ARCHETYPE Ophthalmic tomography examination (openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0)

Name: Ophthalmic tomography examination
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0
Concept	Ophthalmic tomography examination
Description	Record of clinical findings using optical coherence tomography with ophthalmic purposes.
Use	This archetype can be used for the following: Register the protocol/strategy used to conduct ophthalmic tomography test. Review with diagnostic purposes, the studies acquired using ophthalmic tomography, looking for clinically relevant findings on eye fundus.
Purpose	Register details about ophthalmic studies with regard to the ophthalmic tomography test.
References
Copyright	© openEHR Foundation
Authors	Author name: Aitor Eguzkitza Organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra Email: aitor.eguzkiza@unavarra.es Date originally authored: 2015-06-25
Other Details Language	Author name: Aitor Eguzkitza Organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra Email: aitor.eguzkiza@unavarra.es Date originally authored: 2015-06-25
Other Details (Language Independent)	Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/. Custodian Organisation: openEHR Foundation Original Namespace: org.openehr Original Publisher: openEHR Foundation Custodian Namespace: org.openehr MD5-CAM-1.0.1: 33DBFA0E999AE69E58C22EE92971FCD4 Build Uid: c38cd23c-dbf9-4989-841f-fcaeb2b31660 Revision: 0.0.1-alpha
Keywords	ophthalmic, coherence, tomography, OCT
Lifecycle	in_development
UID	78ac5c3d-9e2c-4cce-89a8-4d4fe9046202
Language used	en
Citeable Identifier	1013.1.1464
Revision Number	0.0.1-alpha
events
Any event	Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
state
Confounding factors	Confounding factors: Patient circumstances which may affect interpretation of the result.
Refraction details	Refraction details: Details of refractive correction applied to each eye. Include: openEHR-EHR-CLUSTER.refraction_details.v1 and specialisations Exclude: All not explicitly included archetypes
Mydriasis Details	Mydriasis Details: Details of any mydriatic procedure carried out whenever necessary. Include: All not explicitly excluded archetypes
Intraocular pressure	Intraocular pressure: Value of intraocular pressure in mmHg. Matches to DICOM (0022,000B) attribute. Property: Pressure Units: 0.0..90.0 mmHg (UCUM: mm[Hg]) Limit decimal places: 1
Axial length of the eye	Axial length of the eye: Axial length of the eye in mm. Matches to DICOM (0022,0030) attribute. Property: Length Units: >=0.0 mm Limit decimal places: 1
Horizontal field of view	Horizontal field of view: The horizontal field of view in degrees. Matches to DICOM (0022,000C) attribute. Property: Angle, plane Units: ° (UCUM: deg)
Contrast/Bolus	Contrast/Bolus: Information about the contrast agents administered prior to or during the acquisition. Matches to DICOM (0018,0012) attribute.
Contrast/bolus agent	Contrast/bolus agent: Identification of the contrast agent. Matches to DICOM (0018,0012) attribute. Values permitted are defined by DICOM standard (PS 3.16) inside the table with Context ID 4200 (Ophthalmic Imaging Agent). at0230::Fluorescein [Corresponds to DICOM Code value C-B02CC.] at0231::Indocyanine green [Corresponds to DICOM Code value C-B0156.] at0232::Rose Bengal [Corresponds to DICOM Code value C-B0295.] at0233::Trypan blue [Corresponds to DICOM Code value C-22853.] at0234::Methylene blue [Corresponds to DICOM Code value C-B02C5.]
Contrast/bolus volume	Contrast/bolus volume: Volume injected in milliliters of diluted contrast agent. Matches to DICOM (0018,1041) attribute. Property: Volume Units: >=0.0 ml
Contrast/bolus volume ingredient concentration	Contrast/bolus volume ingredient concentration: Milligrams of active ingredient per milliliter of (diluted) agent. Matches to DICOM (0018,1049) attribute. Property: Concentration Units: >=0.0 mg/ml
data
Clinical description	Clinical description: A term, commonly coded, expressing an overall interpretation of the OCT test.
Test result	Test result: Details of the ophthalmic tomography examination test result for each eye.
Side	Side: Determines the eye on which the test was performed.Matches to DICOM Laterality (0020,0060) attribute. Matches to DICOM Laterality (0020,0060) attribute. at0135::Left eye [The left eye was examined.] [SNOMED-CT::362503005 \| Entire left eye] at0136::Right eye [The right eye was examined.] [SNOMED-CT::362502000 \| Entire right eye]
Structure analyzed	Structure analyzed: The anatomic structure analyzed in this study. Matches to DICOM Anatomic Region Sequence (0008,2218) attribute. Values permitted are defined by DICOM standard (PS 3.16) inside the table with Context ID 4211 (Ophthalmic OCT Anatomic Structure Imaged). Constraint: Anatomic structures of eye [List of regions of interest in the study of eye.]
Reference image	Reference image: Information about the image on which the position of OCT acquisitions/slices will be referenced.
Acquisition method	Acquisition method: Ophthalmic photography acquisition method chosen to obtain the reference image. Matches to DICOM Anatomic Region Sequence (0022,0015) attribute. Values permitted are defined by DICOM standard (PS 3.16) inside the table with Context ID 4202 (Ophthalmic Photography Acquisition Device). Constraint: Ophthalmic photography devices [List of ophthalmic photography acquisition devices.]
Image type	Image type: Identifies the fundus imaging modalities obtained from the acquisition of the reference image. Corresponds to the value 4 of the DICOM image type attribute (0008,0008). at0192::RF [Red-free imaging.] at0191::IR [Infrared reflectance imaging.] at0190::AF [BluePeak blue laser autofluorescence imaging.] at0187::FA [Fluorescein Angiography.] at0188::ICGA [Indocyanine green angiography.]
