TEMPLATE Clinical image acquisition and validation NMR (Clinical image acquisition and validation NMR)

TEMPLATE IDClinical image acquisition and validation NMR
ConceptClinical image acquisition and validation NMR
DescriptionRegister the acquisition and subsequent examination of non-mydriatic retinography test.
PurposeRegister the acquisition and subsequent examination of non-mydriatic retinography test.
References
Authorsname: Aitor Eguzkitza; organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra; email: aitor.eguzkiza@unavarra.es; date: 2016-07-20
Other Details Languagename: Aitor Eguzkitza; organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra; email: aitor.eguzkiza@unavarra.es; date: 2016-07-20
OtherDetails Language Independent{MetaDataSet:Sample Set =Template metadata sample set, Copyright=© openEHR Foundation, Owner=Aitor Eguzkitza, aitor.eguzkiza@unavarra.es, Speciality=Ophthalmology}
Language useden
Citeable Identifier1013.26.116
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  • DR screening
  • Assessment of wet AMD
  • Monitor the progression of chronic glaucoma
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  • Left 
  • Right 
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  •  Coded Text
    • Medial 
    • Lateral 
    • Superior 
    • Inferior 
    • Anterior 
    • Posterior 
    • Proximal 
    • Distal 
    • Palmar 
    • Plantar 
    • Mid 
    • Oral 
    • Anal 
  •  Text
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  •  Coded Text
    • Midline 
    • Midaxillary line 
    • Anterior axillary line 
    • Posterior axillary line 
    • Mid-clavicular line 
    • Mid-pupillary line 
    • Mid-scapular line 
  •  Text
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Units:
  • Year
  • Month
  • Week
  • Day
  • Second
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  • Left eye 
  • Right eye 
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uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0054], code=at0054, itemType=ELEMENT, level=7, text=Small pupil, description=True if during the acquisition, pupil diameter is smaller than normal (3,3mm), comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0123], code=at0123, itemType=ELEMENT, level=7, text=High refraction, description=True if the refraction of the eye exceeds the range from -12D to +15D, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0055], code=at0055, itemType=ELEMENT, level=7, text=Cataract artifact, description=True if cataract obstructs the visualization of eye fundus, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0056], code=at0056, itemType=ELEMENT, level=7, text=Shadow artifact, description=True if shadow artifact is present on the border of the image, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0124], code=at0124, itemType=ELEMENT, level=7, text=Uncooperative patient, description=True if patient doesn't collaborate during the image acquisition, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0128], code=at0128, itemType=ELEMENT, level=7, text=Others, description=Other details identified during the acquisition which may affect the results from reviewing the test, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0057], code=at0057, itemType=CLUSTER, level=7, text=Visualization, description=Details about image quality related to ease of visualization of structures on eye fundus, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0057]/items[at0059], code=at0059, itemType=ELEMENT, level=8, text=Quality, description=Levels quantifying the quality of each acquisition, based in the ease to visualize the structures on the eye fundus, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Quality inadequate for any diagnostic purpose 
  • 2: Unable to exclude all emergent findings 
  • 3: Only able to exclude emergent findings 
  • 4: Quality not ideal, but is possible to exclude subtle findings 
  • 5: Ideal quality 
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uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0065]/items[at0091], code=at0091, itemType=ELEMENT, level=7, text=Optic Disc, description=Description of optic disc, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0065]/items[at0090], code=at0090, itemType=ELEMENT, level=7, text=Macula, description=Description of macula, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0065]/items[at0092], code=at0092, itemType=ELEMENT, level=7, text=Retinal arteries, description=Description of retinal arteries, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0065]/items[at0093], code=at0093, itemType=ELEMENT, level=7, text=Retinal veins, description=Description of retinal veins, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0065]/items[at0094], code=at0094, itemType=ELEMENT, level=7, text=Retinal background, description=Description of retinal background, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0065]/items[at0098], code=at0098, itemType=ELEMENT, level=7, text=Vitreous, description=Description of vitreous humour, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0066], code=at0066, itemType=CLUSTER, level=6, text=Clinical results, description=Information of diagnostic interest obtained in the test, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0066]/items[at0126], code=at0126, itemType=ELEMENT, level=7, text=Other findings, description=Narrative description of clinical findings not considered in the SLOT, 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=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/state[at0013], code=at0013, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=State, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/state[at0013]/items[at0014], code=at0014, itemType=ELEMENT, level=5, text=Mydriatic used, description=True if mydriatic is used, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028], code=at0028, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Method, description=Method chosen to perform the funduscopic examination, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Direct 
