TEMPLATE Patient's background and diagnosis of glaucoma (Patient's background and diagnosis of glaucoma)

TEMPLATE IDPatient's background and diagnosis of glaucoma
ConceptPatient's background and diagnosis of glaucoma
DescriptionAnalyze the previous consultations and diagnostic tests of patients diagnosed with CG who are medically stable.
PurposeAnalyze the previous consultations and diagnostic tests of patients diagnosed with CG who are medically stable.
References
Authorsname: Aitor Eguzkitza; organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra; email: aitor.eguzkiza@unavarra.es; date: 2016-07-20
Other Details Languagename: Aitor Eguzkitza; organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra; email: aitor.eguzkiza@unavarra.es; date: 2016-07-20
OtherDetails Language Independent{MetaDataSet:Sample Set =Template metadata sample set, Copyright=© openEHR Foundation, Owner=Aitor Eguzkitza, aitor.eguzkiza@unavarra.es, Speciality=Ophthalmology}
Language useden
Citeable Identifier1013.26.131
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  • Routine eye consultation
  • Ophthalmologic review of an eye condition other than glaucoma
  • Ophthalmologic examination of patient with family history of glaucoma
  • Specialized consultation at the office of an ophthalmologist expert on glaucoma
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  • Established suspicion of glaucoma
  • Confirmed diagnosis of glaucoma
  • Establishment of long-term therapy for CG
  • Post-operation reassessment of glaucoma
  • Identified the need of modifying the treatment of CG
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text=Drug allergies, description=Description of known local or systemic intolerance of the patient to ocular or systemic medications., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0], code=at0000, itemType=OBSERVATION, level=1, text=Intraocular pressure, description=The local measurement of intraocular pressure, most commonly using a tonometry device., 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 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occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left 
  • Right 
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  •  Coded Text
    • Goldmann 
    • Perkins 
    • Tono-Pen 
    • Icare (Rebound) 
    • Dynamic Contour 
    • Ocular Response Analyzer 
    • TGDc-01 
    • Non-contact tonometry 
  •  Text
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  •  Coded Text
    • Pinhole visual acuity 
    • Usual corrected visual acuity 
    • Best corrected visual acuity 
    • Unaided visual acuity 
  •  Text
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  • Left eye 
  • Right eye 
  • Both eyes simultaneously 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0053]/items[at0055], code=at0055, itemType=ELEMENT, level=6, text=Absent Result, description=Details of a test result which could not be recorded., comment=Details of reasons for an absent test result can be described in Additional Comment or Confounding Factors., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Not performed 
    • Not completed 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0053]/items[at0028], code=at0028, itemType=CLUSTER, level=6, text=Notation, description=Details of a visual acuity result recorded using one of the result notation formats., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0053]/items[at0028]/items[at0056], code=at0056, itemType=ELEMENT, level=7, text=Metric Snellen, description=The distance test result, recorded in Snellen format expressed in metres, where 6/6 is regarded as normal., comment=Examples: '6/6, '6/12', '6/5', uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Ratio
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0053]/items[at0028]/items[at0009], code=at0009, itemType=ELEMENT, level=7, text=US Snellen, description=The distance test result, recorded as Snellen visual acuity expressed in feet, where 20/20 is regarded as normal., comment=Examples: '20/20' , '20/40', '20/18', uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Ratio
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0053]/items[at0028]/items[at0057], code=at0057, itemType=ELEMENT, level=7, text=Decimal Snellen, description=The distance test result,recorded as Sn ellen visual acuity expressed as a decimal ratio, where 1.0 is regarded as normal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Unitary
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0053]/items[at0028]/items[at0011], code=at0011, itemType=ELEMENT, level=7, text=ETDRS Letters, description=Visual acuity expressed using ETDRS Letters format, with a value of 100 regarded as normal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=1..120, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0053]/items[at0028]/items[at0046], code=at0046, itemType=ELEMENT, level=7, text=logMar, description=The test result, recorded as logMar visual acuity, where a value of 0 is regarded as normal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=-0.5..2, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0053]/items[at0028]/items[at0015], code=at0015, itemType=ELEMENT, level=7, text=Low Vision Score, description=Graded scale used when patient has low levels of visual acuity., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: NPL - No perception of light 
