TEMPLATE Diagnostic tests for monitoring the treatment of wet AMD (29bbcdeb-eef7-4844-b1b3-406d9f031393)

TEMPLATE ID29bbcdeb-eef7-4844-b1b3-406d9f031393
ConceptDiagnostic tests for monitoring the treatment of wet AMD
DescriptionRegister the acquisition of the diagnostic tests contemplated in the high resolution consultation to monitor the treatment of wet AMD.
PurposeRegister the acquisition of the diagnostic tests contemplated in the high resolution consultation to monitor the treatment of wet AMD.
References
Authorsname: Aitor Eguzkitza; organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra; email: aitor.eguzkiza@unavarra.es; date: 2016-07-29
Other Details Languagename: Aitor Eguzkitza; organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra; email: aitor.eguzkiza@unavarra.es; date: 2016-07-29
OtherDetails Language Independent{MetaDataSet:Sample Set =MetaDataSet:Sample Set , Copyright=Copyright, Owner=Owner, Speciality=Speciality}
Language useden
Citeable Identifier1013.26.119
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  • Assessment of wet AMD
  • Monitor the progression of chronic glaucoma
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  •  Text
  •  Identifier
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  •  Text
  •  Identifier
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  •  Coded Text
    • Pinhole visual acuity  [The test is performed with pinhole refraction applied.]
    • Usual corrected visual acuity  [The test is performed with the patient's usual refractive correction i.e spectacles or contact lenses.]
    • Best corrected visual acuity  [The test is performed with the patient's optimal refractive correction.]
    • Unaided visual acuity  [The test was performed without visual aid.]
  •  Text
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  • Left eye  [The test result refers to the visual acuity of the left eye only.]
  • Right eye  [The test result refers to the visual acuity of the right eye only.]
  • Both eyes simultaneously  [Both eyes were examined simultaneously.]
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  •  Coded Text
    • Not performed  [The visual acuity test was never performed.]
    • Not completed  [The visual acuity test was started but could not be completed.]
  •  Text
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  • Ratio
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  • Ratio
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  • Unitary
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  • 1: NPL - No perception of light  [The subject has no perception of light.]
  • 2: PL - Perception of light  [The subject can perceive light.]
  • 3: HM - Hand movement  [The subject can perceive hand movement.]
  • 4: CF - Count fingers  [The subject can count fingers.]
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Assumed value: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.visual_acuity_study.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0053]/items[at0010], code=at0010, itemType=ELEMENT, level=7, text=Derived Score, description=Visual acuity expressed as an integer score which is calculated from one or more of the other result notation formats. The original notation should be captured using 'Derived Score Original Notation' format'., comment=Details of the algorithm used and original result format may be recorded under 'Derived Score Methodology'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.visual_acuity_study.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0053]/items[at0066], code=at0066, itemType=ELEMENT, level=7, text=Interpretation, description=The test result expressed as a qualitative term, normally coded., comment=Example: 'Visual Acuity 20/20' or 'Jaeger 'J2' score'., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.visual_acuity_study.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0054], code=at0054, itemType=ELEMENT, level=6, text=Overall Interpretation, description=A term, commonly coded, expressing an overall interpretation of the visual acuity test., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.visual_acuity_study.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0040], code=at0040, itemType=ELEMENT, level=6, text=Comment, description=Any additional narrative comment about the visual acuity test., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.visual_acuity_study.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/state[at0041], code=at0041, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.visual_acuity_study.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/state[at0041]/items[at0112], code=at0112, itemType=ELEMENT, level=6, text=Confounding Factors, description=Patient circumstances which affect interpretation of the result. Often termed 'reliability' in opthalmological documentation., comment=Examples: 'Patient was confused', 'Low light conditions'., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.visual_acuity_study.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/state[at0041]/items[at0042], code=at0042, itemType=ELEMENT, level=6, text=Refractive Correction, description=The specific type(s) of refractive correction applied when measuring visual acuity., comment=Examples: 'No correction : unaided', 'Pinhole'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Spectacles  [The subject's vision was corrected by spectacles.]
  • Contact lenses  [The subject's vision was corrected by contact lenses.]
  • Pinhole  [The subject's vision was corrected by use of a pinhole.]
  • Autorefraction  [The subject's vision was corrected by autorefraction.]
  • Retinoscopy  [The subject's vision was corrected by retinoscopy.]
