TEMPLATE DR treatment (fa300845-0e61-4e84-b04f-934aa331c85d)

TEMPLATE IDfa300845-0e61-4e84-b04f-934aa331c85d
ConceptDR treatment
DescriptionSchedule and register the outcomes of the treatment chosen for each case identified of patients presenting diabetic retinopathy.
PurposeSchedule and register the outcomes of the treatment chosen for each case identified of patients presenting diabetic retinopathy.
References
Authorsname: Aitor Eguzkitza; organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra; email: aitor.eguzkiza@unavarra.es; date: 2016-07-28
Other Details Languagename: Aitor Eguzkitza; organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra; email: aitor.eguzkiza@unavarra.es; date: 2016-07-28
OtherDetails Language Independent{MetaDataSet:Sample Set =MetaDataSet:Sample Set , Copyright=Copyright, Owner=Owner, Speciality=Speciality}
Language useden
Citeable Identifier1013.26.176
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  • text/html
  • text/plain
  • text/xml
  • text/rtf
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  • Treatment for wet AMD
  • Treatment for DR and DME
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  • Week
  • Day
  • Hour
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  • Left  [IVT injection on the left eye.]
  • Right  [IVT injection on the right eye.]
  • Bilateral  [IVT bilateral injection.]
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  • Office setting  [Intravitreal injections performed in ophthalmologist's office.]
  • Treatment room  [Intravitreal injections performed in a dedicated treatment room.]
  • Operating room  [Intravitreal injections performed in the operating room.]
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  • Ocular hipertension/glaucoma  [Patients with preeexisting ocular hipertension/glaucoma.]
  • Previous conditions/surgeries  [Preexisting ocular conditions/previous ocular surgeries.]
  • Recent surgery  [Recent postcataract surgery patients.]
  • Complex conditions  [Complex medical or ocular conditions.]
  • Anticoagulation  [Patients on anticoagulation.]
  • Allergy  [Allergy to Povidone–Iodine.]
  • Infection  [Active external infection, including active infection in blepharitis.]
  • Abnormalities  [Eyelid, adnexal, and ocular surface abnormalities.]
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  • Topical  [Topical anaesthesia.]
  • Drops  [Anaesthetic agent in drops form.]
  • Gel  [Anaesthetic agent in gel form.]
  • Injection  [Anaesthesia by injection.]
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  • Retrobulbar  [Retrobulbar anesthesia.]
  • Peribulbar  [Peribulbar anesthesia.]
  • Subtenons  [Sub-Tenons's anesthesia.]
  • Subconjunctival  [Subconjunctival route.]
  • Topical  [Topical route.]
  • Topical and intracameral  [Topical and intracameral route.]
  • Other  [Other route.]
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  • Apraclonidine 0.5%  [Apraclonidine (trade name Iopidine Eye) 0.5% intra-ocular solution.]
  • Apraclonidine 1%  [Apraclonidine (trade name Iopidine Eye) 1% intra-ocular solution.]
  • Acetazolamide 250mg  [Acetazolamide (trade name Diamox) 250mg m/r capsule.]
  • Acetazolamide 500mg  [Acetazolamide (trade name Diamox) 500mg m/r capsule.]
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  • Apraclonidine 0.5%  [Apraclonidine (trade name Iopidine Eye) 0.5% intra-ocular solution.]
  • Apraclonidine 1%  [Apraclonidine (trade name Iopidine Eye) 1% intra-ocular solution.]
  • Acetazolamide 250mg  [Acetazolamide (trade name Diamox) 250mg m/r capsule.]
  • Acetazolamide 500mg  [Acetazolamide (trade name Diamox) 500mg m/r capsule.]
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  • Infectious endophthalmitis  [Infectious endophthalmitis.]
  • Subconjunctival haemorrage  [Subconjunctival haemorrage.]
  • Conjunctival damage  [Conjunctival damage (e.g. tear).]
  • Corneal abrasion  [Corneal abrasion.]
  • Lens damage  [Lens damage.]
  • Retinal damage  [Retinal damage.]
  • Other  [Other complication not provided in the list.]