  • 2: PL - Perception of light 
  • 3: HM - Hand movement 
  • 4: CF - Count fingers 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0053]/items[at0059], code=at0059, itemType=ELEMENT, level=6, text=Letter Termination Adjustment, description=A line termination adjustment score applied to the visual acuity result., comment=If the patient can read at least half of the chart line the visual acuity terminatin line is recorded as that line, with the number of letters missed on that line recorded as a negative Letter Termination Adjustment score. If the patient can read less than half of a Visual Acuity line, the previous line is recorded as the Visual Acuity result, with the number of letters seen on the following line recorded as a positive 'Letter Termination Adjustment' score., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=-10..10
Assumed value: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0053]/items[at0010], code=at0010, itemType=ELEMENT, level=6, 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-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0053]/items[at0066], code=at0066, itemType=ELEMENT, level=6, 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-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0054], code=at0054, itemType=ELEMENT, level=5, 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-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/data[at0003]/items[at0040], code=at0040, itemType=ELEMENT, level=5, 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-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/state[at0041], code=at0041, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=State, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/state[at0041]/items[at0112], code=at0112, itemType=ELEMENT, level=5, 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-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/data[at0001]/events[at0134]/state[at0041]/items[at0042], code=at0042, itemType=ELEMENT, level=5, 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 
  • Contact lenses 
  • Pinhole 
  • Autorefraction 
  • Retinoscopy 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/protocol[at0020], code=at0020, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/protocol[at0020]/items[at0081], code=at0081, itemType=ELEMENT, level=3, text=Testing Distance, description=The distance at which the subject's visual acuity was measured., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0; >=0; >=0; >=0
Units:
  • ft
  • m
  • cm
  • in
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/protocol[at0020]/items[at0023], code=at0023, itemType=ELEMENT, level=3, text=Chart Method, description=The charting method used to measure visual acuity., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • logMar chart 
  • Snellen chart 
  • ETDRS chart 
  • Picture chart 
  • Reduced logMar 
  • Reduced Snellen 
  • Faculty of Ophthalmologists 'N' Score 
  • Jaeger 'J' Score 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/protocol[at0020]/items[at0021], code=at0021, itemType=ELEMENT, level=3, text=Chart Optotype, description=The style of chart optotype used to assess visual acuity., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Letter 
  • Orientation 
  • Picture 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/protocol[at0020]/items[at0022], code=at0022, itemType=ELEMENT, level=3, text=Chart Scoring Algorithm, description=The alogrithm used to determine the score., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Single letter 
  • Whole line 
  • Last line single letter 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/protocol[at0020]/items[at0092], code=at0092, itemType=ELEMENT, level=3, text=Derived Score Original Notation, description=The original visual acuity result notation from which the Derived Score was calculated., comment=When the visual acuity result is recorded using a Derived Score, this element can be used to record the original notation format, so that it can be displayed using the original notation., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • US Snellen 
  • Metric Snellen 
  • Decimal Snellen 
  • ETDRS Letters 
  • Low Vision Score 
  • logMar 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/protocol[at0020]/items[at0117], code=at0117, itemType=ELEMENT, level=3, text=Derived Score Algorithm, description=Details of the algorithm used to calculate a derived score., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1], code=at0000, itemType=OBSERVATION, level=1, 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-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, 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-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=3, text=Any event, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, 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-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=5, 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_CODED_TEXT, bindings=null, values=Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136], code=at0136, itemType=CLUSTER, level=5, 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-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0004], code=at0004, itemType=ELEMENT, level=6, 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 