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Units:
  • ft
  • m
  • cm
  • in
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  • logMar chart  [A logMar chart was used to measure distance visual acuity.]
  • Snellen chart  [A Snellen chart was used to measure distance visual acuity.]
  • ETDRS chart  [An ETDRS chart was used to measure distance visual acuity.]
  • Picture chart  [A picture chart was used to measure distance visual acuity.]
  • Reduced logMar  [A Reduced logMar chart was used to measure near visual acuity.]
  • Reduced Snellen  [A Reduced Snellen chart was used to measure near visual acuity.]
  • Faculty of Ophthalmologists 'N' Score  [Faculty of Ophthalmologists 'N' Score chart was used to measure near visual acuity.]
  • Jaeger 'J' Score  [A Jaeger 'J' Score chart was used to measure near visual acuity.]
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  • Letter  [A letter optotype was used to measure distance visual acuity.]
  • Orientation  [An orientation optotype was used to measure distance visual acuity.]
  • Picture  [A picture optotype was used to measure distance visual acuity.]
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  • Single letter  [A single letter algorithm was used to derive the visual acuity score.]
  • Whole line  [A whole line algorithm was used to derive the visual acuity score.]
  • Last line single letter  [A last line single letter algorithm was used to derive the visual acuity score.]
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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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.visual_acuity_study.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/protocol[at0020]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, 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_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.visual_acuity_study.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/protocol[at0020]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=5, 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. 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  • US Snellen  [The distance test result, recorded as Snellen visual acuity expressed in feet, where 20/20 is regarded as normal.]
  • Metric Snellen  [The distance test result, recorded in Snellen format expressed in metres, where 6/6 is regarded as normal.]
  • Decimal Snellen  [The distance test result,recorded as Sn ellen visual acuity expressed as a decimal ratio, where 1.0 is regarded as normal.]
  • ETDRS Letters  [Visual acuity expressed using ETDRS Letters format, with a value of 100 regarded as normal.]
  • Low Vision Score  [Graded scale used when patient has low levels of visual acuity.]
  • logMar  [The test result, recorded as logMar visual acuity, where a value of 0 is regarded as normal.]
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  • DR screening
  • Assessment of wet AMD
  • Monitor the progression of chronic glaucoma
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  • Left  [Left side of the body.]
  • Right  [Right side of the body.]
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  •  Coded Text
    • Medial  [Towards the midline of the body site.]
    • Lateral  [Towards the side, or edge, of the body site.]
    • Superior  [Above the body site, often meaning towards the head.]
    • Inferior  [Below the body site, often meaning towards the feet.]
    • Anterior  [Towards the front, or ventral surface, of the body site.]
    • Posterior  [Towards the back, or dorsal surface, of the body site.]
    • Proximal  [More central or closer to the point of attachment, and usually describing part of a limb, digit or appendage.]
    • Distal  [More peripheral, or further from the point of attachment, and usually describing part of a limb, digit or appendage.]
    • Palmar  [Towards the palm of the hand.]
    • Plantar  [Towards the sole of the foot.]
    • Mid  [In the middle of the body site.]
    • Oral  [Towards the mouth. Usually used to describe locations within the digestive system.]
    • Anal  [Towards the anus. Usually used to describe locations within the digestive system.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-ACTION.imaging_exam.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0055], code=at0055, itemType=ELEMENT, level=5, text=Anatomical Line, description=Additional detail using theoretical lines drawn through anatomical structures used to provide a consistent reference point on the human body., comment=Common anatomical lines have been included as a value set, which can be extended over time, plus a free text option. The additional use of this data element allows for recording of the typical position of the heart's apex beat at 5th intercostal space, left side, and mid-clavicular line. If the 'Body site name' data element uses pre-coordinated terms that include anatomical line, then this data element is redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Midline  [Line running vertically which divides the body into left and right portions, passing through the head, spinal cord, and umbilicus. Alternatively it can refer to a line dividing a body part into two equal portions, for example a digit.]
    • Midaxillary line  [Line running vertically down the surface of the body, passing through the apex of the axilla.]
    • Anterior axillary line  [Line running vertically down the surface of the body, passing through the anterior axillary skinfold.]
    • Posterior axillary line  [Line running vertically down the surface of the body, passing through the posterior axillary skinfold.]
