ARCHETYPE Diagnostic criteria DR (openEHR-EHR-CLUSTER.diagnostic_criteria_dr.v0)

Name: Diagnostic criteria DR
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-CLUSTER.diagnostic_criteria_dr.v0
Concept	Diagnostic criteria DR
Description	Findings concerning directly the diagnose of diabetic retinopathy identified during eye fundus study.
Use	It can be attached to EVALUATION type archetypes related to the diagnose of DR. This CLUSTER fits perfectly into the "Problem/diagnosis" archetype. This archetype is applied to key findings supporting the diagnostic decision.
Misuse	Do not get confused with "examination_findings" archetypes, since these are similar in the use case of DR's diagnose. While "examination_findings" include objectively all findings within eye fundus, this archetype about diagnostic criterion focuses on the specific findings in which diagnosis is grounded.
Purpose	To record the clinical findings on examination of the eye fundus in which diagnostic decision is based.
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: 2016-07-25
Other Details Language	Author name: Aitor Eguzkitza Organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra Email: aitor.eguzkiza@unavarra.es Date originally authored: 2016-07-25
OtherDetails 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=B3C9DEFCF4C51DF03638B3307B83475A, build_uid=8428eae8-ab75-4cac-b68a-b4ed1f286b86, revision=0.0.1-alpha}
Keywords	eye, posterior chamber, examination
Lifecycle	in_development
UID	a11c81e6-a2c2-4bdc-9c53-3e1584c87f01
Language used	en
Citeable Identifier	1013.1.1692
Revision Number	0.0.1-alpha
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Trigo, Universidad Pública de Navarra (UPNA), jesusdaniel.trigo@unavarra.es, originalLanguage=en, translators= Spanish (Spain): ? , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[ResourceSimplifiedHierarchyItem [path=/items[at0052], code=at0052, itemType=ELEMENT, level=1, text=Patterns of leakage, description=Patterns of leakage, related to the diagnosis of DR, identified in the patient's posterior pole of eye., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0059::No leakage [There is not any type of leakage.] at0054::Neovascular leakage [Due to breaking of new vessels created as a result of diabetic retinopathy.] at0055::Macular leakage [Refers to any loss of fluid located in the macula.] at0056::Focal leakage [In diabetic macular oedema, some patients may show progressive leakages in discrete locations (focal) rising from "culprit" microaneurysms.] at0057::Indeterminate leakage [In many patients with diffuse diabetic macular oedema, an“indeterminate” leakage similar to focal ones appears, with little or no correlation to the presence of microaneurysms.] at0058::Mixed leakage [Many patients, with diabetic macular oedema have a mixed pattern of leakage, which may further include ischemic maculopathy.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0045], code=at0045, itemType=ELEMENT, level=1, text=Patterns of macular ischaemia, description=Patterns of ischaemia, related to the diagnosis of DR, identified in the patient's macula., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0050::No macular edema [Patient not presenting macular edema.] at0048::Diffuse diabetic macular edema [Patient presenting a diffuse diabetic macular edema.] [SNOMED-CT::314010006 \| Diffuse exudative maculopathy due to diabetes mellitus] at0049::Focal diabetic macular edema [Patient presenting a focal diabetic macular edema.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0036], code=at0036, itemType=ELEMENT, level=1, text=Patterns of retinopathy, description=Identifies disorders within the retina from an overall perspective., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=[SNOMED-CT::4855003 \| Retinopathy due to diabetes mellitus], values= at0038::Stable diabetic retinopathy [Patient presenting a stable state of dianetic retinopathy.] [SNOMED-CT::390834004 \| Nonproliferative diabetic retinopathy] at0039::Proliferative diabetic retinopathy 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