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This element will normally be coded with a medicines terminology but free text may be required in some cases., comment=For example: 'Atenolol 100mg' or 'Atenolol tablets 100mg'., 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.intraocular_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0082], code=at0082, itemType=CLUSTER, level=4, text=Product, description=Details of the product dispensed, authorised or administered., 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_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0082]/items[at0130], code=at0130, itemType=ELEMENT, level=5, text=Manufacturer, description=The manufacturer of the medication., 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_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0082]/items[at0083], code=at0083, itemType=ELEMENT, level=5, text=Batch ID, description=Assigned by the manufacturer to identify the manufacturing batch of the item., 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_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0082]/items[at0084], code=at0084, itemType=ELEMENT, level=5, text=Expiry date, description=The expiry date of the medicine administered as documented by the manufacturer., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0082]/items[at0132], code=at0132, itemType=ELEMENT, level=5, text=Dispensing substitution, description=Subsitution action taken by the dispenser., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Substitute product dispensed  [A medication was dispensed which is bioequivalent to that ordered.]
  • Substitute product not dispensed  [Although allowed by the medication order a substitute bioequvalent medication was not dispensed.]
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Note: This is not the reason for the medication instruction, rather the specific reason e.g. for administration., 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.intraocular_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140], code=at0140, itemType=CLUSTER, level=4, text=Delivery details, description=Details of body site and delivery of the medication., 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_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[at0141], code=at0141, itemType=ELEMENT, level=5, text=Body site, description=Identification of the site of administration of the medication, vaccine or therapeutic good., comment=For example: 'left upper arm', 'intravenous catheter right hand'. Coding of the body site 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_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[at0143], code=at0143, itemType=ELEMENT, level=5, text=Delivery method, description=The method by which the medication is to be delivered., comment=For example: 'via nebuliser'., 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_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0], code=at0000, itemType=CLUSTER, level=5, text=Intravitreal injection details, description=Details about intravitreal injection procedure., 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_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0080], code=at0080, itemType=ELEMENT, level=6, text=Laterality, description=Eyes treated in the same sitting., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left  [IVT injection on the left eye.]
  • Right  [IVT injection on the right eye.]
  • Bilateral  [IVT bilateral injection.]
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  • Office setting  [Intravitreal injections performed in ophthalmologist's office.]
  • Treatment room  [Intravitreal injections performed in a dedicated treatment room.]
  • Operating room  [Intravitreal injections performed in the operating room.]
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  • Ocular hipertension/glaucoma  [Patients with preeexisting ocular hipertension/glaucoma.]
  • Previous conditions/surgeries  [Preexisting ocular conditions/previous ocular surgeries.]
  • Recent surgery  [Recent postcataract surgery patients.]
  • Complex conditions  [Complex medical or ocular conditions.]
  • Anticoagulation  [Patients on anticoagulation.]
  • Allergy  [Allergy to Povidone–Iodine.]
  • Infection  [Active external infection, including active infection in blepharitis.]
  • Abnormalities  [Eyelid, adnexal, and ocular surface abnormalities.]
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  • Topical  [Topical anaesthesia.]
  • Drops  [Anaesthetic agent in drops form.]
  • Gel  [Anaesthetic agent in gel form.]
  • Injection  [Anaesthesia by injection.]
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  • Retrobulbar  [Retrobulbar anesthesia.]
  • Peribulbar  [Peribulbar anesthesia.]
  • Subtenons  [Sub-Tenons's anesthesia.]
  • Subconjunctival  [Subconjunctival route.]
  • Topical  [Topical route.]
  • Topical and intracameral  [Topical and intracameral route.]
  • Other  [Other route.]
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text=Surgical Masks, description=Use of surgical masks by clinicians and patients, or on the contrary, do not use mask but minimize speaking to reduce infection risk during procedure., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0016]/items[at0061], code=at0061, itemType=ELEMENT, level=7, text=Monitor IOP, description=*, 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0016]/items[at0084], code=at0084, itemType=ELEMENT, level=7, text=Anti-infective on Eyelids, description=Application or not of anti-infective agent to the eyelids, including the eyelid margins and eyelashes., 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 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level=7, text=Pre Injection Skin Cleanser, description=Anti-infective agent used for skin cleanse., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: ac0003, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0016]/items[at0015], code=at0015, itemType=ELEMENT, level=7, text=Pre Injection Conjunctival Cleanser, description=Anti-infective agent used as antiseptic., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, 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[path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0016]/items[at0019], code=at0019, itemType=ELEMENT, level=7, text=Pre Injection IOP Lowering Therapy, description=Therapy chosen to lower patient's IOP prior to injections., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Apraclonidine 0.5%  [Apraclonidine (trade name Iopidine Eye) 0.5% intra-ocular solution.]
  • Apraclonidine 1%  [Apraclonidine (trade name Iopidine Eye) 1% intra-ocular solution.]