    • Mid-clavicular line  [Line running vertically down the surface of the body, parallel to the midline and passing through the midpoint of the clavicle.]
    • Mid-pupillary line  [Line running vertically down the face through the midpoint of the pupil when looking directly forward.]
    • Mid-scapular line  [Line running vertically down the posterior surface of the body, parallel to the midline and passing through the inferior point of the scapula.]
  •  Text
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Assumed value: 0 mm, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-ACTION.imaging_exam.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.mydriasis_application.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Mydriatic delivery method, description=The method of delivery if this should be specified (e.g. via a nebuliser or drops)., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-ACTION.imaging_exam.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.mydriasis_application.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Mydriatic agent, description=Chemical name of the compound used to apply midriasis., comment=Matches to DICOM (0022,0058) attribute. Values permitted are defined by DICOM standard (PS 3.16) inside the table with Context ID 4208 (Mydriatic agent), uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-ACTION.imaging_exam.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.mydriasis_application.v0]/items[openEHR-EHR-CLUSTER.medication_supply_amount.v0], code=at0000, itemType=CLUSTER, level=5, text=Medication supply amount, description=Details related to the amount of a medication, vaccine or other therapeutic item to be supplied or supplied to the patient, as part of authorisation, dispensing or administration., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-ACTION.imaging_exam.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.mydriasis_application.v0]/items[openEHR-EHR-CLUSTER.medication_supply_amount.v0]/items[at0161], code=at0161, itemType=ELEMENT, level=6, text=Amount description, description=A narrative representation of the amount The amount of medication, vaccine or therapeutic good intended to be supplied or actually supplied., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-ACTION.imaging_exam.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.mydriasis_application.v0]/items[openEHR-EHR-CLUSTER.medication_supply_amount.v0]/items[at0131], code=at0131, itemType=ELEMENT, level=6, text=Amount, description=The amount of medication, vaccine or therapeutic good intended to be supplied or actually supplied., comment=For example: 1, 1.5, or 0.125., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-ACTION.imaging_exam.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.mydriasis_application.v0]/items[openEHR-EHR-CLUSTER.medication_supply_amount.v0]/items[at0147], code=at0147, itemType=ELEMENT, level=6, text=Units, description=The dose unit or pack unit associated with the dispense amount., comment=For example: 'tablets', 'packs', ml'., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-ACTION.imaging_exam.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.mydriasis_application.v0]/items[openEHR-EHR-CLUSTER.medication_supply_amount.v0]/items[at0142], code=at0142, itemType=ELEMENT, level=6, text=Duration of supply, description=The period of time for which the medication should be dispensed or for which a suppy was dispensed., comment=The dispenser is asked to supply sufficient quantity of medication to cover the defined period., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Units:
  • Year
  • Month
  • Week
  • Day
  • Second
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This will indicate the scheduled date/time when recorded against the 'Appointment scheduled' care pathway step or the actual Start date/time in the 'Examination performed' step., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1], code=at0000, itemType=OBSERVATION, level=2, text=Fundoscopic examination of eyes, description=Record of clinical findings on fundoscopy of eyes, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation 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dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=6, text=Clinical Description, description=Descriptive overview of examination findings, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136], code=at0136, itemType=CLUSTER, level=6, text=Test Result, description=Details of the funduscopic examination test result for each eye., comment=null, uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Side, description=Determines the eye on which the test was performed.Matches to DICOM Laterality (0020,0060) attribute., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left eye  [The left eye was examined.]
  • Right eye  [The right eye was examined.]
