TEMPLATE Diagnostic tests in the follow-up of CG (30416d47-d4f9-4b86-bc02-b0c21a293dbe)

TEMPLATE ID30416d47-d4f9-4b86-bc02-b0c21a293dbe
ConceptDiagnostic tests in the follow-up of CG
DescriptionRegister the acquisition of the diagnostic tests contemplated in the follow-up of chronic glaucoma.
PurposeRegister the acquisition of the diagnostic tests contemplated in the follow-up of chronic glaucoma.
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 =MetaDataSet:Sample Set , Copyright=Copyright, Owner=Owner, Speciality=Speciality}
Language useden
Citeable Identifier1013.26.144
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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.]
, 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[at0022], code=at0022, itemType=ELEMENT, level=4, 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  [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. 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.visual_acuity_study.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/protocol[at0020]/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.visual_acuity_study.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/protocol[at0020]/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.visual_acuity_study.v0]/items[openEHR-EHR-OBSERVATION.visual_acuity.v1]/protocol[at0020]/items[at0092], code=at0092, itemType=ELEMENT, level=4, 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  [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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If the requirements for recording the method require more complex modelling then this can be represented by additional archetypes within the 'Procedure detail' SLOT in this archetype. If the method is included in the 'Procedure name' via precoordinated codes, this data element becomes redundant., 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.intraocular_pressure_study.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0058], code=at0058, itemType=ELEMENT, level=4, text=Urgency, description=Urgency of the procedure., comment=Coding with a terminology is preferred, where possible., 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.intraocular_pressure_study.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0066], code=at0066, itemType=ELEMENT, level=4, text=Scheduled date/time, description=The date and/or time on which the procedure is intended to be performed., comment=Only for use in association with the 'Procedure scheduled' pathway step., 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.intraocular_pressure_study.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0060], code=at0060, itemType=ELEMENT, level=4, text=Final end date/time, description=The date and/or time when the entire procedure, or the last component of a multicomponent procedure, was finished., comment=Only for use in association with the 'Procedure performed' pathway step, and in situations where the procedure is repeated on multiple occasions before being completed or there are multiple components to the whole procedure. This may be the same as the RM time attribute for the 'Procedure completed' pathway step., 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.intraocular_pressure_study.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0014], code=at0014, itemType=ELEMENT, level=4, text=Reason, description=Reason that the activity or care pathway step for the identified procedure was carried out., comment=For example: the reason for the cancellation or suspension of the procedure., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • DR screening
  • Monitor the progression of chronic glaucoma
  • Routine eye consultation
  • Other reason
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  •  Text
  •  Identifier
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  •  Text
  •  Identifier
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  • Left  [The left eye was examined.]
  • Right  [The right eye was examined.]
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subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068], code=at0068, 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.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/items[at0046], code=at0046, itemType=ELEMENT, level=4, text=Tonometry Method, description=Type of tonometery used to measure intracoular pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Goldmann  [Goldmann tonometry.]
    • Perkins  [Perkins tonometry.]
    • Tono-Pen  [Tono-Pen tonometry.]
    • Icare (Rebound)  [Icare (Rebound) tonometry.]
    • Dynamic Contour  [Dynamic Contour tonometry.]
    • Ocular Response Analyzer  [Ocular Response Analyzer.]
    • TGDc-01  [A TGDc-01 device was used to perform the test.]
    • Non-contact tonometry  [Non-contact tonometry was used to perfrom the test.]
