ARCHETYPE Intraocular pressure (openEHR-EHR-OBSERVATION.intraocular_pressure.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.intraocular_pressure.v0
ConceptIntraocular pressure
DescriptionThe local measurement of intraocular pressure, most commonly using a tonometry device.
UseUse to record the measurement of intraocular pressure in a single eye per event. Record the details of each eye using a seperate events. Use seperate Instances of the archetype where different test protocols were used. The CLUSTER.exclusion_exam archetype can be nested within the 'Measurement not done' SLOT to optionally record explicit details about the measurement not being performed.
PurposeTo record the intraocular pressure of the eye, or eyes, of an individual.
ReferencesIHE Eye Care Domain. General Eye Evaluation (GEE) [Internet]. IHE; 2012. Available from: http://www.ihe.net/Technical_Framework/upload/IHE_EyeCare_Supp_GEE_Rev1-1_TI_2012-06-29.pdf

Royal College of Opthalmologists. Cataract National Dataset for Adults [Internet]. 2011. Available from: http://www.rcophth.ac.uk/page.asp?section=583&sectionTitle=Cataract+National+Data+Set+for+Adults

CfH, UK. Do Once & Share - Glaucoma [Internet]. [cited 2012 Sep 26]. Available from: http://www.doasglaucoma.org/

DICOM Supplement 30 [Internet]. [cited 2012 Sep 26]. Available from: http://medical.nema.org/

Lamparter, J., & Hoffmann, E. M. (2009). Messung des Augeninnendrucks (Tonometrie) mit unterschiedlichen Verfahren. Der Ophthalmologe, 106(8), 676-682.
Copyright© openEHR Foundation
AuthorsAuthor name: Gustavo M Bacelar-Silva
Organisation: Faculty of Medicine - University of Porto
Email: mail@gustavobacelar.com
Date originally authored: 2012-06-05
Other Details LanguageAuthor name: Gustavo M Bacelar-Silva
Organisation: Faculty of Medicine - University of Porto
Email: mail@gustavobacelar.com
Date originally authored: 2012-06-05
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=IHE Eye Care Domain. General Eye Evaluation (GEE) [Internet]. IHE; 2012. Available from: http://www.ihe.net/Technical_Framework/upload/IHE_EyeCare_Supp_GEE_Rev1-1_TI_2012-06-29.pdf Royal College of Opthalmologists. Cataract National Dataset for Adults [Internet]. 2011. Available from: http://www.rcophth.ac.uk/page.asp?section=583§ionTitle=Cataract+National+Data+Set+for+Adults CfH, UK. Do Once & Share - Glaucoma [Internet]. [cited 2012 Sep 26]. Available from: http://www.doasglaucoma.org/ DICOM Supplement 30 [Internet]. [cited 2012 Sep 26]. Available from: http://medical.nema.org/ Lamparter, J., & Hoffmann, E. M. (2009). Messung des Augeninnendrucks (Tonometrie) mit unterschiedlichen Verfahren. Der Ophthalmologe, 106(8), 676-682., current_contact=Gustavo M Bacelar-Silva, mail@gustavobacelar.com, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=83F2C80119EF51583E6F01B5F7540670, build_uid=894f6222-5823-48bb-9186-e5af1e03cff7, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org., revision=0.0.1-alpha}
KeywordsIOP, tonometry, glaucoma, eye, eye pressure
Lifecyclein_development
UID1570d6f6-b0b7-4f28-b050-2dbff9d2d863
Language useden
Citeable Identifier1013.1.7983
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=[LOINC::56844-4 | Intraocular pressure of Eye]
[SNOMED-CT::302157000 | Intraocular pressure finding], archetypeConceptDescription=The local measurement of intraocular pressure, most commonly using a tonometry device., archetypeConceptComment=null, otherContributors=Ian McNicoll, freshEHR Informatics, UK
Heather Leslie, Atomica Informatics, Australia
Aitor Eguzkitza, UPNA (Public University of Navarre) - CHN (Complejo Hospitalario de Navarra), Spain
Lars Fuhrmann, Deutsche Ophthalmologische Gesellschaft, Germany, originalLanguage=en, translators=
  • Norwegian Bokmål: Silje Ljosland Bakke, Arne Løberg Sæter, Nasjonal IKT HF, arnelsa@gmail.com

  • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0007]/items[at0095], code=at0095, itemType=ELEMENT, level=4, text=Prism graduation mark on 43° offset mark, description=The value of the degree of the graduation mark on the Goldmann prism probe that was aligned with 43° offset mark, usually a visible by a red line or the letter A., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Angle, plane
    Units: °, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0007]/items[at0094], code=at0094, itemType=ELEMENT, level=4, text=Prism graduation mark on horizontal meridian, description=The value of the degree of the graduation mark on the Goldmann prism probe that was aligned with the horizontal meridian mark of the probe holder at the time of measuerment. , comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Angle, plane
    Units: °, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0007]/items[at0074], code=at0074, itemType=ELEMENT, level=4, text=Confounding factors, description=Description of any incidental factors related to the state of the subject which may affect clinical interpretation of the measurement., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    , extendedValues=null]], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0068]/items[at0046], code=at0046, itemType=ELEMENT, level=2, text=Method type, description=Type of tonometery used to measure intraocular pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Goldmann [Goldmann applanation tonometry was used to perform the test.]
      [SNOMED-CT::389152008 | Goldmann applanation tonometry]
    • Perkins [Perkins tonometry was used to perform the test.]
      [SNOMED-CT::389151001 | Perkins applanation tonometry]
    • Tono-Pen [Tono-Pen applanationtonometry was used to perform the test.]
    • Rebound [Rebound tonometry, including iCare® devices, was used to perform the test.]
      [SNOMED-CT::1286870002]
    • Dynamic Contour [Dynamic contour tonometry including PASCAL® devices was used to perform the test.]
      [SNOMED-CT::1286902005]
    • Transpalpebral tonometer [Tonometry through an eyelid, using a device such as the TGDc-01, was used to perform the test.]
    • Non-contact tonometry [Non-contact tonometry was used to perfrom the test, including IOPnct from Corvis ST®.]
      [SNOMED-CT::389150000 | Non-contact tonometry]
    • Implanted pressure sensor [An implanted Pressure sensor was used to perform the test.]
    • IOPg - Goldmann-Corellated Ocular Reponse Analysis [Ocular Response Analyzer® was used to perform the test, with the IOPg output.]
      [SNOMED-CT::1286913008]
    • Palpation [The intraocular pressure was estimated by palpation using the examiners fingers.]
      [SNOMED-CT::1286917009]
    • Pneumatotonometer [Pneumatotonometry was used to perform the test.]
      [SNOMED-CT::252804008 | Pneumatic tonometry]
    • Schiøtz [Schiøtz Tonomety was used to perform the test.]
      [SNOMED-CT::389149000 | Schiotz tonometry]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0068]/items[at0055], code=at0055, itemType=SLOT, level=2, text=Device details, description=Details about the tonometry device used to measure intraocular pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0068]/items[at0079], code=at0079, 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]], identities=[], ism_transition=[], activities=[], relationships=[], contacts=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0057], code=at0057, itemType=ELEMENT, level=4, text=Eye examined, description=Identification of the eye under examination., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Left eye [The left eye was examined.]
      [SNOMED-CT::1290031003]
    • Right eye [The right eye was examined.]
      [SNOMED-CT::1290032005]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0099], code=at0099, itemType=ELEMENT, level=4, text=Palpatory estimation, description=Semi-Quantitative description of the hardness of the eye based on palpation with the examiners fingers., comment=Use of this element instead of the Pressure element should be considered when the Method is palpation, as a value in mmHG may lead to an overestimation of the precision. It Is sensible to display the approximately equivalent mmHG values to the users to reduce ambiguity, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Completely soft (0mmHg)
    • Hypotensive (approx. 1-7mmHg)
    • Normal or near-normal (approx. 8-25mmHg)
    • Hypertensive (approx. 26-50mmHg)
    • Hard (>50mmHg)
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0042], code=at0042, itemType=ELEMENT, level=4, text=Pressure, description=Measured intraocular pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Pressure
    Units: 0.0..20000.0 mmHg
    Limit decimal places: 2, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0092], code=at0092, itemType=CLUSTER, level=4, text=Intraocular pressure correction details, description=, 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=/data[at0001]/events[at0002]/data[at0003]/items[at0092]/items[at0091], code=at0091, itemType=SLOT, level=5, text=Central corneal thickness details, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.corneal_thickness_details.v0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0092]/items[at0081], code=at0081, itemType=ELEMENT, level=5, text=Corrected pressure, description=Corrected value for intraocular pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Pressure
