TEMPLATE Image test analysis for AMD (Image test analysis for AMD)

TEMPLATE IDImage test analysis for AMD
ConceptImage test analysis for AMD
DescriptionRegister the examination of diagnostic imaging acquisitions available to get clinically relevant findings for the assessmen of AMD.
PurposeRegister the examination of diagnostic imaging acquisitions available to get clinically relevant findings for the assessmen of AMD.
References
Authorsname: Aitor Eguzkitza; organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra; email: aitor.eguzkiza@unavarra.es; date: 2016-07-20
Other Details Languagename: Aitor Eguzkitza; organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra; email: aitor.eguzkiza@unavarra.es; date: 2016-07-20
Other Details (Language Independent)
  • MetaDataSet:Sample Set : Template metadata sample set
  • Copyright: © openEHR Foundation
  • Owner: Aitor Eguzkitza, aitor.eguzkiza@unavarra.es
  • Speciality: Ophthalmology
Language useden
Citeable Identifier1013.26.123
Root archetype idopenEHR-EHR-SECTION.image_test_analysis.v0
Image test analysisImage test analysis: Describes the analysis of image based diagnostic tests, to find clinical findings which can be relevant to decide a diagnosis for a specific disease.
Fundoscopic examination of eyesFundoscopic examination of eyes: Record of clinical findings on fundoscopy of eyes
Data
Any eventAny event: *
Data
Clinical DescriptionClinical Description: Descriptive overview of examination findings
Test ResultTest Result: Details of the funduscopic examination test result for each eye.
SideSide: Determines the eye on which the test was performed.Matches to DICOM Laterality (0020,0060) attribute.
  • Left eye 
  • Right eye 
Structural descriptionStructural description: General description of the structures in the eye fundus
Optic DiscOptic Disc: Description of optic disc
MaculaMacula: Description of macula
Retinal arteriesRetinal arteries: Description of retinal arteries
Retinal veinsRetinal veins: Description of retinal veins
Retinal backgroundRetinal background: Description of retinal background
VitreousVitreous: Description of vitreous humour
Clinical resultsClinical results: Information of diagnostic interest obtained in the test
Other findingsOther findings: Narrative description of clinical findings not considered in the SLOT
Value set: terminology:Snomed?subset=Findings%20in%20posterior%20pole%20of%20eye&language=en-GB
State
Mydriatic usedMydriatic used: True if mydriatic is used
Assumed value: false
Ophthalmic tomography examinationOphthalmic tomography examination: Record of clinical findings using optical coherence tomography with ophthalmic purposes.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
Clinical descriptionClinical description: A term, commonly coded, expressing an overall interpretation of the OCT test.
Test resultTest result: Details of the ophthalmic tomography examination test result for each eye.
SideSide: Determines the eye on which the test was performed.Matches to DICOM Laterality (0020,0060) attribute.
Matches to DICOM Laterality (0020,0060) attribute.
  • Left eye 
  • Right eye 
Structure analyzedStructure analyzed: The anatomic structure analyzed in this study.
Matches to DICOM Anatomic Region Sequence (0008,2218) attribute. Values permitted are defined by DICOM standard (PS 3.16) inside the table with Context ID 4211 (Ophthalmic OCT Anatomic Structure Imaged).
Value set: ac0001
Clinical findingsClinical findings: Every finding considered clinically relevant, found on posterior chamber of the eye.
Value set: ac0002
Other contributorsjose.andonegui.navarro@cfnavarra.es; Luis Serrano, Universidad Pública de Navarra (UPNA), lserrano@unavarra.es; Jesús D. Trigo, Universidad Pública de Navarra (UPNA), jesusdaniel.trigo@unavarra.es