  •  Text
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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.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/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.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/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.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/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.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/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.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/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.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/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.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/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.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/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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  •  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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[path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0017], code=at0017, itemType=ELEMENT, level=6, text=Date last calibrated, description=Date the device was last calibrated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/items[openEHR-EHR-CLUSTER.device.v1]/items[openEHR-EHR-CLUSTER.device_details.v1]/items[at0016], code=at0016, itemType=ELEMENT, level=6, text=Date last serviced, description=The date the device was last serviced., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0008], code=at0008, itemType=ELEMENT, level=5, text=Comment, description=Additional narrative about the device not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/items[openEHR-EHR-CLUSTER.corneal_thickness_details.v0], code=at0000, itemType=CLUSTER, level=4, text=Central corneal thickness details, description=Measurement details about of the central corneal thickness., 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.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/items[openEHR-EHR-CLUSTER.corneal_thickness_details.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Central Corneal Thickness (CCT), description=Value measured of the central corneal thickness., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=400..700 um, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/items[openEHR-EHR-CLUSTER.corneal_thickness_details.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Measurement Method, description=Method used to measure the corneal thickness parameter., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: ac0001, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_pressure_study.v0]/items[openEHR-EHR-OBSERVATION.intraocular_pressure.v0]/protocol[at0068]/items[openEHR-EHR-CLUSTER.corneal_thickness_details.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Correction parameter, description=Parameter obtained from tables provided by manufacturers, to correct the intraocular pressure value according to the central corneal thickness obtained., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=-7..7 mm[Hg]
Assumed value: 0 mm[Hg], 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'], code=at0000, itemType=SECTION, level=1, text=Clinical image acquisition and validation NMR, description=Manages the acquisition and validation of diagnostic tests based on medical imaging., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, 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], code=at0000, itemType=ACTION, level=2, text=Imaging examination, description=Clinical activity about performing an imaging examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, 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], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, 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.clinical_image_acquisition.v0 and name/value='Clinical image acquisition and validation NMR']/items[openEHR-EHR-ACTION.imaging_exam.v1]/description[at0001]/items[at0017], code=at0017, itemType=ELEMENT, level=4, text=Examination name, description=The name of the examination (to be) performed. Coding of the specific procedure with a terminology is preferred, where possible., 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[at0018], code=at0018, itemType=ELEMENT, level=4, text=Description, description=Narrative description about the activity or care pathway step for the identified examination, for example description about the performance and findings from the the examination, the failed attempt or the cancellation of the examination., 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[at0019], code=at0019, itemType=ELEMENT, level=4, text=Reason, description=Reason that the activity or care pathway step for the identified examination was carried out, for example, the reason for the cancellation or suspension of the examination., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Assessment of wet AMD
  • Monitor the progression of chronic glaucoma
, 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], code=at0000, itemType=CLUSTER, level=4, text=Anatomical location, description=A physical site on or within the human body., 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-ACTION.imaging_exam.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Body site name, description=Identification of a single physical site either on, or within, the human body., comment=This data element is the only mandated data point in this archetype and should be used as the primary data point to record an anatomical location with a commonly used name. It is strongly recommended that 'Body site name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier. Use the other data elements for laterality, aspect, region and anatomical line to provide more detail. This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology 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.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[at0065], code=at0065, itemType=ELEMENT, level=5, text=Specific site, description=Additional detail using a specific region or a point on, or within, the identified body site., comment=Use to increase precision of identification of the body site, if required. For example, the upper right quadrant or McBurney's point on the abdominal wall or interphalangeal joint of the great toe. If the 'Body site name' data element uses pre-coordinated terms that include the specific site, then this data element is redundant., 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.anatomical_location.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Laterality, description=The side of the body on which the identified body site is located., comment=If the identified body site has no laterality, this data element should not have a value. If the 'Body site name' data element uses pre-coordinated terms that include laterality, then this data element is redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left  [Left side of the body.]
  • Right  [Right side of the body.]