    Units: 0.0..20000.0 mmHg
    Limit decimal places: 2, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0092]/items[at0090], code=at0090, itemType=ELEMENT, level=5, text=Reference to central corneal thickness used for correction, description=A URI referencing a previously recorded central corneal thickness measurement., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0092]/items[at0082], code=at0082, itemType=ELEMENT, level=5, text=Type of correction, description=The type method used to correct the original intraocular pressure measurement. , comment=This may include a reference to a lookup table, or coded text referring to an in-device correction., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Text
    •  Coded Text
      • IOPcc - corneal-compensated ocular response analysis [The Ocular Response Analyser's output value that is corrected for corneal parameters.]
      • bIOP - biomechanically corrected noncontact IOP [The Corvis ST Scheimpflug noncontact tonometer's output value that is corrected based on biomechanical parameters.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0065], code=at0065, itemType=ELEMENT, level=4, text=Time to first applanation, description=The time taken for a non-contact tonometer to flatten the cornea, used to calculate intraocular pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
    Units: >=0.0 ms
    Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0093], code=at0093, itemType=ELEMENT, level=4, text=Ocular response analysis waveform score, description=Waveform Score produced by the Ocular Response Analyser device., comment=Higher values indicate higher reliability., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0061], code=at0061, itemType=ELEMENT, level=4, text=Clinical interpretation, description=Single word, phrase or brief description that represents the clinical meaning and significance of the physical examination findings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0080], code=at0080, itemType=SLOT, level=4, text=Multimedia, description=Digital image, video or diagram representing the measurement of intraocular pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.multimedia.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0063], code=at0063, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the measurement, not captured in other fields., 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]/events[at0002]/data[at0003]/items[at0078], code=at0078, itemType=SLOT, level=4, text=Test not done, description=Details to explicitly record that this test was not performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.exclusion_exam.v1, extendedValues=null]], items=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], context=[], capabilities=[], content=[], details=[], other_participations=[], provider=[], credentials=[], source=[], description=[], target=[]}, topLevelItems={state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/state[at0007], code=at0007, itemType=ITEM_TREE, level=2, 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, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0068], code=at0068, 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, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, 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, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0068]/items[at0046], code=at0046, itemType=ELEMENT, level=2, text=Method type, description=Type of tonometery used to measure intraocular pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Goldmann [Goldmann applanation tonometry was used to perform the test.]
      [SNOMED-CT::389152008 | Goldmann applanation tonometry]
    • Perkins [Perkins tonometry was used to perform the test.]
      [SNOMED-CT::389151001 | Perkins applanation tonometry]
    • Tono-Pen [Tono-Pen applanationtonometry was used to perform the test.]
    • Rebound [Rebound tonometry, including iCare® devices, was used to perform the test.]
      [SNOMED-CT::1286870002]
    • Dynamic Contour [Dynamic contour tonometry including PASCAL® devices was used to perform the test.]
      [SNOMED-CT::1286902005]
    • Transpalpebral tonometer [Tonometry through an eyelid, using a device such as the TGDc-01, was used to perform the test.]
    • Non-contact tonometry [Non-contact tonometry was used to perfrom the test, including IOPnct from Corvis ST®.]
      [SNOMED-CT::389150000 | Non-contact tonometry]
    • Implanted pressure sensor [An implanted Pressure sensor was used to perform the test.]
    • IOPg - Goldmann-Corellated Ocular Reponse Analysis [Ocular Response Analyzer® was used to perform the test, with the IOPg output.]
      [SNOMED-CT::1286913008]
    • Palpation [The intraocular pressure was estimated by palpation using the examiners fingers.]
      [SNOMED-CT::1286917009]
    • Pneumatotonometer [Pneumatotonometry was used to perform the test.]
      [SNOMED-CT::252804008 | Pneumatic tonometry]
    • Schiøtz [Schiøtz Tonomety was used to perform the test.]
      [SNOMED-CT::389149000 | Schiotz tonometry]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0068]/items[at0055], code=at0055, itemType=SLOT, level=2, text=Device details, description=Details about the tonometry device used to measure intraocular pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0068]/items[at0079], code=at0079, 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]