  • Acetazolamide 250mg  [Acetazolamide (trade name Diamox) 250mg m/r capsule.]
  • Acetazolamide 500mg  [Acetazolamide (trade name Diamox) 500mg m/r capsule.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0020], code=at0020, itemType=CLUSTER, level=6, text=Intravitreal Injections, description=Details about application of injections., 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_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0020]/items[at0021], code=at0021, itemType=ELEMENT, level=7, text=Compound Injected, description=Compound contained within the intravitreal injection., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: ac0005, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0020]/items[at0063], code=at0063, itemType=ELEMENT, level=7, text=Injection Site, description=Distance in mm of the needle posterior to the limbus between the vertical and horizontal rectus muscles., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=2.5..4.5 mm, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0020]/items[at0025], code=at0025, itemType=ELEMENT, level=7, text=Number of injections, description=Number of injections involved in the current intervention., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=1
Assumed value: 1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0020]/items[at0022], code=at0022, itemType=ELEMENT, level=7, text=Batch Number, description=Batch number of the injections used., 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_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0020]/items[at0024], code=at0024, itemType=ELEMENT, level=7, text=Batch Expiry Date, description=Expiry date for the batch of injections used., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0026], code=at0026, itemType=CLUSTER, level=6, text=Post Injection, description=Details about procedures after intravitreal injections to guarantee patient's safety., 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_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0026]/items[at0027], code=at0027, itemType=ELEMENT, level=7, text=Post Injection IOP Lowering Therapy Required, description=Select if IOP lowering is required after injection., 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.intraocular_injection.v0]/items[openEHR-EHR-ACTION.medication.v0]/description[at0017]/items[at0140]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0026]/items[at0028], code=at0028, itemType=ELEMENT, level=7, text=Post Injection IOP Lowering Therapy, description=Therapy chosen to lower patient's IOP after injections., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Apraclonidine 0.5%  [Apraclonidine (trade name Iopidine Eye) 0.5% intra-ocular solution.]
  • Apraclonidine 1%  [Apraclonidine (trade name Iopidine Eye) 1% intra-ocular solution.]
  • Acetazolamide 250mg  [Acetazolamide (trade name Diamox) 250mg m/r capsule.]
  • Acetazolamide 500mg  [Acetazolamide (trade name Diamox) 500mg m/r capsule.]
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  • Infectious endophthalmitis  [Infectious endophthalmitis.]
  • Subconjunctival haemorrage  [Subconjunctival haemorrage.]
  • Conjunctival damage  [Conjunctival damage (e.g. tear).]
  • Corneal abrasion  [Corneal abrasion.]
  • Lens damage  [Lens damage.]
  • Retinal damage  [Retinal damage.]
  • Other  [Other complication not provided in the list.]
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If the value in 'Substance' is an individual substance, it may be duplicated in 'Specific substance'. It is strongly recommended that both 'Substance' and 'Specific substance' be coded with a terminology capable of triggering decision support, where possible. For example: Snomed CT, DM+D, RxNorm, NDFRT, ATC, New Zealand Universal List of Medicines and Australian Medicines Terminology. Free text entry should only be used if there is no appropriate terminology available., uncommonOntologyItems={source=openEHR,FHIR,DAM}, 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.intraocular_injection.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0101], code=at0101, itemType=ELEMENT, level=4, text=Criticality, description=An indication of the potential for critical system organ damage or life threatening consequence., comment=This can be regarded as a predictive judgement of a 'worst case scenario'. In most contexts 'Low' would be regarded as the default value., uncommonOntologyItems={source=DAM, openEHR}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Low  [Exposure to substance unlikely to result in critical system organ damage or life threatening consequence. Future exposure to the identified 'Substance' should be considered a relative contra-indication in normal clinical circumstances.]
  • High  [Exposure to substance may result in critical organ system damage or life threatening consequence. Future exposure to the identified 'Substance' should be considered an absolute contra-indication in normal clinical circumstances.]
  • Indeterminate  [Unable to assess with information available.]