, 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[at0064], code=at0064, itemType=ELEMENT, level=5, text=Aspect, description=Qualifying detail about the specific aspect of the identified body site., comment=Use to increase precision of identification of the body site, if required. Common aspects have been included as a value set, which can be extended over time, plus a free text option. Assumes that the body is being described while in the anatomical position. For example: proximal urethra; plantar aspect of the left thumb. Multiple aspects can also be described, if required, by allowing for 0..2 occurrences. For example: a lesion may be on the left anterior/lateral (ie anterolateral) chest wall. If the 'Body site name' data element uses pre-coordinated terms that include the aspect, then this data element is redundant., uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  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, 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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 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(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, 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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  [*]
, 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[at0058], code=at0058, itemType=ELEMENT, level=9, text=Comment, description=Comment, especially if not fully visualised, 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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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 NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0136]/items[at0066]/items[at0126], code=at0126, itemType=ELEMENT, level=8, text=Other findings, description=Narrative description of clinical findings not considered in the SLOT, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-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], code=at0013, 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.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 NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/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 NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/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 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 NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/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 NMR']/items[openEHR-EHR-OBSERVATION.fundoscopic_examination.v1]/protocol[at0028]/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 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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  •  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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  • Left eye  [The left eye was examined.]
  • Right eye  [The right eye was examined.]
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  • Outside normal limits  [Differences between a matched pair of corresponding zones exceeds the difference found in 99% of the normal population, or when both members of a pair of zones are more abnormal than 99.5% of the individuals with the normative population.]
  • Borderline  [Matched pairs of zones are abnormal at the 97th percentile within the normative database.]
  • General reduction of sensitivity  [Conditions for “outside normal limits” are not met, and the best region of the visual field is at or below the 99.5th percentile of the normative population.]
  • Abnormally high sensitivity  [Overall sensitivity in the affected region of the VF is better than 99.5% of individuals within the normative population.]
  • Within normal limits  [None of the abnormal conditions are met.]
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  • Percent
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  • Percent
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  • Percent
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  • Goldman perimetry  [Goldman perimetry was used to measure the visual fields.]
  • Dicon  [The Dicon device was used to measure the visual fields.]
  • Henson  [A Henson device was used to measure the visual fields.]
  • Octopus  [An Octopus device was used to measure the visual fields.]
  • Humphrey  [A Humphrey device was used to measure the visual fields.]
  • Frequency Doubling Perimetry (FDP)  [Frequency Doubling Perimetry was used to measure the visual fields.]
  • FASTPAC automated standard perimetry  [FASTPAC automated standard perimetry was used to measure the visual fields.]
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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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  • Goldman  [Goldman perimetry was used to measure the visual fields.]
  • Dicon  [The Dicon device was used to measure the visual fields.]
  • Henson  [A Henson device was used to measure the visual fields.]
  • Octopus  [An Octopus device was used to measure the visual fields.]
  • Humphrey  [A Humphrey device was used to measure the visual fields.]
  • FDP  [Frequency Doubling Perimetry was used to measure the visual fields.]
  • FASTPAC  [FASTPAC automated standard perimetry was used to measure the visual fields.]
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  • 24-2  [Visual field test pattern, nominally covering an area within 24° of fixation. Consists of 54 test points a minimum of 3° from each meridian and placed 6° apart. Corresponds to DICOM Code value 111800.]
  • 10-2  [Visual field test pattern, nominally covering an area within 10° of fixation. Consists of 68 test points a minimum of 1° from each meridian and placed 2° apart. Corresponds to DICOM Code value 111801.]
  • 30-2  [Visual field test pattern consisting of test point locations within 30° of fixation. Consists of 76 test points a minimum of 3° from each meridian and placed 6° apart. Corresponds to DICOM Code value 111802.]
  • 60-4  [Visual field test pattern consisting of 60 test point locations between 30° and 60° of fixation a minimum of 6° from each meridian and placed 12° apart. Corresponds to DICOM Code value 111803.]
  • Macula  [Visual field test pattern consisting of 16 test point locations within 10° of fixation a minimum of 1° from each meridian and placed 2° apart. Corresponds to DICOM Code value 111804.]
  • Central 40 Point  [Visual field test pattern consisting of 40 test point locations within 30° of fixation that spread out radially from fixation. Corresponds to DICOM Code value 111805.]
  • Central 76 Point  [Visual field test pattern consisting of 76 test point locations within 30° of fixation a minimum of 3° from each meridian and placed 6° apart. Corresponds to DICOM Code value 111806.]
