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

Name: Intraocular pressure
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.intraocular_pressure.v0
Concept	Intraocular pressure
Description	The local measurement of intraocular pressure, most commonly using a tonometry device.
Use	Use 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.
Purpose	To record the intraocular pressure of the eye, or eyes, of an individual.
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&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
Authors	Author name: Gustavo M Bacelar-Silva Organisation: Faculty of Medicine - University of Porto Email: mail@gustavobacelar.com Date originally authored: 2012-06-05
Other Details Language	Author 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=B0AF6A36C904968748AB02F09AB6CF45, build_uid=a57419a8-6413-4039-bb5a-6b78ccd254c5, 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}
Keywords	IOP, tonometry, glaucoma, eye, eye pressure
Lifecycle	in_development
UID	1570d6f6-b0b7-4f28-b050-2dbff9d2d863
Language used	en
Citeable Identifier	1013.1.7983
Revision Number	0.0.1-alpha
All	Archetype [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[at0046], code=at0046, itemType=ELEMENT, level=4, text=Method type, description=Type of tonometery used to measure intraocular pressure, comment=For devices that output multiple pressure values, this element should be used to specify the method type used for the output represented in the "Pressure" element. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0047::Goldmann [Goldmann applanation tonometry was used to perform the test.] [SNOMED-CT::389152008 \| Goldmann applanation tonometry] at0048::Perkins [Perkins tonometry was used to perform the test.] [SNOMED-CT::389151001 \| Perkins applanation tonometry] at0049::Tono-Pen [Tono-Pen applanationtonometry was used to perform the test.] at0050::Rebound [Rebound tonometry, including iCare® devices, was used to perform the test.] [SNOMED-CT::1286870002] at0051::Dynamic Contour [Dynamic contour tonometry including PASCAL® devices was used to perform the test.] [SNOMED-CT::1286902005] at0053::Transpalpebral tonometer [Tonometry through an eyelid, using a device such as the TGDc-01, was used to perform the test.] at0066::Non-contact tonometry [Non-contact tonometry was used to perfrom the test, including IOPnct from Corvis ST®.] [SNOMED-CT::389150000 \| Non-contact tonometry] at0083::Implanted pressure sensor [An implanted Pressure sensor was used to perform the test.] at0084::IOPg - Goldmann-Corellated Ocular Reponse Analysis [Ocular Response Analyzer® was used to perform the test, with the IOPg output.] [SNOMED-CT::1286913008] at0085::Palpation [The intraocular pressure was estimated by palpation using the examiners fingers.] [SNOMED-CT::1286917009] at0086::Pneumatotonometer [Pneumatotonometry was used to perform the test.] [SNOMED-CT::252804008 \| Pneumatic tonometry] at0087::Schiøtz [Schiøtz Tonomety was used to perform the test.] [SNOMED-CT::389149000 \| Schiotz tonometry] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0007]/items[at0055], code=at0055, itemType=SLOT, level=4, 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=/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:* Text Coded Text at0096::Mydriasis [SNOMED-CT::37125009 \| Dilated pupil] at0132::During general anaesthesia or sedation, presumption of significant effect on pressure at0133::During general anaesthesia or sedation, presumption of minor effect on pressure. , extendedValues=null], 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[at0105], code=at0105, itemType=ELEMENT, level=4, text=Position, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0106::Standing [Standing at the time of the intraocular pressure measurement.] [SNOMED-CT::10904000 \| Orthostatic body position] at0107::Sitting [Sitting at the time of the intraocular pressure measurement.] [SNOMED-CT::33586001 \| Sitting position] at0108::Lying in supine position [Lying in supine position (face up) at the time of the intraocular pressure measurement.] [SNOMED-CT::40199007 \| Supine body position] at0109::Lying in prone position [Lying in prone position (face down) at the time of the intraocular pressure measurement.] [SNOMED-CT::1240000 \| Prone body position] at0110::Lying in left lateral decubitus position [Lying on the left hand side of the intraocular pressure measurement.] [SNOMED-CT::102536004 \| Left lateral decubitus position] at0111::Lying in right lateral decubitus position [Lying on the right hand side of the intraocular pressure measurement.] [SNOMED-CT::102535000 \| Right lateral decubitus position] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0007]/items[at0079], code=at0079, itemType=SLOT, level=4, 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], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0007]/items[at0116], code=at0116, itemType=CLUSTER, level=4, text=Medication used to correct pressure, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0007]/items[at0116]/items[at0117], code=at0117, itemType=ELEMENT, level=5, text=Medication name, description=The name of the Medication , comment=Preferably, this element is used to link to the path of a "Medication item" or "Medication name" element in a medication-related Archetype. . Where this is not possible, coded text entry of the procedure name should be preferred over free text entry. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* URI Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0007]/items[at0116]/items[at0124], code=at0124, itemType=ELEMENT, level=5, text=Time since last administration, description=The Duration between the last administration of the medication and the intraocular pressure measurement, comment=The time of last administration should instead be recorded in the medication statement archetype. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0007]/items[at0114], code=at0114, itemType=CLUSTER, level=4, text=Related procedure, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0007]/items[at0114]/items[at0125], code=at0125, itemType=ELEMENT, level=5, text=Related procedure name, description=The name of the related procedure., comment=Preferably, this element is used to link to the path of a "Procedure Name" element of the Procedure Archetype. Where this is not possible, coded text entry of the procedure name should be preferred over free text entry. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* Coded Text at0134::Suture removal [A suture was removed.] at0135::Ocular massage [A massage of the eye was performed.] at0136::Laser suture lysis [A laser suture lysis was performed.] at0137::Intracameral Injection [An Intracemeral injection was performed] at0138::Cameral Paracenthesis [A Paracenthesis was performed.] at0139::Corneal wound burp [A Corneal wound burp was performed.] at0140::Intraviteal Injection [An Intravitreal injection was performed.] at0141::Water drinking test [A water drinking test was performed.] at0142::Laser Iridotomy [A laser iridotomy was performed] at0143::Laser vitreolysis [A laser vitreolysis was performed.] URI Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0007]/items[at0114]/items[at0131], code=at0131, itemType=ELEMENT, level=5, text=Temporal relationship, description=The duration between the procedure and the intraocular pressure measurement A positive duration indicates the procedure was performed before the intraocular pressure measurement, a negative duration indicates the opposite. , comment=The time of the procedure should instead be recorded in the procedure archetype. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Duration Coded Text at0144::Before procedure [The Intraocular pressure measurement was performed before the procedure.] at0145::During procedure [The Intraocular pressure measurement was performed during the procedure.] at0146::After procedure [The Intraocular pressure measurement was performed after the procedure.] , extendedValues=null]], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0068]/items[at0113], code=at0113, itemType=ELEMENT, level=2, text=Current number of substances used to lower pressure, description=The current number of pharmacological substances being used with the intention of lowering the intraocular pressure in the tested eye., comment=Bombination drops containing two substances count as two substances. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10 , 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= at0058::Left eye [The left eye was examined.] [SNOMED-CT::1290031003] at0059::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= at0100::No pressure [The eyeball is completely soft, no resistance to palpation.] at0101::softer than normal [The eyeball is softer than the normal range, but there is some resistance to palpation.] at0102::approximately normal [The pressure appears to be within or close to the normal range (10-21mmHg)] at0103::harder than normal [The eyeball is harder than the range, but not as hard as in an extreme IOP spike.] at0104::very hard [The eyeball is as hard as it is in an extreme (>50mmHg) IOP spike, sometimes referred to as a rock-hard eye.] , 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=For devices that output multiple pressure values based on one measurement, this element is used for the least corrected output. Use the "Corrected Pressure" element for outputs that have taken more variable such as cornal parameters into consideration. , 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= (Cardinality: 1.., unordered), 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=For devices that output multiple pressure values, this element should be used for the values that take aditional parameters into account for a correction of the raw pressure value. , 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. For devices that output multiple pressure values, this element should be used to specify the method type used for the output represented in the "Corrected Pressure" element. , 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 at0097::IOPcc - corneal-compensated ocular response analysis [The Ocular Response Analyser's output value that is corrected for corneal parameters.] at0098::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, 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