| ARCHETYPE ID | openEHR-EHR-CLUSTER.sade.v0 |
|---|---|
| Concept | Sade Classification |
| Description | Grading of the degree of tympanic membrane pars tensa retraction / atelectasis. |
| Use | Use to record the grading of tympanic membrane retraction, particularly by specialist physicians. Designed to be optionally nested within the CLUSTER.exam_tympanic_membrane archetype to provide additional detail on tympanic membrane retraction, if it is useful within a given clinical scenario. This archetype extends the Sade Classification to allow recording of 'No visible retraction' where applicable. Sade Stage 5 (spontaneous perforation) is described in some documentation but is not described in the original paper and appears not to be in common usage. |
| Purpose | To record the grading of tympanic membrane pars tensa retraction based on the classification by Sade. |
| References | Derived from: Sade classification, Draft Archetype [Internet]. Digital Health Agency, Australian Digital Health Agency Clinical Knowledge Manager. No longer available. Personal communication with clinical domain experts. Sadé J, Berco E. Atelectasis and secretory otitis media. Ann. Otol. Rhinol. Laryngol. 1976 Apr;85(2 Suppl 25 Pt 2):6 Lancaster J, Srinivasan V. Management of tympanic membrane retraction pockets. Australian Journal of Otolaryngology 2002;5(1):17–20. |
| Copyright | © openEHR Foundation |
| Authors | Author name: Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2012-09-07 |
| Other Details Language | Author name: Ian McNicoll Organisation: Ocean Informatics, UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2012-09-07 |
| Other Details (Language Independent) |
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| Keywords | retraction, atelectasis, tympanic, membrane, drum, pars tensa |
| Lifecycle | in_development |
| UID | 92cdf944-0002-4faf-837d-8fa5b6b7a3f9 |
| Language used | en |
| Citeable Identifier | 1246.145.2654 |
| Revision Number | 0.0.1-alpha |
| items | |
| Sade Classification | Sade Classification: Grading of the degree of tympanic membrane pars tensa retraction / atelectasis based on the Sade Classification. 0: No visible retraction [The tympanic membrane pars tensa is not visibly retracted.] 1: Stage 1 : Mild retraction [The tympanic membrane pars tensa is mildly retracted.] 2: Stage 2 : Retraction onto incudostapedial joint [The tympanic membrane pars tensa is retracted onto the incudostapedial joint.] 3: Stage 3 : Retraction onto promontory [The tympanic membrane pars tensa is retracted onto the promontary.] 4: Stage 4 : Adhesion of pars tensa to medial wall [The tympanic membrane pars tensa is adherent to the medial wall.] 5: Stage 5 : Spontaneous perforation with otorrhea and polyp formation [The tympanic membrane is spontaneously perforated with evidence of otorrhea and polyp formation.] |
| Other contributors | Heather Leslie, Ocean Informatics, Australia |
| Translators |