  • Indirect 
  • Contact lens biomicroscopy 
  • Non-contact lens biomicroscopy 
  • Mydriatic retinography 
  • Non-mydriatic retinography 
  • Angiography 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1], code=at0000, itemType=CLUSTER, level=3, text=Medical Device, description=An instrument, apparatus, implant, material or similar, used in the provision of healthcare. In this context, a medical device includes a broad range of devices which act through a variety of physical, mechanical, thermal or similar means but specifically excludes devices which act through medicinal means such as pharmacological, metabolic or immunological methods. The scope is inclusive of disposable devices as well as durable or persisting devices that require tracking, maintenance activities or regular calibration, recognising that each type of device has specific data recording requirements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Device name, description=Identification of the medical device, preferably by a common name, a formal fully descriptive name or, if required, by class or category of device., comment=This data element will capture the term, phrase or category used in clinical practice. For example: <brand name><machine> (XYZ Audiometer); <size> <brand name> <intravenous catheter> (14G Jelco IV catheter); or <brand name/type> <implant>. Coding with a terminology is desirable, where possible, although this may be local and depending on local supplies available., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Type, description=The category or kind of device., comment=Not applicable if a category is already recorded in 'Device name'. Example: if the 'Device' is named as a 'urinary catheter'; the 'Type' may be recorded as 'indwelling' or 'condom'.Coding with a terminology is desirable, where possible. This may include use of GTIN or EAN numbers., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Description, description=Narrative description of the medical device., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Unique device identifier (UDI), description=A numeric or alphanumeric string that is associated with this device within a given system., comment=Often fixed to the device as a barcode., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Manufacturer, description=Name of manufacturer., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Date of manufacture, description=Date the device was manufactured., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Serial number, description=Number assigned by the manufacturer which can be found on the device, and should be specific to each device., its label, or accompanying packaging., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Catalogue number, description=The exact number assigned by the manufacturer, as it appears in the manufacturer's catalogue, device labeling, or accompanying packaging., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0023], code=at0023, itemType=ELEMENT, level=4, text=Model number, description=The exact model number assigned by the manufacturer and found on the device label or accompanying packaging., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Batch/Lot number, description=The number assigned by the manufacturer which identifies a group of items manufactured at the same time, usually found on the label or packaging material., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0025], code=at0025, itemType=ELEMENT, level=4, text=Software version, description=Identification of the version of software being used in the medical device., comment=When the medical device is an actual software application, record the version of the software using this data element. When the medical device has multiple software applications embedded within it, record each software component in a separate CLUSTER archetype within the Components SLOT - either as a nested instance of another CLUSTER.device archetype or using a CLUSTER archetype designed specifically for recording software details (but not yet available at time of this archetype development)., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Date of expiry, description=Date after which the device/product is no longer fit for use, usually found on the device itself or printed on the accompanying packaging., comment=This date usually applies only to single use or disposable devices., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0024], code=at0024, itemType=ELEMENT, level=4, text=Other identifier, description=Unspecified identifier, which can be further specified in a template or at run time., comment=Coding of the name of the identifier with a coding system is desirable, if available., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1], code=at0000, itemType=CLUSTER, level=4, text=Medical device details, description=Specific details that relate to asset management for any medical device that is designed for more than a single use., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Organisation identifier, description=Organisation identifier for device., comment=May be a text string or an IEEE EUI-64 identifier., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Identifier
