I have an Archetype question on openEHR-EHR-CLUSTER.exam.v1
The archetype appears to be designed such that the findings can only
be expressed with a limited set of attributes - color, location,
shape, etc. - things specific to the archetypes Inspection,
Auscultation, Percussion and Palpation
This is the hierarchy (or part of it)
exam
-- normal statements
----- normal statement
-- clinical description
-- findings
----- detail
--------- exam-generic
exam-generic
-- object
-- normal statements
----- normal statement
-- clinical description
-- findings
----- inspection
----- auscultation
----- percussion
----- palpation
--------- detail
------------- exam-generic
inspection
-- findings
----- color description
----- location
----- shape or distribution
----- edge
----- translucent
----- detail
--------- exam
What I was hoping to find was a free text clinical description under
findings that could be used in lieu of the specialized archetypes
i.e.
-- normal statements
----- normal statement
-- clinical description
-- findings
----- findings description <<<<<------------------------
----- detail
--------- exam-generic
thanks!
Greg
Hi Greg,
The clinical description element, which is replicated in the inspection, palpation and ausculation cluster archetypes should be used to carry any free text.
I’m not sure I can see the semantic difference between ‘clinical description’ and
‘findings/findings description’ although I agree that the latter is slightly tidier from a human readability perspective.
Do you have a particular use case in mind?
Regards,
Ian
Dr Ian McNicoll
office / fax +44(0)141 560 4657
mobile +44 (0)775 209 7859
skype ianmcnicoll
ian@mcmi.co.uk
Clinical Analyst - Ocean Informatics ian.mcnicoll@oceaninformatics.com
Consultant - IRIS GP Accounts ian@gpacc.co.uk
Member of BCS Primary Health Care Specialist Group – www.phcsg.org
2008/10/23 Greg Caulton <caultonpos@gmail.com>
> 2008/10/23 Greg Caulton <caultonpos at gmail.com>
>
> I have an Archetype question on openEHR-EHR-CLUSTER.exam.v1
>
> The archetype appears to be designed such that the findings can only
> be expressed with a limited set of attributes - color, location,
> shape, etc. - things specific to the archetypes Inspection,
> Auscultation, Percussion and Palpation
>
> This is the hierarchy (or part of it)
>
> exam
> -- normal statements
> ----- normal statement
> -- clinical description
> -- findings
> ----- detail
> --------- exam-generic
>
>
> exam-generic
> -- object
> -- normal statements
> ----- normal statement
> -- clinical description
> -- findings
> ----- inspection
> ----- auscultation
> ----- percussion
> ----- palpation
> --------- detail
> ------------- exam-generic
>
>
> inspection
> -- findings
> ----- color description
> ----- location
> ----- shape or distribution
> ----- edge
> ----- translucent
> ----- detail
> --------- exam
>
>
> What I was hoping to find was a free text clinical description under
> findings that could be used in lieu of the specialized archetypes
>
> i.e.
>
> -- normal statements
> ----- normal statement
> -- clinical description
> -- findings
> ----- findings description <<<<<------------------------
> ----- detail
> --------- exam-generic
>
> thanks!
>
> Greg
Hi Greg,
The clinical description element, which is replicated in the inspection,
palpation and ausculation cluster archetypes should be used to carry any
free text.
I'm not sure I can see the semantic difference between 'clinical
description' and
'findings/findings description' although I agree that the latter is slightly
tidier from a human readability perspective.
Do you have a particular use case in mind?
Regards,
Ian
Dr Ian McNicoll
office / fax +44(0)141 560 4657
mobile +44 (0)775 209 7859
skype ianmcnicoll
ian at mcmi.co.uk
Clinical Analyst - Ocean Informatics ian.mcnicoll at oceaninformatics.com
Consultant - IRIS GP Accounts ian at gpacc.co.uk
Member of BCS Primary Health Care Specialist Group – www.phcsg.org
Thanks that does help, the use case is building a form to represent this example