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
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: 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
items
Patterns of leakage	Patterns of leakage: Patterns of leakage, related to the diagnosis of DR, identified in the patient's posterior pole of eye. 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.]
Patterns of macular ischaemia	Patterns of macular ischaemia: Patterns of ischaemia, related to the diagnosis of DR, identified in the patient's macula. 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.]
Patterns of retinopathy	Patterns of retinopathy: Identifies disorders within the retina from an overall perspective. at0038::Stable diabetic retinopathy [Patient presenting a stable state of dianetic retinopathy.] [SNOMED-CT::390834004 \| Nonproliferative diabetic retinopathy] at0039::Proliferative diabetic retinopathy [Patient presenting a proliferative state of diabetic retinopathy.] [SNOMED-CT::59276001 \| Proliferative retinopathy due to diabetes mellitus]
Patterns of retinal ischaemia	Patterns of retinal ischaemia: Every sign of narrowing, deformation or anomaly regarding to blood vessels corresponds to this classification (blot haemorrhage, venous beading, intra-retinal microvascular anomalies).
Clinical findings diabetic retinopathy	Clinical findings diabetic retinopathy: Findings from the posterior chamber of the eye that have been decisive in obtaining a diagnosis for diabetic retinopathy. Constraint: Findings on the posterior chamber of the eye [List of possible clinical findings on posterior chamber of the eye.]
Other contributors	José Andonegui, Hospital de Navarra, jose.andonegui.navarro@cfnavarra.es Luis Serrano, Universidad Pública de Navarra (UPNA), lserrano@unavarra.es Jesús D. Trigo, Universidad Pública de Navarra (UPNA), jesusdaniel.trigo@unavarra.es
Translators	Spanish (Spain): ?