ARCHETYPE Recommended treatment for glaucoma (openEHR-EHR-EVALUATION.recommendation-glaucoma_treatment.v0)

ARCHETYPE IDopenEHR-EHR-EVALUATION.recommendation-glaucoma_treatment.v0
ConceptRecommended treatment for glaucoma
DescriptionA suggestion, advice or proposal toward application of the appropriate therapy for patients diagnosed with glaucoma.
UseUse to record a suggestion, advice or proposal about the treatment of glaucoma, valid at a specific time of healthcare. The statement is considered for the specific point-in-time it is registered, as the therapeutic guidelines may vary according to the context of the disease and the information evaluated in each clinical encounter. For example, the treatment can be modified over time depending on the progression of the disease.
PurposeTo record a suggestion, advice or proposal about the most suitable treatment at a specific time, for each patient affected with glaucoma.
References- American Academy of Ophthalmology, Glaucoma Panel. Primary open-angle glaucoma. Preferred Practice Pattern® Guidelines. San Francisco, CA: American Academy of Ophthalmology; 2010.
- European Glaucoma Society. Terminology and guidelines for glaucoma. 4th ed. Savona, Italy: Publicomm srl; 2014.
Copyright© openEHR Foundation
AuthorsAuthor name: Aitor Eguzkitza
Organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra
Email: aitor.eguzkiza@unavarra.es
Date originally authored: 2015-07-04
Other Details LanguageAuthor name: Aitor Eguzkitza
Organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra
Email: aitor.eguzkiza@unavarra.es
Date originally authored: 2015-07-04
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, Glaucoma Panel. Primary open-angle glaucoma. Preferred Practice Pattern® Guidelines. San Francisco, CA: American Academy of Ophthalmology; 2010. - European Glaucoma Society. Terminology and guidelines for glaucoma. 4th ed. Savona, Italy: Publicomm srl; 2014., current_contact=Aitor Eguzkitza, Universidad Pública de Navarra - Complejo Hospitalario de Navarra, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=467D38E1BA19364827E106AF6C346837, build_uid=8e688bb7-2e08-445c-baa3-f4ac4deaa0ed, revision=0.0.1-alpha}
Keywordsadvice, proposal, suggestion, glaucoma
Lifecyclein_development
UID820d5581-b8a4-464e-8008-b033c2874ad3
Language useden
Citeable Identifier1013.1.2159
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=A suggestion, advice or proposal toward application of the appropriate therapy for patients diagnosed with glaucoma., archetypeConceptComment=null, otherContributors=Koray Atalag, University of Auckland, New Zealand
Silje Ljosland Bakke, Bergen Hospital Trust, Norway (openEHR Editor)
Lars Bitsch-Larsen, Haukeland University hospital, Norway
Einar Fosse, National Centre for Integrated Care and Telemedicine, Norway
Sam Heard, Ocean Informatics, Australia
Lars Karlsen, DIPS ASA, Norway
Shinji Kobayashi, Kyoto University, Japan
Heather Leslie, Ocean Informatics, Australia (openEHR Editor)
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Andrej Orel, Marand d.o.o., Slovenia
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=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], other_participations=[], credentials=[], description=[], relationships=[], ism_transition=[], activities=[], items=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002.1], code=at0002.1, itemType=ELEMENT, level=2, text=Therapeutic recommendation, description=Narrative description of the most effective treatment based on the assessment of glaucoma., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • No treatment [No treatment is needed for the moment.]
    [SNOMED-CT::83905007] (No treatment required for (contextual qualifier) (qualifier value))
  • Maintain treatment [The patient is already receiving a treatment, to which is responding correctly.]
  • Medical treatment [Unless contraindicated, medical therapy is presently the most common initial intervention to lower IOP.]
    [SNOMED-CT::243121000] (Medical therapy (procedure))
  • Laser therapy [Laser trabeculoplasty lowers IOP by improving aqueous outflow. Presents an alternative for patients who cannot use medications reliably.]
  • Incisional glaucoma surgery [Generally indicated when medicine or laser therapy is insufficient to control disease.]
  • Cyclodestructive surgery [Procedures that reduce the rate of aqueous production. There are several ways to reduce ciliary body function, such as cyclocryotherapy, transscleral and noncontact Nd:YAG laser, and transscleral and noncontact endodiode laser cyclophotocoagulation.]
  • Other glaucoma surgeries [Alternative strategies of nonpenetrating glaucoma surgery. The two main types are viscocanalostomy and nonpenetrating deep sclerectomy.]
    [SNOMED-CT::424150007] (Nonpenetrating glaucoma surgery (procedure))

Assumed value: Maintain treatment, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003.1], code=at0003.1, itemType=ELEMENT, level=2, text=Rationale, description=Justification for the recommendation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Glaucoma stable [No signs of progression identified in glaucoma.]
  • Visual field loss [Progressive loss of visual field regarding previous examinations.]
    [SNOMED-CT::416626008] (Functional visual field loss (finding))
  • Progressive excavation of the papilla [Progression of glaucomatous damage at the retinal nerve fiber layer (RNFL) identified on a increase in cupping of the neuroretinal rim.]
    [SNOMED-CT::247224002] (Optic disc pathological cupping (finding))
  • IOP unstable [Target IOP not reached.]
    [SNOMED-CT::24075007] (Abnormal intraocular pressure (finding))

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