TEMPLATE Planning the diagnostic tests to detect and classify DR (Planning the diagnostic tests to detect and classify DR)

TEMPLATE IDPlanning the diagnostic tests to detect and classify DR
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 =Template metadata sample set, Copyright=© openEHR Foundation, Owner=Aitor Eguzkitza, aitor.eguzkiza@unavarra.es, Speciality=Ophthalmology}
Language useden
Citeable Identifier1013.26.160
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  • Routine 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.diagnostic_test_planning.v0]/items[openEHR-EHR-INSTRUCTION.request-referral.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-referral.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-referral.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-referral.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-referral.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-referral.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. 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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 
  • Right eye 
  • Both eyes 
, 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 
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=Value set: 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=Value set: 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 
, 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]