ARCHETYPE Examination Findings - Balance (openEHR-EHR-CLUSTER.balance.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.balance.v1
ConceptExamination Findings - Balance
DescriptionFindings observed during the physical examination of balance.
UseUse to record the findings on physical examination of a subject's blance, including specific tests such as the Romberg and Heel-Toe Test. Designed to be used within any clinically appropriate ENTRY or CLUSTER archetype.
PurposeTo record patient's balance and response to specific balance testing.
References
Copyright© openEHR Foundation
AuthorsIme avtorja: Heather Leslie
Organizacija: Ocean Informatics
e-Pošta: heather.leslie@oceaninformatics.com
Datum izvora: 2007-03-19
Other Details LanguageIme avtorja: Heather Leslie
Organizacija: Ocean Informatics
e-Pošta: heather.leslie@oceaninformatics.com
Datum izvora: 2007-03-19
OtherDetails Language Independent{MD5-CAM-1.0.1=6B9BBB28AAAC00757E6DA1E4AC46D01F}
KeywordsBalance, Romberg, Heel-toe
LifecycleAuthorDraft
Language useden
Citeable Identifier1075.67.717
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Findings observed during the physical examination of balance., archetypeConceptComment=null, otherContributors=Heather Leslie, Ocean Informatics, Australia (Editor)
Ian McNicoll, Ocean Informatics, United Kingdom (Editor), originalLanguage=en, translators=Arabic (Syria): Mona Saleh
, 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[at0032], code=at0032, itemType=ELEMENT, level=1, text=Description, description=Narrative description of the overall findings observed during a physical examination of balance., 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[at0020], code=at0020, itemType=CLUSTER, level=1, text=Test Result, description=Findings relating to specific tests., 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[at0020]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Test Name, description=Name of a specific test of subject's balance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Rhomberg's test [The Rhomberg balance test was performed.]
  • Heel-toe walking [Walking with the heel of the leading foot in front of the toe of the trailing foot.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Eyes Open/closed, description=Record of eyes being open or closed during performance of test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Eyes open [Both eyes are open.]
  • Eyes closed [Both eyes are closed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0028], code=at0028, itemType=ELEMENT, level=2, text=Loss of Balance, description=Finding of the extent of loss of balance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • No loss of balance [The subject did not lose their balance.]
  • Partial loss of balance [The subject temporarily lost their balance but recovered it and did not fall over.]
  • Full loss of balance [The subject lost their balance completely.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Affected Side, description=Identification of side of abnormal finding., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Fall towards right [Falling to the person's right side.]
  • Fall towards left [Falling to the person's left side.]
  • Both sides [Generalised effect causing loss of balance to both, or either, side.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0024], code=at0024, itemType=ELEMENT, level=2, text=Description, description=Detailed description of outcome of balance 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[at0017], code=at0017, itemType=ELEMENT, level=1, text=Interpretation, description=Single word, phrase or brief description represents the clinical meaning and significance of the balance findings., 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]], protocol=[], target=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, 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[at0032], code=at0032, itemType=ELEMENT, level=1, text=Description, description=Narrative description of the overall findings observed during a physical examination of balance., 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[at0020], code=at0020, itemType=CLUSTER, level=1, text=Test Result, description=Findings relating to specific tests., 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[at0020]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Test Name, description=Name of a specific test of subject's balance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Rhomberg's test [The Rhomberg balance test was performed.]
  • Heel-toe walking [Walking with the heel of the leading foot in front of the toe of the trailing foot.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Eyes Open/closed, description=Record of eyes being open or closed during performance of test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Eyes open [Both eyes are open.]
  • Eyes closed [Both eyes are closed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0028], code=at0028, itemType=ELEMENT, level=2, text=Loss of Balance, description=Finding of the extent of loss of balance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • No loss of balance [The subject did not lose their balance.]
  • Partial loss of balance [The subject temporarily lost their balance but recovered it and did not fall over.]
  • Full loss of balance [The subject lost their balance completely.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Affected Side, description=Identification of side of abnormal finding., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Fall towards right [Falling to the person's right side.]
  • Fall towards left [Falling to the person's left side.]
  • Both sides [Generalised effect causing loss of balance to both, or either, side.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0024], code=at0024, itemType=ELEMENT, level=2, text=Description, description=Detailed description of outcome of balance 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[at0017], code=at0017, itemType=ELEMENT, level=1, text=Interpretation, description=Single word, phrase or brief description represents the clinical meaning and significance of the balance findings., 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]], minIndents={}, termBindingRetrievalErrorMessage=null]