Comment	Comment: Narrative description of clinically relevant information identifiable on the reference image.
Reference image	Reference image: Image on which the position of OCT acquisitions/slices will be referenced. image/cgm, image/gif, image/png, image/tiff, image/jpeg, application/dicom
Multiframe properties	Multiframe properties: Information about the slices of the retina obtained by OCT the test.
Number of frames	Number of frames: Number of slices in the study (from 1 to n). Matches to DICOM (0028,0008) attribute. min: >=1
OCT slice analysis	OCT slice analysis: Analysis of OCT slices considered relevant in the study.
Frame pointer	Frame pointer: Number identifying a frame among the rest in the study, to highlight its relevance on diagnosis. Matches to DICOM (0028,0009) attribute. min: >=1
OCT slice	OCT slice: Current slice of the retina regarding the image of reference. application/dicom, image/cgm, image/gif, image/png, image/tiff, image/jpeg
Comment	Comment: Narrative description of clinically relevant information identifiable on the specific frames selected from the acquisition.
Reports	Reports: Information about image reports related to the current OCT study.
Report type	Report type: Defines the purpose of the report built from data acquired on the OCT device. at0205::OCT overview [Details about slice/s of the retina regarding its/their position in the reference image.] at0206::Retina exam [Study of a slice of the retina and measurement of its thickness profile.] at0207::Retina change [Measurement of the thickness profile for each slice of retina in study and comparison of thickness progression in time during a follow-up.] at0208::3D view [Study of a 3D recontruction of the retina.] at0209::Thickness map exam [Thickness study over the image of reference for multi-frame acquisition.] at0210::Thickness map change [Thickness progression study between several images of reference using different multi-frame acquisitions taken along time.] at0211::RNFL thickness exam [Measurement of thickness for retinal nerve fiber layer and comparison regarding the values from an age-adjusted normative database.] at0212::RNFL thickness change [Measurement of thickness for retinal nerve fiber layer and comparison regarding other measures obtained during a follow-up process.] at0213::RNFL thickness trend [Trend study for the evolution of retinal nerve fiber layer thickness.] at0214::Asymmetry analysis [Study of difference in thickness comparing: values in different eyes (OD-OS), and superior-inferior hemispheres of the same eye.] at0215::RNFL & asymmetry analysis [Study centered in retinal nerve fiber layer thickness and asymmetry of the retina.] at0216::Posterior pole assessment [Study centered in thickness around the optic nerve and macula.] at0217::Other [Other type of report.]
Report content	Report content: Which kind of graphs are included in the report. at0254::Reference image [The image of the retina used to indicate the position of OCT slices.] at0255::Single OCT scan [Report including a specific OCT scan.] at0256::OCT volume scan [A 3D reconstruction of eye structure using several OCT frames.] at0257::Retinal thickness profile [Graph showing the thickness of retina for a specific OCT scan.] at0258::Retinal thickness map [Coloured map showing the thickness of retina over the reference image.] at0259::RNFL thickness profile [Graph representing the thickness of the retinal nerve fiber layer around the optic nerve.] at0260::RNFL thickness map [Retinal nerve fiber layer thickness profile measured, compared to normal thickness values for different sections around the optic nerve.] at0262::Thickness profile change [Graph showing the thickness of retina from a specific OCT slice and compares them to values obtained in different acquisitions during a follow-up.] at0263::Thickness map change [Retinal thickness map obtained from the comparison of thickness values obtained in different acquisitions during a follow-up.] at0264::Periapillary RNFL thickness classification [Classification of total thickness measured for different sections around the papilla according to an age-adjusted normative database.] at0265::Retinal average thickness [Average thickness values in sections of retina located close to the macula.] at0266::Asymmetry OD-OS [Asymmetry map comparing thickness values from different eyes in the same locations.] at0267::Hemisphere asymmetry [Asymmetry map comparing thickness at superior and inferior hemispheres in retina.] at0268::RNFL thickness trend [Graph that represents the evolution along time of the thickness in retinal nerve fiber layer.]
Comment	Comment: Narrative description of clinically relevant information identifiable on the current report.
Report	Report: Report related to the current OCT study. image/cgm, image/gif, image/png, image/tiff, image/jpeg, application/pdf, application/dicom
Retinal thickness	Retinal thickness: Information related to retinal thickness measurement.
Ophthalmic thickness details	Ophthalmic thickness details: Details about a study of thickness of ophthalmic structures. Include: openEHR-EHR-CLUSTER.ophthalmic_thickness_details.v0 and specialisations Exclude: All not explicitly included archetypes
Comment	Comment: Narrative description of clinically relevant information identifiable on the analysis of ophthalmic thickness measurements.
Clinical findings	Clinical findings: Every finding considered clinically relevant, found on posterior chamber of the eye. Constraint: Findings on the posterior chamber of the eye [List of possible clinical findings on posterior chamber of the eye.]
protocol
Device details	Device details: Details of the device used to acquire OCT images. Include: openEHR-EHR-CLUSTER.device.v1 and specialisations or openEHR-EHR-CLUSTER.device_details.v1 and specialisations
Acquisition details	Acquisition details: Details about the strategy to conduct acquisitions using ophthalmic tomography. Include: All not explicitly excluded archetypes
Other contributors	Luis Serrano, Universidad Pública de Navarra (UPNA), lserrano@unavarra.es José Andonegui, Hospital de Navarra, jose.andonegui.navarro@cfnavarra.es Jesús D. Trigo, Universidad Pública de Navarra (UPNA), jesusdaniel.trigo@unavarra.es
Translators	Spanish (Spain): ?