ARCHETYPE Intravitreal injection details (openEHR-EHR-CLUSTER.intravitreal_injection_details.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.intravitreal_injection_details.v0
ConceptIntravitreal injection details
DescriptionDetails about intravitreal injection procedure.
UseEither to provide details about the procedure whenever a intravitreal injection is scheduled, or to register the consequent realization of that procedure.
PurposeProvide details about intravitreal injection.
References- Avery RL, Bakri SJ, Blumenkranz MS, Brucker AJ, Cunningham ETJ, D'Amico DJ, et al. Intravitreal injection technique and monitoring: Updated guidelines of an expert panel. Retina (Philadelphia, Pa) 2014; 34:S1-S18.
- Dossarps D, Bron AM, Koehrer P, Aho-Glélé LS, Creuzot-Garcher C, net F, et al. Endophthalmitis After Intravitreal Injections: Incidence, Presentation, Management, and Visual Outcome. American journal of ophthalmology 2015; 160(1):17-250.
- Fagan XJ, Al-Qureshi S. Intravitreal injections: a review of the evidence for best practice. Clinical & experimental ophthalmology 2013; 41(5):500-7.
- Nentwich MM, Yactayo-Miranda Y, Schwarzbach F, Wolf A, Kampik A, Mino de Kaspar H. Endophthalmitis after intravitreal injection: decreasing incidence and clinical outcome-8-year results from a tertiary ophthalmic referral center. Retina (Philadelphia, Pa) 2014; 34(5):943-50.
- Website of the OpenEyes project: http://www.openeyes.org.uk/
Copyright© openEHR Foundation
AuthorsAuthor name: Aitor Eguzkitza
Organisation: Universidad Pública de Navarra & Complejo Hospitalario de Navarra
Email: aitor.eguzkiza@unavarra.es
Date originally authored: 2015-06-16
Other Details LanguageAuthor name: Aitor Eguzkitza
Organisation: Universidad Pública de Navarra & Complejo Hospitalario de Navarra
Email: aitor.eguzkiza@unavarra.es
Date originally authored: 2015-06-16
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, references=- Avery RL, Bakri SJ, Blumenkranz MS, Brucker AJ, Cunningham ETJ, D'Amico DJ, et al. Intravitreal injection technique and monitoring: Updated guidelines of an expert panel. Retina (Philadelphia, Pa) 2014; 34:S1-S18. - Dossarps D, Bron AM, Koehrer P, Aho-Glélé LS, Creuzot-Garcher C, net F, et al. Endophthalmitis After Intravitreal Injections: Incidence, Presentation, Management, and Visual Outcome. American journal of ophthalmology 2015; 160(1):17-250. - Fagan XJ, Al-Qureshi S. Intravitreal injections: a review of the evidence for best practice. Clinical & experimental ophthalmology 2013; 41(5):500-7. - Nentwich MM, Yactayo-Miranda Y, Schwarzbach F, Wolf A, Kampik A, Mino de Kaspar H. Endophthalmitis after intravitreal injection: decreasing incidence and clinical outcome-8-year results from a tertiary ophthalmic referral center. Retina (Philadelphia, Pa) 2014; 34(5):943-50. - Website of the OpenEyes project: http://www.openeyes.org.uk/, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=F618898F7B3503AA482C4B6195535636, build_uid=cdb9dd49-37cd-4477-b211-7a4b7c622d00, revision=0.0.1-alpha}
Keywordsintraocular injection, intravitreal injection
Lifecyclein_development
UIDb6d9d7b6-bc4f-4352-b8fe-998a6841917a
Language useden
Citeable Identifier1013.1.2016
Revision Number0.0.1-alpha
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Luis Serrano Arriezu, Institute of Smart Cities & Universidad Pública de Navarra, Spain
Gustavo Bacelar-Silva, Healthcare Designs, Brazil
Yves Genevier, Privantis, Switzerland
Thomas Pedersen Bærland, DIPS, Norway
Heather Leslie, Ocean Informatics, Australia
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={source=[], identities=[], contacts=[], ism_transition=[], provider=[], protocol=[], description=[], events=[], details=[], context=[], target=[], capabilities=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0080], code=at0080, itemType=ELEMENT, level=1, text=Laterality, description=Eyes treated in the same sitting., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left [IVT injection on the left eye.]
