ARCHETYPE Classification of age related macular degeneration (openEHR-EHR-CLUSTER.classification_amd.v0)

Name: Classification of age related macular degeneration
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-CLUSTER.classification_amd.v0
Concept	Classification of age related macular degeneration
Description	Classifies the condition and argues the diagnostic decision for age-related macular degeneration.
Use	Provide details about grading or staging of age-related macular degeneration. It is useful to specify the overall diagnoses provided using the "problem/diagnosis" archetype.
Purpose	Register the stage of age-related macular degeneration for a patient at a given time.
References	- American Academy of Ophthalmology RVP. Age-Related Macular Degeneration. Preferred Practice Pattern® Guidelines. San Francisco, CA: American Academy of Ophthalmology; 2015.
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: 2015-06-23
Other Details Language	Author name: Aitor Eguzkitza Organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra Email: aitor.eguzkiza@unavarra.es Date originally authored: 2015-06-23
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=- American Academy of Ophthalmology RVP. Age-Related Macular Degeneration. Preferred Practice Pattern® Guidelines. San Francisco, CA: American Academy of Ophthalmology; 2015., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=C1FDECFA2EFBC41ECE3FCA974433EEE7, build_uid=7ac0f5a4-2829-4d46-bd49-c7923135833c, revision=0.0.1-alpha}
Keywords
Lifecycle	in_development
UID	fe1524ce-ea02-464a-9156-1326cd7ba0f1
Language used	en
Citeable Identifier	1013.1.2117
Revision Number	0.0.1-alpha
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Classifies the condition and argues the diagnostic decision for age-related macular degeneration., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[], contacts=[], details=[], description=[], content=[], provider=[], data=[], identities=[], other_participations=[], activities=[], protocol=[], credentials=[], events=[], context=[], relationships=[], target=[], capabilities=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=AMD classification, description=Clinical grade determined for age-related macular degeneration., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0005::No AMD [No or a few (<5) small drusen (<63 micrometres in diameter).] at0006::Early AMD [Many small drusen or a few intermediate-sized (63-124 micrometres in diameter) drusen, or macular pigmentary changes.] at0007::Intermediate AMD [Extensive intermediate drusen or at least one large (≥125 micrometres) drusen, or geographic atrophy not involving the foveal centre.] at0008::Dry advanced AMD atrophic [Geographic atrophy involving the foveal centre.] at0009::Exudative or wet AMD [Choroidal neovascularisation or evidence for neovascular maculopathy (subretinal haemorrhage, serous retinal or retinal pigment epithelium detachments, lipid exudates, or fibrovascular scar).] [SNOMED-CT::414173003 \| Exudative age-related macular degeneration] at0021::Ungradable [Patient ungradable due to the low quality of acquisitions or uncertainty of the evaluator.] [SNOMED-CT::408313004 \| O/E - non-referable retinopathy] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=ELEMENT, level=1, text=Diagnostic criteria, description=Clinical findings supporting the diagnose or grading., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0010::Small drusen [Drusen < 63 µm in diameter.] at0011::Intermediate drusen [Drusen 63-124 µm in diameter.] at0012::Numerous intermediate drusen [More than x drusen 63-124 µm in diameter.] at0013::Large drusen [Drusen ≥125 µm in diameter.] at0014::Geographic atrophy [A sharply demarcated, usually round or oval, area of atrophy of the RPE not involving the center of the fovea.] at0015::Geographic atrophy involving foveal center [Geographic atrophy of the RPE involving the foveal center.] at0016::Choroidal neovascularization (CNV) [Pathologic angiogenesis originating from the choroidal vasculature that extends through a defect in Bruch's membrane.] at0017::Serous or hemorragic detachment [Serous or hemorragic detachment of the neourosensory retina or RPE.] at0018::Retinal hard exudates [Hard exudates resulting from chronic intravascular leakage.] at0019::Fibrovascular proliferation [Subretinal and sub-RPE fibrovascular proliferation.] at0020::Disciform scar (subretinal fibrosis) [Subretinal fibrovascular tissue that usually becomes more fibrous within a few years and that is often the end result of CNV.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0022], code=at0022, itemType=ELEMENT, level=1, text=Clinical findings, description=Overall findings on the patient considered in the diagnostic classification., 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: Findings in posterior pole of eye [List of clinical findings identifiable in posterior pole of eye.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=Comments, description=Additional comments that clarify the diagnostic decision made., 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]], source=[], ism_transition=[]}, 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= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=AMD classification, description=Clinical grade determined for age-related macular degeneration., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0005::No AMD [No or a few (<5) small drusen (<63 micrometres in diameter).] at0006::Early AMD [Many small drusen or a few intermediate-sized (63-124 micrometres in diameter) drusen, or macular pigmentary changes.] at0007::Intermediate AMD [Extensive intermediate drusen or at least one large (≥125 micrometres) drusen, or geographic atrophy not involving the foveal centre.] at0008::Dry advanced AMD atrophic [Geographic atrophy involving the foveal centre.] at0009::Exudative or wet AMD [Choroidal neovascularisation or evidence for neovascular maculopathy (subretinal haemorrhage, serous retinal or retinal pigment epithelium detachments, lipid exudates, or fibrovascular scar).] [SNOMED-CT::414173003 \| Exudative age-related macular degeneration] at0021::Ungradable [Patient ungradable due to the low quality of acquisitions or uncertainty of the evaluator.] [SNOMED-CT::408313004 \| O/E - non-referable retinopathy] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=ELEMENT, level=1, text=Diagnostic criteria, description=Clinical findings supporting the diagnose or grading., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0010::Small drusen [Drusen < 63 µm in diameter.] at0011::Intermediate drusen [Drusen 63-124 µm in diameter.] at0012::Numerous intermediate drusen [More than x drusen 63-124 µm in diameter.] at0013::Large drusen [Drusen ≥125 µm in diameter.] at0014::Geographic atrophy [A sharply demarcated, usually round or oval, area of atrophy of the RPE not involving the center of the fovea.] at0015::Geographic atrophy involving foveal center [Geographic atrophy of the RPE involving the foveal center.] at0016::Choroidal neovascularization (CNV) [Pathologic angiogenesis originating from the choroidal vasculature that extends through a defect in Bruch's membrane.] at0017::Serous or hemorragic detachment [Serous or hemorragic detachment of the neourosensory retina or RPE.] at0018::Retinal hard exudates [Hard exudates resulting from chronic intravascular leakage.] at0019::Fibrovascular proliferation [Subretinal and sub-RPE fibrovascular proliferation.] at0020::Disciform scar (subretinal fibrosis) [Subretinal fibrovascular tissue that usually becomes more fibrous within a few years and that is often the end result of CNV.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0022], code=at0022, itemType=ELEMENT, level=1, text=Clinical findings, description=Overall findings on the patient considered in the diagnostic classification., 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: Findings in posterior pole of eye [List of clinical findings identifiable in posterior pole of eye.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=Comments, description=Additional comments that clarify the diagnostic decision made., 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]], minIndents={}, termBindingRetrievalErrorMessage=null]