  • Right eye 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051], code=at0051, itemType=CLUSTER, level=6, text=Acquisition details, description=Details about acquisition obtained during the examination of eye fundus, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0053], code=at0053, itemType=ELEMENT, level=7, text=Red reflex, description=True if Red Reflex is present, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0054], code=at0054, itemType=ELEMENT, level=7, text=Small pupil, description=True if during the acquisition, pupil diameter is smaller than normal (3,3mm), comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0123], code=at0123, itemType=ELEMENT, level=7, text=High refraction, description=True if the refraction of the eye exceeds the range from -12D to +15D, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0055], code=at0055, itemType=ELEMENT, level=7, text=Cataract artifact, description=True if cataract obstructs the visualization of eye fundus, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0056], code=at0056, itemType=ELEMENT, level=7, text=Shadow artifact, description=True if shadow artifact is present on the border of the image, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0124], code=at0124, itemType=ELEMENT, level=7, text=Uncooperative patient, description=True if patient doesn't collaborate during the image acquisition, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0128], code=at0128, itemType=ELEMENT, level=7, text=Others, description=Other details identified during the acquisition which may affect the results from reviewing the test, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0057], code=at0057, itemType=CLUSTER, level=7, text=Visualization, description=Details about image quality related to ease of visualization of structures on eye fundus, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0051]/items[at0057]/items[at0059], code=at0059, itemType=ELEMENT, level=8, text=Quality, description=Levels quantifying the quality of each acquisition, based in the ease to visualize the structures on the eye fundus, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Quality inadequate for any diagnostic purpose 
  • 2: Unable to exclude all emergent findings 
  • 3: Only able to exclude emergent findings 
  • 4: Quality not ideal, but is possible to exclude subtle findings 
  • 5: Ideal quality 
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occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/state[at0013], code=at0013, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=State, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/state[at0013]/items[at0014], code=at0014, itemType=ELEMENT, level=5, text=Mydriatic used, description=True if mydriatic is used, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028], code=at0028, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.patients_background.v0]/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Method, description=Method chosen to perform the funduscopic examination, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Direct 
  • Indirect 
  • Contact lens biomicroscopy 
  • Non-contact lens biomicroscopy 
  • Mydriatic retinography 
  • Non-mydriatic retinography 
  • Angiography 
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  • 30º 
  • 45º 
  • 60º 
  • 100º 
  • 200º 
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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 
  • Central 
  • Nasal 
  • Temporal 
  • Superior 
  • Inferior 
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  • Left eye 
  • Right eye 
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  • RF 
  • IR 
  • AF 
  • FA 
  • ICGA 
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  • OCT overview 
  • Retina exam 
  • Retina change 
  • 3D view 
  • Thickness map exam 
  • Thickness map change 
  • RNFL thickness exam 
  • RNFL thickness change 
  • RNFL thickness trend 
  • Asymmetry analysis 
  • RNFL & asymmetry analysis 
  • Posterior pole assessment 
  • Other 
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  • Reference image 
  • Single OCT scan 
  • OCT volume scan 
  • Retinal thickness profile 
  • Retinal thickness map 
  • RNFL thickness profile 
  • RNFL thickness map 
  • Thickness profile change 
  • Thickness map change 
  • Periapillary RNFL thickness classification 
  • Retinal average thickness 
  • Asymmetry OD-OS 
  • Hemisphere asymmetry 
  • RNFL thickness trend 
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  • Fluorescein 
  • Indocyanine green 
  • Rose Bengal 
  • Trypan blue 
  • Methylene blue 
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itemType=ELEMENT, level=6, text=Eye, description=The eye which is being examined., 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 
  • Right eye 
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  • Outside normal limits 
  • Borderline 
  • General reduction of sensitivity 
  • Abnormally high sensitivity 
  • Within normal limits 
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  • Percent
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  • Percent
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  • Percent
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  • Goldman perimetry 
  • Dicon 
  • Henson 
  • Octopus 
  • Humphrey 
  • Frequency Doubling Perimetry (FDP) 
  • FASTPAC automated standard perimetry 
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