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Where a textual representation of the date of last occurrence is required e.g 'In Childhood, '10 years ago' the Comment element should be used., uncommonOntologyItems={source=IMH}, 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_injection.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the propensity for the adverse reaction, not captured in other fields., comment=For example: including reason for flagging a 'Criticality' of 'High risk'; and instructions related to future exposure or administration of the Substance, such as administration within an Intensive Care Unit or under 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[path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/protocol[at0042]/items[at0062], code=at0062, itemType=ELEMENT, level=4, text=Last updated, description=Date when the propensity or the reaction event was updated., comment=Note: maps to recordedDate in FHIR., uncommonOntologyItems={source=openEHR, FHIR, DAM}, 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_injection.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/protocol[at0042]/items[at0047], code=at0047, itemType=ELEMENT, level=4, text=Supporting clinical record information, description=Link to further information about the presentation and findings that exist elsewhere in the health record, including allergy test reports., comment=For example, presenting symptoms, examination findings, diagnosis etc. [Note: FHIR,DAM: Maps to Sensitivity Test.], uncommonOntologyItems={source=FHIR, openEHR, DAM}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_EHR_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/protocol[at0042]/items[at0044], code=at0044, itemType=ELEMENT, level=4, text=Reaction reported?, description=Has the adverse reaction ever been reported to a regulatory body?, comment=null, uncommonOntologyItems={source=openEHR}, 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.intraocular_injection.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/protocol[at0042]/items[at0099], code=at0099, itemType=CLUSTER, level=4, text=Report summary, description=Structured details about reports that have been forwarded to regulatory bodies., 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_injection.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/protocol[at0042]/items[at0099]/items[at0125], code=at0125, itemType=ELEMENT, level=5, text=Date of report, description=Date that the report was sent to the regulatory authority., 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_injection.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/protocol[at0042]/items[at0099]/items[at0048], code=at0048, itemType=ELEMENT, level=5, text=Report comment, description=Narrative about the adverse reaction report or reporting process., comment=For example, the reason for non-reporting., uncommonOntologyItems={source=openEHR}, 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_injection.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/protocol[at0042]/items[at0099]/items[at0045], code=at0045, itemType=ELEMENT, level=5, text=Adverse reaction report, description=Link to an adverse reaction Report sent to a regulatory body., comment=null, uncommonOntologyItems={source=openEHR}, occurencesFormal=0..*, occurencesText=Optional, repeating, 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.laser.v0], code=at0000, itemType=SECTION, level=1, text=Ophthalmic laser procedure, description=Defines any procedure involving treatment of ophthalmic diseases by means of techniques based in laser., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, 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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0], code=at0000.1, itemType=INSTRUCTION, level=2, text=Procedure request, description=Request for a procedure to be performed by a healthcare provider or agency., comment=For example equipment request.!, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001], code=at0001, itemType=ACTIVITY, level=3, text=Request, description=Description of the requested service., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, 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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[at0121.1], code=at0121.1, itemType=ELEMENT, level=5, text=Procedure name, description=Identification of the procedure requested, by name., comment=null, 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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[at0148.1], code=at0148.1, itemType=ELEMENT, level=5, text=Procedure type, description=Category of procedure requested., 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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[at0.150], code=at0.150, itemType=ELEMENT, level=5, text=Body site, description=Identification of the body site for the procedure., comment=Occurrences for this data element are unbounded to allow for clinical scenarios such as removing multiple skin lesions in different places, but where all of the other attributes are identical. Use this data element to record simple terms or precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Procedure detail' SLOT in this archetype. If the anatomical location 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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[at0062.1], code=at0062.1, itemType=ELEMENT, level=5, text=Indication, description=A short phrase describing the indication for the procedure., comment=May be narrative or a coded value set., 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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[at0064.1], code=at0064.1, itemType=ELEMENT, level=5, text=Indication description, description=Narrative description about the indication for the procedure., 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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[at0065.1], code=at0065.1, itemType=ELEMENT, level=5, text=Objective, description=Description of the objective of the procedure., comment=May be narrative or a coded value set., 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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.ophthalmic_laser_details.v0], code=at0000, itemType=CLUSTER, level=5, text=Ophthalmic laser procedure details, description=Specific details concerning ophthalmic therapies involving the use of laser., 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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.ophthalmic_laser_details.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Laterality, description=Eyes in which the laser-based treatment is applied., comment=null, uncommonOntologyItems=null, occurencesFormal=1..2, occurencesText=Mandatory, repeating, 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  [Treatment performed on both eyes of the patient.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.ophthalmic_laser_details.v0]/items[at0012], code=at0012, itemType=CLUSTER, level=6, text=Laser procedure, description=Details of the laser procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, 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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.ophthalmic_laser_details.v0]/items[at0012]/items[at0013], code=at0013, itemType=ELEMENT, level=7, text=Laser technique, description=Method chosen for the laser treatment., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, 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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.ophthalmic_laser_details.v0]/items[at0012]/items[at0008], code=at0008, itemType=ELEMENT, level=7, text=Laser device, description=Identifies the type of laser device needed to perform the treatment., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: ac0002, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.ophthalmic_laser_details.v0]/items[at0012]/items[at0014], code=at0014, itemType=ELEMENT, level=7, text=Laser type, description=How laser burns are distributed along eye surface., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Focal laser  [Focal laser.]