  • Peripheral 60 Point  [Visual field test pattern consisting of 60 test point locations between 30° and 60° of fixation a minimum of 6° from each meridian and placed 12° apart. Corresponds to DICOM Code value 111807.]
  • Full Field 81 Point  [Visual field test pattern consisting of 81 test point locations within 60° of fixation that spread out radially from fixation. Corresponds to DICOM Code value 111808.]
  • Full Field 120 Point  [Visual field test pattern consisting of 120 test point locations within 60° of fixation that spread out radially from fixation, concentrated in the nasal hemisphere. Corresponds to DICOM Code value 111809.]
  • Glaucoma (G)  [Visual field test pattern for glaucoma and general visual field assessment with 59 test locations of which 16 test locations are in the macular area (up to 10° eccentricity) and where the density of test location is reduced with eccentricity. The test can be extended with the inclusion of 14 test locations between 30° and 60° eccentricity, 6 of which are located at the nasal step. Corresponds to DICOM Code value 111810.]
  • [Visual field test pattern for the macular area. Orthogonal test pattern with 0.7° spacing within the central 4° of eccentricity and reduced density of test locations between 4 and 10,5° of eccentricity. 81 test locations over all. The test can be extended to include the test locations of the Visual Field G Test Pattern between 10,5° and 60°. Corresponds to DICOM Code value 111811.]
  • 07  [Full visual field test pattern with 48 test locations from 0-30° and 82 test locations from 30-70°. Reduced test point density with increased eccentricity. Can be combined with screening and threshold strategies. Corresponds to DICOM Code value 111812.]
  • Low Vision Centra (LVC)  [Visual field low vision central test pattern. Orthogonal off-center test pattern with 6° spacing. 75 test locations within the central 30°. Corresponds with the 32/30-2 excluding the 2 locations at the blind spot, including a macular test location. The LVC is linked with a staircase threshold strategy starting at 0 dB intensity and applies stimulus area V. Corresponds to DICOM Code value 111813.]
  • Central  [Visual field central test pattern. General test corresponding to the 30-2 but excluding the 2 test locations in the blind spot area, hence with 74 instead of 76 test locations. Corresponds to DICOM Code value 111814.]
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  • SITA-Standard  [Swedish Interactive Thresholding Algorithm (SITA) test strategy. Strategy gains testing efficiency through use of visual field and information theory models. Corresponds to DICOM Code value 111815.]
  • SITA-SWAP  [Adaptation of SITA testing methods to Blue-Yellow testing. Corresponds to DICOM Code value 111816.]
  • SITA-Fast  [Similar to SITA-Standard test strategy but with less strict criteria for closing test points. Intended for patients who must be tested in the shortest possible time. Corresponds to DICOM Code value 111817.]
  • Full Threshold (FT)  [Threshold test strategy algorithm that determines a patient’s sensitivity at each test point in the threshold test pattern by adjusting intensity by 4 dB steps until the patient changes their response, and then adjusts the intensity in the opposite direction by 2 dB steps until the patient changes their response again. The last stimulus seen by the patient is recognized as the threshold for that point. The starting values are determined by first thresholding a “primary” point in each quadrant then using the results of each primary point to determine the starting values for neighboring points. Corresponds to DICOM Code value 111818.]
  • FastPac  [Similar to the Full Threshold algorithm except that it steps by 3 dB and only crosses the threshold only once. Corresponds to DICOM Code value 111819.]
  • Full From Prior  [Identical to Full Threshold test strategy except that starting values are determined by the results of a previous test performed using the same test pattern and the Full Threshold test strategy. Corresponds to DICOM Code value 111820.]
  • Optima  [Similar to FastPac test strategy except that the steps are pseudo-dynamic (differ based on the intensity of the last presentation). Corresponds to DICOM Code value 111821.]