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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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0123], code=at0123, itemType=ELEMENT, level=8, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0055], code=at0055, itemType=ELEMENT, level=8, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation 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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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0128], code=at0128, itemType=ELEMENT, level=8, 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=termset: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0057], code=at0057, itemType=CLUSTER, level=8, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/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=9, 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=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0065]/items[at0090], code=at0090, itemType=ELEMENT, level=8, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0065]/items[at0092], code=at0092, itemType=ELEMENT, level=8, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation 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occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0065]/items[at0098], code=at0098, itemType=ELEMENT, level=8, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0066], code=at0066, itemType=CLUSTER, level=7, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation 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occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/state[at0013]/items[at0014], code=at0014, itemType=ELEMENT, level=6, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028], code=at0028, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[at0029], code=at0029, itemType=ELEMENT, level=4, 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  [Study performed by direct ophthalmoscopy]
  • Indirect  [Study of eye fundus by indirect ophthalmoscopy method]
  • Contact lens biomicroscopy  [Eye fundus viewing through biomicroscopy lens in contact to patient's eye surface]
  • Non-contact lens biomicroscopy  [Eye fundus viewing through biomicroscopy lens without contact to patient's eye surface]
  • Mydriatic retinography  [Observation of retina through funduscopic images acquired by previous dilatation of patient's pupils]
  • Non-mydriatic retinography  [Observation of retina through funduscopic images acquired without previous dilatation of patient's pupils]
  • Angiography  [Observation of the eye fundus using a fluorescent dye inyected to emphasize the blood vessels in the eye retina]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1], code=at0000, itemType=CLUSTER, level=4, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, 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=termset: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation 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occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0020], code=at0020, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0022], code=at0022, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation 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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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0025], code=at0025, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0024], code=at0024, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/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=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/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=6, 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
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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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/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=6, 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], 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  •  Text
  •  Quantity
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  •  Text
  •  Interval of Quantity
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  •  Text
  •  Quantity
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  •  Text
  •  Quantity
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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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[at0067], code=at0067, itemType=ELEMENT, level=4, 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  [30º angle used for small pupil (SP) capture (for patients with pupil diameter <3.3mm)]
  • 45º  [45º angle used to acquire eye fundus of normal pupils]
  • 60º  [60º angle used to acquire eye fundus in some DR screening studies]
  • 100º  [Wide angle acquisition]
  • 200º  [Ultra-wide angle acquisition]
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  • Study field 1  [*]
  • Study field 2  [*]
  • Study field 3  [*]
  • Study field 4  [*]
  • Study field 5  [*]
  • Study field 6  [*]
  • Study field 7  [*]
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  • Mosaic  [Mosaic obtained from combining every peripheral acquisitions and the center one]
  • Central  [Image centered on the macula]
  • Nasal  [Image centered on the optic nerve or papila]
  • Temporal  [Image centered on the temporal quadrant of the retina]
  • Superior  [Image centered on the superior half of the retina]
  • Inferior  [Image centered on the inferior half of the retina]
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occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/data[at0001]/events[at0002]/data[at0008]/items[at0039], code=at0039, itemType=CLUSTER, level=6, text=Test result, description=Details of the ophthalmic tomography examination test result for each eye., comment=null, uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/data[at0001]/events[at0002]/data[at0008]/items[at0039]/items[at0040], code=at0040, itemType=ELEMENT, level=7, text=Side, description=Determines the eye on which the test was performed.Matches to DICOM Laterality (0020,0060) attribute., comment=Matches to DICOM Laterality (0020,0060) attribute., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left eye  [The left eye was examined.]
  • Right eye  [The right eye was examined.]
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  • RF  [Red-free imaging.]
  • IR  [Infrared reflectance imaging.]
  • AF  [BluePeak blue laser autofluorescence imaging.]
  • FA  [Fluorescein Angiography.]
  • ICGA  [Indocyanine green angiography.]
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  • OCT overview  [Details about slice/s of the retina regarding its/their position in the reference image.]
  • Retina exam  [Study of a slice of the retina and measurement of its thickness profile.]
  • Retina change  [Measurement of the thickness profile for each slice of retina in study and comparison of thickness progression in time during a follow-up.]
  • 3D view  [Study of a 3D recontruction of the retina.]
  • Thickness map exam  [Thickness study over the image of reference for multi-frame acquisition.]
  • Thickness map change  [Thickness progression study between several images of reference using different multi-frame acquisitions taken along time.]
  • RNFL thickness exam  [Measurement of thickness for retinal nerve fiber layer and comparison regarding the values from an age-adjusted normative database.]
  • RNFL thickness change  [Measurement of thickness for retinal nerve fiber layer and comparison regarding other measures obtained during a follow-up process.]
  • RNFL thickness trend  [Trend study for the evolution of retinal nerve fiber layer thickness.]
  • Asymmetry analysis  [Study of difference in thickness comparing: values in different eyes (OD-OS), and superior-inferior hemispheres of the same eye.]
  • RNFL & asymmetry analysis  [Study centered in retinal nerve fiber layer thickness and asymmetry of the retina.]
  • Posterior pole assessment  [Study centered in thickness around the optic nerve and macula.]