  • Grid photocoagulation  [Grid photocoagulation.]
  • Focal macular  [Focal macular laser therapy.]
  • Grid macular  [Grid macular laser therapy.]
  • PRP  [Panretinal laser photocoagulation.]
  • Sector PRP  [Panretinal laser photocoagulation focused on a specific sector of posterior pole.]
  • Circle of laser  [Photocoagulation delimits a ring around a specific eye structure.]
  • Laser demarcation  [Laser demarcation.]
  • Other  [Another type of laser therapy.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.laser.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1], code=at0000, itemType=ACTION, level=2, text=Procedure, description=A clinical activity carried out for screening, investigative, diagnostic, curative, therapeutic, evaluative or palliative purposes., 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.laser.v0]/items[openEHR-EHR-ACTION.procedure.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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Procedure name, description=Identification of the procedure by name., comment=Coding of the specific procedure with a terminology is preferred, where possible., 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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0049], code=at0049, itemType=ELEMENT, level=4, text=Description, description=Narrative description about the procedure, as appropriate for the pathway step., comment=For example: description about the performance and findings from the the procedure, the aborted attempt or the cancellation of the procedure., 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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0065], code=at0065, itemType=ELEMENT, level=4, text=Method, description=Identification of specific method or technique for the procedure., comment=Use this data element to record simple terms or a narrative description. 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.laser.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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0063], code=at0063, itemType=ELEMENT, level=4, text=Body site, description=Identification of the body site for the procedure., comment=Occurrences for this data element are unbounded to allow for clinical scenarios such as removing multiple skin lesions in different places, but where all of the other attributes are identical. Use this data element to record simple terms or precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Procedure detail' SLOT in this archetype. If the anatomical location 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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ophthalmic_laser_details.v0], code=at0000, itemType=CLUSTER, level=4, text=Ophthalmic laser procedure details, description=Specific details concerning ophthalmic therapies involving the use of laser., 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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ophthalmic_laser_details.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Laterality, description=Eyes in which the laser-based treatment is applied., comment=null, uncommonOntologyItems=null, occurencesFormal=1..2, occurencesText=Mandatory, repeating, 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  [Treatment performed on both eyes of the patient.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ophthalmic_laser_details.v0]/items[at0012], code=at0012, itemType=CLUSTER, level=5, text=Laser procedure, description=Details of the laser procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, 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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ophthalmic_laser_details.v0]/items[at0012]/items[at0013], code=at0013, itemType=ELEMENT, level=6, text=Laser technique, description=Method chosen for the laser treatment., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, 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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ophthalmic_laser_details.v0]/items[at0012]/items[at0008], code=at0008, itemType=ELEMENT, level=6, text=Laser device, description=Identifies the type of laser device needed to perform the treatment., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: ac0002, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ophthalmic_laser_details.v0]/items[at0012]/items[at0014], code=at0014, itemType=ELEMENT, level=6, text=Laser type, description=How laser burns are distributed along eye surface., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Focal laser  [Focal laser.]
  • Grid photocoagulation  [Grid photocoagulation.]
  • Focal macular  [Focal macular laser therapy.]
  • Grid macular  [Grid macular laser therapy.]
  • PRP  [Panretinal laser photocoagulation.]
  • Sector PRP  [Panretinal laser photocoagulation focused on a specific sector of posterior pole.]
  • Circle of laser  [Photocoagulation delimits a ring around a specific eye structure.]
  • Laser demarcation  [Laser demarcation.]