  • Right [IVT injection on the right eye.]
  • Bilateral [IVT bilateral injection.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Clinical Setting, description=Allocation where the intravitreal injection takes place., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Office setting [Intravitreal injections performed in ophthalmologist's office.]
  • Treatment room [Intravitreal injections performed in a dedicated treatment room.]
  • Operating room [Intravitreal injections performed in the operating room.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0068], code=at0068, itemType=ELEMENT, level=1, text=Contraindications, description=Identifies possible contraindications (if any) to be considered before conducting ITV injections., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Ocular hipertension/glaucoma [Patients with preeexisting ocular hipertension/glaucoma.]
  • Previous conditions/surgeries [Preexisting ocular conditions/previous ocular surgeries.]
  • Recent surgery [Recent postcataract surgery patients.]
  • Complex conditions [Complex medical or ocular conditions.]
  • Anticoagulation [Patients on anticoagulation.]
  • Allergy [Allergy to Povidone–Iodine.]
  • Infection [Active external infection, including active infection in blepharitis.]
  • Abnormalities [Eyelid, adnexal, and ocular surface abnormalities.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=CLUSTER, level=1, text=Anaesthetic, description=Details concerning the anaesthetic prior to the procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Anaesthetic Type, description=Type of anesthesia chosen., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Topical [Topical anaesthesia.]
    [SNOMED-CT::6064005 | Topical route]
  • Drops [Anaesthetic agent in drops form.]
  • Gel [Anaesthetic agent in gel form.]
  • Injection [Anaesthesia by injection.]
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Compounds for local anaesthesia
[Attach a list that restricts the anesthetic agents, to those compounds used in ophthalmology to anaesthetize patients prior to intravitreal injection.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016], code=at0016, itemType=CLUSTER, level=1, text=Preparation, description=Details about preparation of the intervention., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0057], code=at0057, itemType=ELEMENT, level=2, text=Sterile Drape, description=Use or not of a sterile drape before injection., 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[at0016]/items[at0058], code=at0058, itemType=ELEMENT, level=2, text=Speculum, description=Use of speculum or on the contrary manual eye lid retraction, to prevent contact of the eyelashes and eyelid margins with both the injection site and the injection needle., 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[at0016]/items[at0060], code=at0060, itemType=ELEMENT, level=2, text=Sterile Gloves, description=Use of sterile or nonsterile gloves during the intervention., 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[at0016]/items[at0059], code=at0059, itemType=ELEMENT, level=2, text=Surgical Masks, description= Use of surgical masks by clinicians and patients, or on the contrary, do not use mask but minimize speaking to reduce infection risk during procedure., 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[at0016]/items[at0061], code=at0061, itemType=ELEMENT, level=2, text=Monitor IOP, description=*, 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[at0016]/items[at0084], code=at0084, itemType=ELEMENT, level=2, text=Anti-infective on Eyelids, description=Application or not of anti-infective agent to the eyelids, including the eyelid margins and eyelashes., 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[at0016]/items[at0085], code=at0085, itemType=ELEMENT, level=2, text=Dilation Required, description=Need or not of pupillary dilation prior to the surgical intervention., 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[at0016]/items[at0017], code=at0017, itemType=ELEMENT, level=2, text=Pre Injection Skin Cleanser, description=Anti-infective agent used for skin cleanse., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Constraint:
Anti-infective agents in ophthalmology
[List of anti-infective agents available for opthalmic use.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0015], code=at0015, itemType=ELEMENT, level=2, text=Pre Injection Conjunctival Cleanser, description=Anti-infective agent used as antiseptic., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Constraint:
Anti-infective agents in ophthalmology
[List of anti-infective agents available for opthalmic use.]
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List of compounds validated for intraocular injection
[Compounds administered in ophthalmology in the form of intraocular injection.]
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Units: 2.5..4.5 mm
Limit decimal places: 1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0020]/items[at0025], code=at0025, itemType=ELEMENT, level=2, text=Number of injections, description=Number of injections involved in the current intervention., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=1
<br/>Assumed value1
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  • Apraclonidine 0.5% [Apraclonidine (trade name Iopidine Eye) 0.5% intra-ocular solution.]