  • Other  [Other type of report.]
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  • Reference image  [The image of the retina used to indicate the position of OCT slices.]
  • Single OCT scan  [Report including a specific OCT scan.]
  • OCT volume scan  [A 3D reconstruction of eye structure using several OCT frames.]
  • Retinal thickness profile  [Graph showing the thickness of retina for a specific OCT scan.]
  • Retinal thickness map  [Coloured map showing the thickness of retina over the reference image.]
  • RNFL thickness profile  [Graph representing the thickness of the retinal nerve fiber layer around the optic nerve.]
  • RNFL thickness map  [Retinal nerve fiber layer thickness profile measured, compared to normal thickness values for different sections around the optic nerve.]
  • Thickness profile change  [Graph showing the thickness of retina from a specific OCT slice and compares them to values obtained in different acquisitions during a follow-up.]
  • Thickness map change  [Retinal thickness map obtained from the comparison of thickness values obtained in different acquisitions during a follow-up.]
  • Periapillary RNFL thickness classification  [Classification of total thickness measured for different sections around the papilla according to an age-adjusted normative database.]
  • Retinal average thickness  [Average thickness values in sections of retina located close to the macula.]
  • Asymmetry OD-OS  [Asymmetry map comparing thickness values from different eyes in the same locations.]
  • Hemisphere asymmetry  [Asymmetry map comparing thickness at superior and inferior hemispheres in retina.]
  • RNFL thickness trend  [Graph that represents the evolution along time of the thickness in retinal nerve fiber layer.]
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Values permitted are defined by DICOM standard (PS 3.16) inside the table with Context ID 4200 (Ophthalmic Imaging Agent)., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Fluorescein  [Corresponds to DICOM Code value C-B02CC.]
  • Indocyanine green  [Corresponds to DICOM Code value C-B0156.]
  • Rose Bengal  [Corresponds to DICOM Code value C-B0295.]
  • Trypan blue  [Corresponds to DICOM Code value C-22853.]
  • Methylene blue  [Corresponds to DICOM Code value C-B02C5.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/data[at0001]/events[at0002]/state[at0003]/items[at0130]/items[at0132], code=at0132, itemType=ELEMENT, level=7, text=Contrast/bolus volume, description=Volume injected in milliliters of diluted contrast agent., comment=Matches to DICOM (0018,1041) attribute., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 ml, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/data[at0001]/events[at0002]/state[at0003]/items[at0130]/items[at0133], code=at0133, itemType=ELEMENT, level=7, text=Contrast/bolus volume ingredient concentration, description=Milligrams of active ingredient per milliliter of (diluted) agent., comment=Matches to DICOM (0018,1049) attribute., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 mg/ml, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004], code=at0004, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1], code=at0000, itemType=CLUSTER, level=4, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, 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=termset: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0005], code=at0005, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0020], code=at0020, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0022], code=at0022, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0023], code=at0023, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0025], code=at0025, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0024], code=at0024, itemType=ELEMENT, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1], code=at0000, itemType=CLUSTER, level=5, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=6, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0023], code=at0023, itemType=ELEMENT, level=6, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0024], code=at0024, itemType=ELEMENT, level=6, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0025], code=at0025, itemType=ELEMENT, level=6, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=6, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=6, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0008], code=at0008, itemType=ELEMENT, level=6, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0010], code=at0010, itemType=ELEMENT, level=6, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0011], code=at0011, itemType=ELEMENT, level=6, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0012], code=at0012, itemType=ELEMENT, level=6, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0013], code=at0013, itemType=ELEMENT, level=6, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation OCT']/items[openEHR-EHR-OBSERVATION.ophthalmic_tomography_examination.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0014], code=at0014, itemType=ELEMENT, level=6, 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
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  • Left eye  [Left eye observation.]
  • Right eye  [Right eye observation.]
  • Both eyes  [Test acquired on both eyes of the patient.]
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  • Optical Coherence Tomography Scanner  [Corresponds to DICOM Code value A-00FBE.]
  • Retinal Thickness Analyzer  [Corresponds to DICOM Code value R-FAB5A.]
  • Confocal Scanning Laser Ophthalmoscope  [Corresponds to DICOM Code value A-00E8B.]
