ARCHETYPE Enrollment in intravitreal anti-VEGF therapy for wet AMD (openEHR-EHR-EVALUATION.long_term_process_enrollment-antiVEGF_AMD.v0)

ARCHETYPE IDopenEHR-EHR-EVALUATION.long_term_process_enrollment-antiVEGF_AMD.v0
ConceptEnrollment in intravitreal anti-VEGF therapy for wet AMD
DescriptionManages the enrollment of patients in intravitreal anti-VEGF therapy to treat wet AMD.
UseIt can be used for enrollment of new patients into the cycles of anti-VEGF injections to treat wet AMD, but also it is possible to evaluate already registered patients to reconsider the continuity of their treatment at a given time.
MisuseMost of archetypes are focused on register acute episodes identified on clinical environment. Conversely, this one is aimed at periodically review a decision made about a protracted healthcare process (for instance, a therapeutic decision for a chronic condition that requires regular treatment). Thus, this archetype is not intended for registering decisions about occasional actions.
PurposeRecord a contribution to the decision of admittance of a patient in the process of wet AMD treatment by intravitreal anti-VEGF periodical injections.
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: 2015-06-24
Other Details LanguageAuthor name: Aitor Eguzkitza
Organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra
Email: aitor.eguzkiza@unavarra.es
Date originally authored: 2015-06-24
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=5B07C7E1EB58430EEF14CA0485911F66, build_uid=cc8da233-b399-4189-bb59-1e017fd71d17, revision=0.0.1-alpha}
Keywordschronic, admittance, wet amd, anti-vegf
Lifecyclein_development
UID36f8f3b8-572e-4337-8a11-810b8f657ba8
Language useden
Citeable Identifier1013.1.2105
Revision Number0.0.1-alpha
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José Andonegui, Hospital de Navarra, jose.andonegui.navarro@cfnavarra.es
Jesús D. Trigo, Universidad Pública de Navarra (UPNA), jesusdaniel.trigo@unavarra.es, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], other_participations=[], events=[], details=[], provider=[], items=[], description=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Date decision, description=Date at which decision was made about the enrollment or exclusion of the patient with regard to the healthcare process., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=Full Date and Time, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0002]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Decision review, description=Next revision date scheduled for the current decision of enrollment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=Full Date, extendedValues=null]], ism_transition=[], context=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Healthcare process, description=Identification of the healthcare process about which the enrollment of a specific patient is discussed., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Description, description=Narrative description about the healthcare service to which the patient has been proposed for admittance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=2, text=Admittance, description=If true, the patient meets the criteria required to be inscribed in the healthcare process., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: true, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0010.1], code=at0010.1, itemType=ELEMENT, level=2, text=Criteria, description=Different criteria considered to make a decision with regard to patient's admittance into the healthcare process., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Very low VA [Visual acuity on first clinical encounter below 0.1 in decimal scale.]
  • Healed lesions [Identified signs of previous treatments such as photodynamic therapy, laser photocoagulation scars, or any vitreoretinal operative procedure.]
  • Multimorbidity [Coexistence of additional alterations on the retina causative of visual impairment.]
  • Reaction to anti-VEGF [Establishment or suspicion of any reaction due to hypersensitivity to anti-VEGF agents used in intravitreal injections.]
  • VA decrease [Visual acuity decreased for three consecutive reviews below 0.1 in decimal scale.]
  • Morphologic deterioration [Progressive deterioration of the morphology of the lesion.]
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