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

ARCHETYPE IDopenEHR-EHR-CLUSTER.diagnostic_criteria_dr.v0
ConceptDiagnostic criteria DR
DescriptionFindings concerning directly the diagnose of diabetic retinopathy identified during eye fundus study.
UseIt 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.
MisuseDo 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.
PurposeTo record the clinical findings on examination of the eye fundus in which diagnostic decision is based.
References
Copyright© openEHR Foundation
AuthorsAuthor 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 LanguageAuthor 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}
Keywordseye, posterior chamber, examination
Lifecyclein_development
UIDa11c81e6-a2c2-4bdc-9c53-3e1584c87f01
Language useden
Citeable Identifier1013.1.1692
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Findings concerning directly the diagnose of diabetic retinopathy identified during eye fundus study., archetypeConceptComment=null, otherContributors=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, originalLanguage=en, translators=Spanish (Spain): ?
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], other_participations=[], credentials=[], description=[], relationships=[], ism_transition=[], activities=[], 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=
  • No leakage [There is not any type of leakage.]
  • Neovascular leakage [Due to breaking of new vessels created as a result of diabetic retinopathy.]
  • Macular leakage [Refers to any loss of fluid located in the macula.]
  • Focal leakage [In diabetic macular oedema, some patients may show progressive leakages in discrete locations (focal) rising from "culprit" microaneurysms.]
  • 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.]
  • 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=
  • No macular edema [Patient not presenting macular edema.]
  • Diffuse diabetic macular edema [Patient presenting a diffuse diabetic macular edema.]
    [SNOMED-CT::314010006] (Diffuse diabetic maculopathy (disorder))
  • 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 | Diabetic retinopathy (disorder)], values=
  • Stable diabetic retinopathy [Patient presenting a stable state of dianetic retinopathy.]
    [SNOMED-CT::390834004] (Nonproliferative diabetic retinopathy (disorder))
  • Proliferative diabetic retinopathy [Patient presenting a proliferative state of diabetic retinopathy.]
    [SNOMED-CT::59276001] (Proliferative diabetic retinopathy (disorder))
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0053], code=at0053, itemType=ELEMENT, level=1, text=Patterns of retinal ischaemia, description=Every sign of narrowing, deformation or anomaly regarding to blood vessels corresponds to this classification (blot haemorrhage, venous beading, intra-retinal microvascular anomalies)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0060], code=at0060, itemType=ELEMENT, level=1, text=Clinical findings diabetic retinopathy, description=Findings from the posterior chamber of the eye that have been decisive in obtaining a diagnosis for diabetic retinopathy., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=[SNOMED-CT::29555009 | Retinal disorder (disorder)], values=Constraint:
Findings on the posterior chamber of the eye
List of possible clinical findings on posterior chamber of the eye.
, extendedValues=null]], data=[], capabilities=[], state=[], context=[], events=[], source=[], content=[], target=[], details=[], provider=[], protocol=[], contacts=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[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=
  • No leakage [There is not any type of leakage.]
  • Neovascular leakage [Due to breaking of new vessels created as a result of diabetic retinopathy.]
  • Macular leakage [Refers to any loss of fluid located in the macula.]
  • Focal leakage [In diabetic macular oedema, some patients may show progressive leakages in discrete locations (focal) rising from "culprit" microaneurysms.]
  • 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.]
  • 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=
  • No macular edema [Patient not presenting macular edema.]
  • Diffuse diabetic macular edema [Patient presenting a diffuse diabetic macular edema.]
    [SNOMED-CT::314010006] (Diffuse diabetic maculopathy (disorder))
  • 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 | Diabetic retinopathy (disorder)], values=
  • Stable diabetic retinopathy [Patient presenting a stable state of dianetic retinopathy.]
    [SNOMED-CT::390834004] (Nonproliferative diabetic retinopathy (disorder))
  • Proliferative diabetic retinopathy [Patient presenting a proliferative state of diabetic retinopathy.]
    [SNOMED-CT::59276001] (Proliferative diabetic retinopathy (disorder))
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0053], code=at0053, itemType=ELEMENT, level=1, text=Patterns of retinal ischaemia, description=Every sign of narrowing, deformation or anomaly regarding to blood vessels corresponds to this classification (blot haemorrhage, venous beading, intra-retinal microvascular anomalies)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0060], code=at0060, itemType=ELEMENT, level=1, text=Clinical findings diabetic retinopathy, description=Findings from the posterior chamber of the eye that have been decisive in obtaining a diagnosis for diabetic retinopathy., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=[SNOMED-CT::29555009 | Retinal disorder (disorder)], values=Constraint:
Findings on the posterior chamber of the eye
List of possible clinical findings on posterior chamber of the eye.
, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]