  • Scheimpflug Camera  [A slit reflected light microscope, which has the ability to form an image of the back scattered light from the eye in a sagittal plane. Scheimpflug cameras are able to achieve a wide depth of focus by employing the “Sheimpflug principle” where the lens and image planes are not parallel with each other. Rotating Sheimplug cameras are able to generate three-dimensional images and calculate measurements of the anterior chamber of the eye. Corresponds to DICOM Code value 111626.]
  • Scanning Laser Polarimeter  [Corresponds to DICOM Code value A-00E8C.]
  • Elevation-based corneal tomographer  [A device that measures corneal anterior surface shape using elevation-based methods (stereographic and light slit-based). Rasterstereography images a grid pattern illuminating the fluorescein dyed tear film with 2 cameras to produce 3D. Slit-based devices scan the cornea, usually by rotation about the instrument axis centered on the cornea vertex. Corresponds to DICOM Code value 111945.]
  • Reflection-based corneal topographer  [A reflection-based device that projects a pattern of light onto the cornea and an image of the reflection of that pattern from the tear film is recorded in one video frame. Light patterns include the circular mire pattern (Placido disc) and spot matrix patterns. Sequential scanning of light spots reflected from the corneal surface is also used requiring multiple video frames for recording. Corresponds to DICOM Code value 111946.]
  • Interferometry-based corneal tomographer  [An Interference-based device that projects a beam of light onto and through the cornea. Light reflected from within the cornea is combined with a reference beam giving rise to an interference pattern. Appropriately scanned, this imaging is used to construct 3-dimensional images of the cornea from anterior to posterior surfaces. E.g., swept source OCT. Corresponds to DICOM Code value 111947.]
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  • Transverse image overview  [While the majority of ophthalmic tomography imagingconsists of sets of longitudinal images (also known as B scans or line scans), transverse images (also known as coronal or “en face” images) can also provide useful information in determining the full extent of the volume affected by pathology.]
  • 3D reconstruction image analysis  [The prognosis of some pathologies can be aided by a 3D visualization of the affected areas of the eye.]
  • Video angiography  [Acquistion of simultaneous angiographies and OCT images.]
  • Thickness analysis  [Thickness measurements of specific anatomic structures might be useful for detection of areas of the eye affected by inflamation or tissue loss.]
  • Thickness evolution along-time (follow-up)  [The study of the evolution on thickness from an eye structure can warn us about the progress of a specific disease.]
  • Thickness classification (measured vs normative)  [Classification of measured thickness values, compared to a reference data defined by normative.]
  • Asymmetry analysis  [Comparison of thickness between different but symmetric eye structures.]
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  • Angle  [Study of anterior chamber angles.]
  • Cornea  [Study focusing on cornea of the eye.]
  • Iris  [Study focusing on iris of the eye.]
  • Sclera  [Study focusing on eye sclera.]
  • Glaucoma  [Study focusing on search glaucomatous defects.]
  • Retina  [Study focusing on eye retina.]
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  • Angle 1 ACA  [Anterior chamber angle: Angle 1.]
  • Angle 2 ACA  [Anterior chamber angle: Angle 2.]
  • Angle small  [*]
  • Cornea dense  [*]
  • Cornea large  [*]
  • Cornea scan 08  [*]
  • Cornea scan 11  [*]
  • Cornea small  [*]
  • Sclera dense  [*]
  • Sclera large  [*]
  • Sclera scan 08  [*]
  • Sclera scan 11  [*]
  • Sclera small  [*]
  • Sclera vol. bleb  [*]
  • Glaucoma dense  [*]
  • Glaucoma Fast  [*]
  • Glaucoma ONH  [Glaucoma optic nerve head.]
  • Glaucoma P. Pole  [Glaucoma posterior pole.]
  • Glaucoma RNFL  [Glaucoma retinal nerve fiber layer.]
  • Retina 7 lines  [*]
  • Retina dense  [*]
  • Retina detail  [*]
  • Retina fast  [*]
  • Retina Fast HR  [Retina fast high resolution.]
  • Retina Lin HR  [Retina Lin HR.]
  • Retina P. Pole  [Retina posterior pole.]
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  • Single  [The scan is composed by a single section strategically acquired on the eye structure to be studied.]
  • Radial  [The scan depicts a circle around the eye structure to be studied.]
  • Star  [The scan comprises of several slices with the eye structure to be studied as axis in common. Those are uniformly distributed with different angles, so they describe the shape of a star.]
