=Clinical findings related to a single ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.16], code=at0.16, itemType=ELEMENT, level=2, text=Side, description=Left or Right ear examined?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left [Left ear.]
  • Right [Right ear.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.57], code=at0.57, itemType=CLUSTER, level=2, text=Physical, description=Physical examination of the ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.57]/items[at0.76], code=at0.76, itemType=SLOT, level=3, text=External ear detail, description=Detailed findings related to the external ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
openEHR-EHR-CLUSTER.palpation-external_ear.v1 in specializacije ali
openEHR-EHR-CLUSTER.inspection-external_ear.v1 in specializacije, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.57]/items[at0.77], code=at0.77, itemType=SLOT, level=3, text=Auditory canal detail, description=Detailed findings related to the audiory canal., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
openEHR-EHR-CLUSTER.inspection-ear_canal.v1 in specializacije, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.57]/items[at0.75], code=at0.75, itemType=SLOT, level=3, text=Tympanic membrane detail, description=Detailed findings related to the tmpanic membrane or perforation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
openEHR-EHR-CLUSTER.inspection-tympanic_perforation.v1 in specializacije ali
openEHR-EHR-CLUSTER.inspection-tympanic_membrane.v1 in specializacije, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.56], code=at0.56, itemType=CLUSTER, level=2, text=Functional, description=Lateral tests of ear function., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.56]/items[at0.24], code=at0.24, itemType=ELEMENT, level=3, text=Whisper test, description=A simple hearing test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.56]/items[at0.68], code=at0.68, itemType=ELEMENT, level=3, text=Rinne Test, description=A test to compare bone and air conduction of sound., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Negative [The Rinne test is positive.]
1: Positive [The Rinne test is negative.]

Domnevana vrednost: 0: Negative
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0009], code=at0009, itemType=SLOT, level=2, text=Detail, description=More focused examination findings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
openEHR-EHR-CLUSTER.exam-generic.v1 in specializacije ali
openEHR-EHR-CLUSTER.auscultation.v1 in specializacije ali
openEHR-EHR-CLUSTER.inspection.v1 in specializacije ali
openEHR-EHR-CLUSTER.palpation.v1 in specializacije ali
openEHR-EHR-CLUSTER.percussion.v1 in specializacije ali
openEHR-EHR-CLUSTER.physical_properties.v1 in specializacije, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0006], code=at0006, itemType=ELEMENT, level=2, text=Image, description=Drawing or image of the area examined., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=image/gif, image/png, image/jpeg, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1], code=at0008.1, itemType=CLUSTER, level=1, text=Central findings, description=Clinical findings related to both ears., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.67], code=at0.67, itemType=CLUSTER, level=2, text=Functional, description=Central functional auditory tests., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.67]/items[at0.71], code=at0.71, itemType=ELEMENT, level=3, text=Weber Test, description=A test to distinguish conductive and sensoineural hearing loss., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal [The Weber test is not lateralised - normal.]
1: Lateralising Left [The result of the Weber test is lateralising to the left.]
2: Lateralising Right [The result of the Weber test is lateralising to the right.]

Domnevana vrednost: 0: Normal
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.67]/items[at0.78], code=at0.78, itemType=SLOT, level=3, text=Detail, description=Further detailed functional findings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
Vsi neizrecno izključeni arhetipi, extendedValues=null]], protocol=[], target=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000.1, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obvezno, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=CLUSTER, level=1, text=Normal statements, description=A group of statements about the normality of the examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0004]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Normal statement, description=A specific statement of normality., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Both ears normal [Both ears are normal.]
  • Left ear normal [The left ear is normal.]
  • Right ear normal [The right ear is normal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Clinical description, description=Textural description of the part examined., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66], code=at0.66, itemType=CLUSTER, level=1, text=Lateral Findings, description=Clinical findings related to a single ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.16], code=at0.16, itemType=ELEMENT, level=2, text=Side, description=Left or Right ear examined?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left [Left ear.]
  • Right [Right ear.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.57], code=at0.57, itemType=CLUSTER, level=2, text=Physical, description=Physical examination of the ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.57]/items[at0.76], code=at0.76, itemType=SLOT, level=3, text=External ear detail, description=Detailed findings related to the external ear., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
openEHR-EHR-CLUSTER.palpation-external_ear.v1 in specializacije ali
openEHR-EHR-CLUSTER.inspection-external_ear.v1 in specializacije, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.57]/items[at0.77], code=at0.77, itemType=SLOT, level=3, text=Auditory canal detail, description=Detailed findings related to the audiory canal., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
openEHR-EHR-CLUSTER.inspection-ear_canal.v1 in specializacije, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.57]/items[at0.75], code=at0.75, itemType=SLOT, level=3, text=Tympanic membrane detail, description=Detailed findings related to the tmpanic membrane or perforation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
openEHR-EHR-CLUSTER.inspection-tympanic_perforation.v1 in specializacije ali
openEHR-EHR-CLUSTER.inspection-tympanic_membrane.v1 in specializacije, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.56], code=at0.56, itemType=CLUSTER, level=2, text=Functional, description=Lateral tests of ear function., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.56]/items[at0.24], code=at0.24, itemType=ELEMENT, level=3, text=Whisper test, description=A simple hearing test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0.56]/items[at0.68], code=at0.68, itemType=ELEMENT, level=3, text=Rinne Test, description=A test to compare bone and air conduction of sound., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Negative [The Rinne test is positive.]
1: Positive [The Rinne test is negative.]

Domnevana vrednost: 0: Negative
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0009], code=at0009, itemType=SLOT, level=2, text=Detail, description=More focused examination findings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
openEHR-EHR-CLUSTER.exam-generic.v1 in specializacije ali
openEHR-EHR-CLUSTER.auscultation.v1 in specializacije ali
openEHR-EHR-CLUSTER.inspection.v1 in specializacije ali
openEHR-EHR-CLUSTER.palpation.v1 in specializacije ali
openEHR-EHR-CLUSTER.percussion.v1 in specializacije ali
openEHR-EHR-CLUSTER.physical_properties.v1 in specializacije, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.66]/items[at0006], code=at0006, itemType=ELEMENT, level=2, text=Image, description=Drawing or image of the area examined., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=image/gif, image/png, image/jpeg, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1], code=at0008.1, itemType=CLUSTER, level=1, text=Central findings, description=Clinical findings related to both ears., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.67], code=at0.67, itemType=CLUSTER, level=2, text=Functional, description=Central functional auditory tests., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.67]/items[at0.71], code=at0.71, itemType=ELEMENT, level=3, text=Weber Test, description=A test to distinguish conductive and sensoineural hearing loss., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal [The Weber test is not lateralised - normal.]
1: Lateralising Left [The result of the Weber test is lateralising to the left.]
2: Lateralising Right [The result of the Weber test is lateralising to the right.]

Domnevana vrednost: 0: Normal
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0008.1]/items[at0.67]/items[at0.78], code=at0.78, itemType=SLOT, level=3, text=Detail, description=Further detailed functional findings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
Vsi neizrecno izključeni arhetipi, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]