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

Name: Recommended treatment for glaucoma
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-EVALUATION.recommendation-glaucoma_treatment.v0
Concept	Recommended treatment for glaucoma
Description	A suggestion, advice or proposal toward application of the appropriate therapy for patients diagnosed with glaucoma.
Use	Use 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.
Purpose	To 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
Authors	Author 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 Language	Author 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}
Keywords	advice, proposal, suggestion, glaucoma
Lifecycle	in_development
UID	820d5581-b8a4-464e-8008-b033c2874ad3
Language used	en
Citeable Identifier	1013.1.2159
Revision Number	0.0.1-alpha
All	Archetype [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={events=[], content=[], identities=[], description=[], relationships=[], target=[], ism_transition=[], 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= at0.14::No treatment [No treatment is needed for the moment.] [SNOMED-CT::83905007 \| No treatment required for] at0.15::Maintain treatment [The patient is already receiving a treatment, to which is responding correctly.] at0.9::Medical treatment [Unless contraindicated, medical therapy is presently the most common initial intervention to lower IOP.] [SNOMED-CT::243121000 \| Medical therapy] at0.10::Laser therapy [Laser trabeculoplasty lowers IOP by improving aqueous outflow. Presents an alternative for patients who cannot use medications reliably.] at0.11::Incisional glaucoma surgery [Generally indicated when medicine or laser therapy is insufficient to control disease.] at0.16::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.] at0.17::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] 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= at0.12::Glaucoma stable [No signs of progression identified in glaucoma.] at0.7::Visual field loss [Progressive loss of visual field regarding previous examinations.] [SNOMED-CT::416626008 \| Functional visual field loss] at0.6::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] at0.13::IOP unstable [Target IOP not reached.] [SNOMED-CT::24075007 \| Abnormal intraocular pressure] Assumed value: Glaucoma stable, extendedValues=null]], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0004]/items[at0005], code=at0005, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null]], source=[], capabilities=[], contacts=[], provider=[], details=[], items=[], credentials=[], state=[], activities=[], other_participations=[], context=[]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001], code=at0001, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0004], code=at0004, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0004]/items[at0005], code=at0005, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]