TEMPLATE Planning the diagnostic tests to detect and classify DR (1eb3db3d-6763-4d71-b2f1-ee225d9a639a)

TEMPLATE ID1eb3db3d-6763-4d71-b2f1-ee225d9a639a
ConceptPlanning the diagnostic tests to detect and classify DR
DescriptionTo schedule the diagnostic tests necessary to determine a diagnosis and provide classification for diabetic retinopathy.
PurposeTo schedule the diagnostic tests necessary to determine a diagnosis and provide classification for diabetic retinopathy.
References
OtherDetails Language Independent{MetaDataSet:Sample Set =MetaDataSet:Sample Set , Copyright=Copyright, Owner=Owner, Speciality=Speciality}
Language useden
Citeable Identifier1013.26.160
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  • Routine  [The request is routine.]
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Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/protocol[at0008]/items[at0.2], code=at0.2, itemType=CLUSTER, level=3, text=Duration, description=Length of time the referral is valid., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/protocol[at0008]/items[at0.2]/items[at0.3], code=at0.3, itemType=ELEMENT, level=4, text=Duration, description=Duration for which the referral is valid., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/protocol[at0008]/items[at0.2]/items[at0.4], code=at0.4, itemType=ELEMENT, level=4, text=Indefinite, description=If true, referral is for an indefinite period of time., comment=null, 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-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1], code=at0000.1, itemType=INSTRUCTION, level=1, text=Funduscopic examination request, description=Generic request for an imaging examination request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001], code=at0001, itemType=ACTIVITY, level=2, text=Request, description=Current Activity., comment=null, uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009], code=at0009, 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-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[at0121.1], code=at0121.1, itemType=ELEMENT, level=4, text=Examination requested, description=Identification of the examination requested. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Default value: Examination of eye retina, study specifically focused on macula and papilla, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[at0135.1], code=at0135.1, itemType=ELEMENT, level=4, text=Description of examination, description=A detailed narrative description of the examination requested., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Default value: Examination of eye fundus for retinal alterations associated with DR., extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.acquisition_details_on_eye_fundus_images.v0], code=at0000, itemType=CLUSTER, level=4, text=Acquisition details on eye fundus images, description=Defines specific details about the acquisition of images from eye fundus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.acquisition_details_on_eye_fundus_images.v0]/items[at0023], code=at0023, itemType=ELEMENT, level=5, text=Laterality, description=Eye/s from which the eye fundus is examined., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left eye  [Left eye observation.]
  • Right eye  [Right eye observation.]
  • Both eyes  [Test acquired on both eyes of the patient.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.acquisition_details_on_eye_fundus_images.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=5, 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=
  • Non-mydriatic retinography  [Observation of retina through funduscopic images acquired without previous dilatation of patient's pupils.]
Assumed value: Non-mydriatic retinography, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.acquisition_details_on_eye_fundus_images.v0]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=Attempts Allowed, description=Limit on the number of attempts allowed to conduct the acquisition (doesn't compute if test is repeated by a specific recognized technical failure)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=1
Default value: 3
Assumed value: 3, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.acquisition_details_on_eye_fundus_images.v0]/items[at0027], code=at0027, itemType=ELEMENT, level=5, text=Zone of Retina, description=Anatomical structures from retina in which the study of eye fundus is focused., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: ac0001, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.acquisition_details_on_eye_fundus_images.v0]/items[at0029], code=at0029, itemType=ELEMENT, level=5, text=Study Fields Photographed, description=Specifies which fields from a specific subdivision of the retina are photographed in the study of eye fundus., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: ac0002, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.acquisition_details_on_eye_fundus_images.v0]/items[at0020], code=at0020, itemType=ELEMENT, level=5, text=Mosaic, description=If true, the study includes a mosaic image that combines all eye fundus fields acquired into a single picture., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[at0062], code=at0062, itemType=ELEMENT, level=4, text=Reason for request, description=A short description of the reason for the request. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Default value: Suspicion of DR, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[at0064], code=at0064, itemType=ELEMENT, level=4, text=Reason description, description=A narrative description explaining 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-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[at0065], code=at0065, itemType=ELEMENT, level=4, text=Intent, description=Stated intent of the request by the referrer., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[at0068], code=at0068, itemType=ELEMENT, level=4, text=Urgency, description=Urgency of the request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Routine  [The request is routine.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[at0040], code=at0040, itemType=ELEMENT, level=4, text=Date &/or time service required, description=The date and time that the service should be performed or completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[at0144], code=at0144, itemType=ELEMENT, level=4, text=Latest date service required, description=The latest date that is acceptable for the service to be completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[at0076], code=at0076, itemType=ELEMENT, level=4, text=Supplementary information to follow, description=True indicates that additional information has been identified and will be forwarded when available eg incomplete pathology test results., comment=null, 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-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/activities[at0001]/description[at0009]/items[at0078], code=at0078, itemType=ELEMENT, level=4, text=Supplementary information expected, description=Details of the nature of supplementary information that is to follow e.g name of laboratory results., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/protocol[at0008], code=at0008, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/protocol[at0008]/items[at0010], code=at0010, itemType=ELEMENT, level=3, 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-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/protocol[at0008]/items[at0011], code=at0011, itemType=ELEMENT, level=3, 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-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-imaging_exam.v1]/protocol[at0008]/items[at0127], code=at0127, itemType=ELEMENT, level=3, 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]