  • Two-Zone  [Suprathreshold testing strategy, in which each point is initially tested using stimulus that is 6 dB brighter than the expected hill of vision. If the patient does not respond, the stimulus is presented a second time at the same brightness. If the patient sees either presentation, the point is marked as “seen”; otherwise it is marked as “not seen”. Corresponds to DICOM Code value 111822.]
  • Three-Zone  [An extension of the two-zone test strategy in which test points where the second stimulus is not seen are presented with a third stimulus at maximum brightness. Corresponds to DICOM Code value 111823.]
  • Quantify-Defects  [An extension of the two-zone test strategy, in which test points where the second stimulus is not seen receive threshold testing to quantify the depth of any detected scotomoas. Corresponds to DICOM Code value 111824.]
  • TOP  [Tendency Oriented Perimetry (TOP) test strategy. Fast thresholding algorithm. Test strategy makes use of the interaction between neighboring test locations to reduce the test time compared to normal full threshold strategy by 60-80%. Corresponds to DICOM Code value 111825.]
  • Dynamic  [Dynamic test strategy is a fast thresholding strategy reducing test duration by adapting the dB step sizes according to the frequency-of-seeing curve of the threshold. Reduction of test time compared to normal full threshold strategy 30-50%. Corresponds to DICOM Code value 111826.]
  • Normal  [Traditional full threshold staircase test strategy. Initial intensities are presented, based on anchor point sensitivities in each quadrant and based on already known neighboring sensitivities. In a first run, thresholds are changed in 4dB steps until the first response reversal. Then the threshold is changed in 2 dB steps until the second response reversal. The threshold is calculated as the average between the last seen and last not-seen stimulus, supposed to correspond with the 50% point in the frequency-of-seeing curve. Corresponds to DICOM Code value 111827.]
  • 1-LT  [One level screening test strategy: Each test location is tested with a single intensity. The result is shown as seen or not-seen. The intensity can either be a 0 dB stimulus or a predefined intensity. Corresponds to DICOM Code value 111828.]
  • 2-LT  [Two level screening test strategy: Each test location is initially tested 6 dB brighter than the age corrected normal value. Corresponds to DICOM Code value 111829.]
  • LVS  [Low Vision Strategy (LVS) is a full threshold normal strategy with the exception that it starts at 0 dB intensity and applies stimulus area V. Corresponds to DICOM Code value 111830.]
  • GATE  [German Adaptive Threshold Estimation (GATE) is a fast test strategy based on a modified 4-2 staircase algorithm, using prior visual fields to calculate the starting intensity. Corresponds to DICOM Code value 111831.]
  • GATEi  [Similar to GATE test strategy. The i stands for initial. If there was no prior visual field test to calculate the starting values, an anchor point method is used to define the local start values. Corresponds to DICOM Code value 111832.]
  • 2LT-Dynamic  [A test started as two level screening test strategy. In the course of the test, the threshold of relative defects and/or normal test locations has been quantified using the dynamic threshold strategy. Corresponds to DICOM Code value 111833.]
  • 2LT-Normal  [A test started as two level screening test strategy. In the course of the test, the threshold of relative defects and/or normal test locations has been quantified using the normal full threshold strategy. Corresponds to DICOM Code value 111834.]
  • Fast Threshold  [This test strategy takes neighbourhood test point results into account and offers stimuli with an adapted value to save time. Corresponds to DICOM Code value 111835.]
  • CLIP  [Continuous Luminance Incremental Perimetry (CLIP) test strategy which measures at first the individual reaction time of the patient and threshold values in every quadrant. The starting value for the main test is slightly below in individual threshold. Corresponds to DICOM Code value 111836.]
  • CLASS Strategy  [A supra threshold screening strategy. The starting stimuli intensities depend on the classification of the patient’s visual hill by measuring the central (fovea) or peripheral (15° meridian) threshold. The result of each dot slightly underestimates the sensitivity value (within 5 dB). Corresponds to DICOM Code value 111837.]