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0023], code=at0023, itemType=ELEMENT, level=5, text=Owner, description=Organisation responsible for the medical device., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0024], code=at0024, itemType=ELEMENT, level=5, text=Location, description=Physical location where device is kept., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0025], code=at0025, itemType=ELEMENT, level=5, text=Network address, description=Network address to contact the device., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Part number, description=The part number of the device., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Manufacturer model name, description=HL7 CDA compatible representation of device manufacture details., comment=May be a simple string or contain simple markup e.g. for Continua PHMR reports: "Pulse Master 2000||584216|69854|2.1|1.1|1.0|" repesenting Model, Unspecified, SerialNumber, PartNumber, HardwareRevision, SoftwareRevision, ProtocolRevision, and ProdSpecGMDN., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0008], code=at0008, itemType=ELEMENT, level=5, text=Hardware revision, description=The hardware revision number., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0010], code=at0010, itemType=ELEMENT, level=5, text=Protocol revision, description=The protocol revision number., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=Sampling frequency, description=The sampling frequency limits of the device., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Quantity
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0012], code=at0012, itemType=ELEMENT, level=5, text=Range, description=The range limits of the device., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Interval of Quantity
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0013], code=at0013, itemType=ELEMENT, level=5, text=Accuracy, description=The accuracy limits of the device., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Quantity
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0014], code=at0014, itemType=ELEMENT, level=5, text=Resolution, description=The resolution limits of the device., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Quantity
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0015], code=at0015, itemType=ELEMENT, level=5, text=Regulatory status, description=Whether device is regulated or otherwise., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0022], code=at0022, itemType=ELEMENT, level=5, text=Date last cleaned/sterilized, description=Date the device was last cleaned or sterilized., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0017], code=at0017, itemType=ELEMENT, level=5, text=Date last calibrated, description=Date the device was last calibrated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0016], code=at0016, itemType=ELEMENT, level=5, text=Date last serviced, description=The date the device was last serviced., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0019], code=at0019, itemType=CLUSTER, level=5, text=Formulae, description=Details about formulae or algorithms used by the device in order to generate results/output., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0019]/items[at0020], code=at0020, itemType=ELEMENT, level=6, text=Formula name, description=Data element which is calculated or derived., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0019]/items[at0021], code=at0021, itemType=ELEMENT, level=6, text=Formula, description=Formula used to calculate or derive the Calculated field., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the device not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[at0067], code=at0067, itemType=ELEMENT, level=3, text=Field angle, description=Describes the optical acceptance angle of the lens used during the test, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 30º 
  • 45º 
  • 60º 
  • 100º 
  • 200º 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[at0072], code=at0072, itemType=ELEMENT, level=3, text=Attempts, description=Number of attempts before obtaining the acquisition (doesn't compute if test is repeated by a specific recognized technical failure), comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=1..3, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[at0073], code=at0073, itemType=CLUSTER, level=3, text=(Subdivision of the retina), description=Subdivision of the retina identifying eye fundus image locations, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[at0073]/items[at0074], code=at0074, itemType=ELEMENT, level=4, text=(ETRDS fields), description=Subdivision of the retina based on Diabetic Retinopathy Study fields, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Study field 1 
  • Study field 2 
  • Study field 3 
  • Study field 4 
  • Study field 5 
  • Study field 6 
  • Study field 7 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.clinical_image_acquisition.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[at0073]/items[at0082], code=at0082, itemType=ELEMENT, level=4, text=Mosaic and peripherals, description=Division of the retina in quadrants + mosaic obtained from the combination of them, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Mosaic 
  • Central 
  • Nasal 
  • Temporal 
  • Superior 
  • Inferior 
, extendedValues=null]], templateType=normal]