  • Apraclonidine 1% [Apraclonidine (trade name Iopidine Eye) 1% intra-ocular solution.]
  • Acetazolamide 250mg [Acetazolamide (trade name Diamox) 250mg m/r capsule.]
  • Acetazolamide 500mg [Acetazolamide (trade name Diamox) 500mg m/r capsule.]
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openEHR-EHR-CLUSTER.medication_admin.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0029], code=at0029, itemType=ELEMENT, level=1, text=Complications, description=Possible complications due to intravitreal injections., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Infectious endophthalmitis [Infectious endophthalmitis.]
  • Subconjunctival haemorrage [Subconjunctival haemorrage.]
  • Conjunctival damage [Conjunctival damage (e.g. tear).]
  • Corneal abrasion [Corneal abrasion.]
  • Lens damage [Lens damage.]
  • Retinal damage [Retinal damage.]
  • Other [Other complication not provided in the list.]
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  • Left [IVT injection on the left eye.]
  • Right [IVT injection on the right eye.]
  • Bilateral [IVT bilateral injection.]
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  • Office setting [Intravitreal injections performed in ophthalmologist's office.]
  • Treatment room [Intravitreal injections performed in a dedicated treatment room.]
  • Operating room [Intravitreal injections performed in the operating room.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0068], code=at0068, itemType=ELEMENT, level=1, text=Contraindications, description=Identifies possible contraindications (if any) to be considered before conducting ITV injections., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Ocular hipertension/glaucoma [Patients with preeexisting ocular hipertension/glaucoma.]
  • Previous conditions/surgeries [Preexisting ocular conditions/previous ocular surgeries.]
  • Recent surgery [Recent postcataract surgery patients.]
  • Complex conditions [Complex medical or ocular conditions.]
  • Anticoagulation [Patients on anticoagulation.]
  • Allergy [Allergy to Povidone–Iodine.]
  • Infection [Active external infection, including active infection in blepharitis.]
  • Abnormalities [Eyelid, adnexal, and ocular surface abnormalities.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=CLUSTER, level=1, text=Anaesthetic, description=Details concerning the anaesthetic prior to the procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Anaesthetic Type, description=Type of anesthesia chosen., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Topical [Topical anaesthesia.]
    [SNOMED-CT::6064005 | Topical route]
  • Drops [Anaesthetic agent in drops form.]
  • Gel [Anaesthetic agent in gel form.]
  • Injection [Anaesthesia by injection.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=2, text=Anaesthetic Route, description=Route chosen to apply the anesthesia., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=[SNOMED-CT::54485002 | Ophthalmic route], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003]/items[at0014], code=at0014, itemType=ELEMENT, level=2, text=Anaesthetic Agent, description=Anesthetic agent., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Constraint:
Compounds for local anaesthesia
[Attach a list that restricts the anesthetic agents, to those compounds used in ophthalmology to anaesthetize patients prior to intravitreal injection.]
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Anti-infective agents in ophthalmology
[List of anti-infective agents available for opthalmic use.]
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Anti-infective agents in ophthalmology
[List of anti-infective agents available for opthalmic use.]
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List of compounds validated for intraocular injection
[Compounds administered in ophthalmology in the form of intraocular injection.]
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Units: 2.5..4.5 mm
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<br/>Assumed value1
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  • Apraclonidine 0.5% [Apraclonidine (trade name Iopidine Eye) 0.5% intra-ocular solution.]
  • Apraclonidine 1% [Apraclonidine (trade name Iopidine Eye) 1% intra-ocular solution.]
  • Acetazolamide 250mg [Acetazolamide (trade name Diamox) 250mg m/r capsule.]
  • Acetazolamide 500mg [Acetazolamide (trade name Diamox) 500mg m/r capsule.]
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  • Infectious endophthalmitis [Infectious endophthalmitis.]
  • Subconjunctival haemorrage [Subconjunctival haemorrage.]
  • Conjunctival damage [Conjunctival damage (e.g. tear).]
  • Corneal abrasion [Corneal abrasion.]
  • Lens damage [Lens damage.]
  • Retinal damage [Retinal damage.]
  • Other [Other complication not provided in the list.]
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