ARCHETYPE Examination by rectal exploration (openEHR-EHR-CLUSTER.exam_rectal_exploration_v0_8.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.exam_rectal_exploration_v0_8.v0
ConceptExamination by rectal exploration
DescriptionFindings observed during the physical examination of rectal exploration
UseThis archetype has been specifically designed to be used in the 'Examination detail' SLOT within the OBSERVATION.exam archetype, but can also be used within other OBSERVATION or CLUSTER archetypes, where clinically appropriate - for example, CLUSTER.exam_Anus. The CLUSTER.exclusion_exam archetype can be nested within the 'Examination not done' SLOT to optionally record explicit details about the examination not being performed. Use to incorporate the narrative descriptions of clinical findings within existing or legacy clinical systems into an archetyped format, using the 'Clinical Description' data element.
MisuseNot to be used for recording data not related to the physical examination of rectal exploration. Not to be used for recording the clinical history - use specific OBSERVATION and CLUSTER archetypes. For example OBSERVATION.story and CLUSTER.symptom. Not to be used to record stand-alone clinical observations or measurements or test results - use specific OBSERVATION archetypes. For example OBSERVATION.blood_pressure or OBSERVATION.imaging_exam.
PurposeFor recording a narrative description and clinical interpretation of the findings observed during the physical examination of rectal exploration.
References
Copyright© openEHR Foundation
AuthorsForfatternavn: Morten Aas
Organisasjon: Oslo Universitetssykehus, Norway
E-post: uxaort@ous-hf.no
Opprinnelig skrevet dato: 2015-06-08
Other Details LanguageForfatternavn: Morten Aas
Organisasjon: Oslo Universitetssykehus, Norway
E-post: uxaort@ous-hf.no
Opprinnelig skrevet dato: 2015-06-08
OtherDetails Language Independent{MD5-CAM-1.0.1=14C4D7C690D4FF86530B8E957700354E, build_uid=f3e684a1-221b-4c58-89df-2b8602f29ff8, revision=0.0.1-alpha}
Keywords
Lifecyclein_development
UID5c1648f9-6bfb-463c-9feb-9e358dd1a59a
Language useden
Citeable Identifier1078.36.1422
Revision Number0.0.1-alpha
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