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  • Age corrected  [The starting luminance s is chosen based on the age of the patient. Corresponds to DICOM Code value 111838.]
  • Threshold related  [The starting luminance is chosen based on the results of thresholding a set of “primary” test points (one in each quadrant). Corresponds to DICOM Code value 111839.]
  • Single luminance  [All starting luminance is set to the same value. Corresponds to DICOM Code value 111840.]
  • Foveal sensitivity related  [The starting luminance is chosen based on the result of the foveal threshold value. Corresponds to DICOM Code value 111841.]
  • Related to non macular sensitivity  [The starting luminance is chosen based on the result of four threshold values measured near the 15° meridian (one in each quadrant). Corresponds to DICOM Code value 111842.]
  • User chosen value  [Observation value selected by user for further processing or use, or as most representative. Corresponds to DICOM Code value 121410.]
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  • Automated Optical  [Real time evaluation of the camera image to recognize blinks and fixation losses with influence on the test procedure. Blinks that interfere with stimuli presentation cause the automated repetition of such stimulus presentations. Fixation losses can be used to delay the stimulus presentation until correct fixation is regained. Corresponds to DICOM Code value 111843.]
  • Blind Spot Monitoring  [A method of monitoring the patient’s fixation by periodically presenting stimulus in a location on the background surface that corresponds to the patient’s blind spot. Corresponds to DICOM Code value 111844.]
  • Macular Fixation Testing  [A method of monitoring the patient’s fixation by presenting the stimulus to the patient’s macula. Corresponds to DICOM Code value 111845.]
  • Observation by Examiner  [A method of monitoring the patient’s fixation by observation from the examiner of the patient. Corresponds to DICOM Code value 111846.]
  • None  [Corresponds to DICOM Code value R-40775.]
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  •  Coded Text
    • Goldmann size I  [Goldmann I target size was used (0.25 mm2).]
    • Goldmann size II  [Goldmann II target size was used (1 mm2).]
    • Goldmann size III  [Goldmann III target size was used (4 mm2).]
    • Goldmann size IV  [Goldmann IV target size was used (16 mm2).]
    • Goldmann size V  [Goldmann V target size was used (64 mm2).]
  •  Quantity>=0 deg
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  •  Coded Text
    • 4 ASB  [Background illuminated with 4 ASB.]
    • 31.5 ASB  [Background illuminated with 31.5 ASB.]
    • 100 ASB  [Background illuminated with 100 ASB.]
    • 1000 ASB  [Background illuminated with 1000 ASB.]
  •  QuantityUnits: asb
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  • Office assessment of glaucoma
  • Remote assessment of chronic glaucoma
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  • Completed the diagnostic tests necessary for assessment
  • Determine therapy for progressive glaucoma
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  • Emergency  [The request is an emergency.]
  • Urgent  [The request is urgent.]
  • Routine  [The request is routine.]
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  • Follow-up schedule for chronic glaucoma
, 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 IOP measurement, VA, NMR, OCT and VF tests
, 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[at0062], code=at0062, itemType=ELEMENT, level=5, text=Reason for request, description=A short phrase describing the reason for the request., comment=Coding of the 'Reason for request' with a coding system is desirable, if available., 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[at0064], code=at0064, itemType=ELEMENT, level=5, text=Reason description, description=Narrative description about the reason for request., 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]/activities[at0001]/description[at0009]/items[at0065], code=at0065, itemType=ELEMENT, level=5, text=Intent, description=Description of the intent for the request., comment=For example a referral with the intent of having specialist care take over the care of the patient, or advice on how to proceed with an investigation or treatment. This data element allows multiple occurrences to enable multiple choice selection in user interface., 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.next_step_planning.v0]/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[at0068], code=at0068, itemType=ELEMENT, level=5, text=Urgency, description=Urgency of the request for service., comment=Specific definitions of emergency and urgent will vary between clinical contexts, clinical systems and the nature of the request itself, so have not be defined in this archetype. If explicit timing is required then the Service period should be clearly stated., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  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]