  • High speed multi-frame  [The scan it is comprised of multiple parallel frames. So that, it is possible to reconstruct volumetric structures.]
  • High resolution multi-frame  [Increases resolution of the scan. It is useful to analyze eye structures that provide many information in a small area, such as fovea or the optic nerve head.]
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  • Remote assessment of wet AMD
  • Review of AMD state at the retinologist's office
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-report.v1]/activities[at0001]/description[at0009]/items[at0135], code=at0135, itemType=ELEMENT, level=5, text=Description of service, description=A detailed narrative description of the service requested., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-report.v1]/activities[at0001]/description[at0009]/items[at0062], code=at0062, itemType=ELEMENT, level=5, text=Reason for request, description=A short description of the reason for the request. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Completed the diagnostic tests necessary for assessment
  • Patient not responding to treatment
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  • Emergency  [The request is an emergency.]
  • Urgent  [The request is urgent.]
  • Routine  [The request is routine.]
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This is also referred to as Placer Order Identifier., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-report.v1]/protocol[at0008]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Receiver identifier, description=The ID assigned to the order by the healthcare provider or organisation receiving the request for service. This is also referred to as Filler Order Identifier., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-report.v1]/protocol[at0008]/items[at0127], code=at0127, itemType=ELEMENT, level=4, text=Request status, description=The status of the request for service as indicated by the requester. Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0], code=at0000, itemType=INSTRUCTION, level=2, text=Service request, description=Request for a health-related service to be supplied by a healthcare provider or agency., comment=For example equipment request., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001], code=at0001, itemType=ACTIVITY, level=3, text=Request, description=Description of the requested service., comment=null, uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Description, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[at0121], code=at0121, itemType=ELEMENT, level=5, text=Service name, description=Identification of the service requested, by name., comment=Coding of the 'Service name' with a coding system is desirable, if available., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Follow-up schedule for the treatment of wet AMD
  • Repeat anti-VEGF injection to treat wet AMD
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[at0148], code=at0148, itemType=ELEMENT, level=5, text=Service type, description=Category of service requested., comment=For example: hospital vs home care delivery., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[at0135], code=at0135, itemType=ELEMENT, level=5, text=Description, description=Narrative description of the service requested., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Follow-up comprised by VA, NMR, OCT tests
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  • Stable state of wet AMD
  • Progressive state of wet AMD
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  •  Coded Text
    • Emergency  [The request requires immediate attention.]
    • Urgent  [The request requires prioritised attention.]
    • Routine  [The request does not require prioritised scheduling.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[at0040], code=at0040, itemType=ELEMENT, level=5, text=Service due, description=The date/time, or acceptable interval of date/time, for provision of the service., comment=In practice, clinicians will often think in terms of ordering services as approximate timing, for example: review in 3 months, 6 months or 12 months. As clinical systems need more exact parameters to operate on, this '3 months' will usually be converted to an exact date 3 months from the date of recording and stored using this data element., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[at0145], code=at0145, itemType=ELEMENT, level=5, text=Service period start, description=The date/time that marks the beginning of the valid period of time for delivery of this service., comment=This date/time is the equivalent to the earliest possible date for service delivery. For example: sometimes a certain amount of time must pass before a service can be performed, for example some procedures can only be performed once the patient has stopped taking medications for a specific amount of time., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[at0144], code=at0144, itemType=ELEMENT, level=5, text=Service period expiry, description=The date/time that marks the conclusion of the valid period of time for delivery of this service., comment=This date/time is the equivalent to the latest possible date for service delivery or to the date of expiry for this request. For example: a service may be required to be completed before another event, such as scheduled surgery., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[at0147], code=at0147, itemType=ELEMENT, level=5, text=Indefinite?, description=The valid period for this request is open ended and has no date of expiry., comment=Record as TRUE to record explicity that the request has no expiry date., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008], code=at0008, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Requestor Identifier, description=The local ID assigned to the order by the healthcare provider or organisation requesting the service. This is also referred to as Placer Order Identifier., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Receiver identifier, description=The ID assigned to the order by the healthcare provider or organisation receiving the request for service. This is also referred to as Filler Order Identifier., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008]/items[at0127], code=at0127, itemType=ELEMENT, level=4, text=Request status, description=The status of the request for service as indicated by the requester. Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], templateType=normal]