  • Other  [Another type of laser therapy.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0048], code=at0048, itemType=ELEMENT, level=4, text=Outcome, description=Outcome of procedure performed., comment=Coding with a terminology is preferred, where possible., 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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Complication, description=Details about any complication arising from the procedure., comment=Use this data element to record simple terms or precoordinated complications. If the requirements for recording complication are more complex then use of a specific CLUSTER archetype within the 'Procedure detail' SLOT in this archetype is advised and 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.laser.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.laser.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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0061], code=at0061, itemType=ELEMENT, level=4, text=Total duration, description=The total amount of time taken to complete the procedure, which may include time spent during the active phase of the procedure plus time during which the procedure was suspended., comment=Only for use in association with the 'Procedure completed' pathway steps., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0067], code=at0067, itemType=ELEMENT, level=4, text=Procedure type, description=The type of procedure., comment=This pragmatic data element may be used to support organisation within the user interface., 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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the activity or care pathway step 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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/protocol[at0053], code=at0053, 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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/protocol[at0053]/items[at0054], code=at0054, itemType=ELEMENT, level=4, text=Requestor order identifier, description=The local ID assigned to the order by the healthcare provider or organisation requesting the service., comment=This is equivalent to Placer Order Number in HL7 v2 specifications., 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.laser.v0]/items[openEHR-EHR-ACTION.procedure.v1]/protocol[at0053]/items[at0056], code=at0056, itemType=ELEMENT, level=4, text=Receiver order 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=This is equivalent to Filler Order Number in HL7 v2 specifications., 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.surgery_procedure.v0], code=at0000, itemType=SECTION, level=1, text=Ophthalmic surgical procedure, description=Describes any surgical procedure aimed at treating ophthalmic conditions., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, 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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0], code=at0000.1, itemType=INSTRUCTION, level=2, text=Procedure request, description=Request for a procedure to be performed by a healthcare provider or agency., comment=For example equipment request.!, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001], code=at0001, itemType=ACTIVITY, level=3, text=Request, description=Description of the requested service., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, 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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[at0121.1], code=at0121.1, itemType=ELEMENT, level=5, text=Procedure name, description=Identification of the procedure requested, by name., comment=null, 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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[at0148.1], code=at0148.1, itemType=ELEMENT, level=5, text=Procedure type, description=Category of procedure requested., 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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[at0.150], code=at0.150, itemType=ELEMENT, level=5, text=Body site, description=Identification of the body site for the procedure., comment=Occurrences for this data element are unbounded to allow for clinical scenarios such as removing multiple skin lesions in different places, but where all of the other attributes are identical. Use this data element to record simple terms or precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Procedure detail' SLOT in this archetype. If the anatomical location 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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[at0062.1], code=at0062.1, itemType=ELEMENT, level=5, text=Indication, description=A short phrase describing the indication for the procedure., comment=May be narrative or a coded value set., 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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[at0064.1], code=at0064.1, itemType=ELEMENT, level=5, text=Indication description, description=Narrative description about the indication for the procedure., 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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[at0065.1], code=at0065.1, itemType=ELEMENT, level=5, text=Objective, description=Description of the objective of the procedure., comment=May be narrative or a coded value set., 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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.ophthalmic_surgery_details_for_posterior_segment_of_eye.v0], code=at0000, itemType=CLUSTER, level=5, text=Ophthalmic surgery details for posterior segment of eye, description=Defines specific details concerning any operative procedure assigned to the posterior segment of the eye., 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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.ophthalmic_surgery_details_for_posterior_segment_of_eye.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Laterality, description=Eyes in which the surgery is carried out., 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  [Treatment performed on both eyes of the patient.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.ophthalmic_surgery_details_for_posterior_segment_of_eye.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Operative procedure, description=Defines the type of operative procedure to perform., 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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.v0]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.ophthalmic_surgery_details_for_posterior_segment_of_eye.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=6, text=Comments, description=Comments directed to surgeons describing specific characteristics concerning the intervention., 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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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.surgery_procedure.v0]/items[openEHR-EHR-INSTRUCTION.request-procedure.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], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1], code=at0000, itemType=ACTION, level=2, text=Procedure, description=A clinical activity carried out for screening, investigative, diagnostic, curative, therapeutic, evaluative or palliative purposes., 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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Procedure name, description=Identification of the procedure by name., comment=Coding of the specific procedure with a terminology is preferred, where possible., 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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0049], code=at0049, itemType=ELEMENT, level=4, text=Description, description=Narrative description about the procedure, as appropriate for the pathway step., comment=For example: description about the performance and findings from the the procedure, the aborted attempt or the cancellation of the procedure., 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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0065], code=at0065, itemType=ELEMENT, level=4, text=Method, description=Identification of specific method or technique for the procedure., comment=Use this data element to record simple terms or a narrative description. 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.surgery_procedure.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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0063], code=at0063, itemType=ELEMENT, level=4, text=Body site, description=Identification of the body site for the procedure., comment=Occurrences for this data element are unbounded to allow for clinical scenarios such as removing multiple skin lesions in different places, but where all of the other attributes are identical. Use this data element to record simple terms or precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Procedure detail' SLOT in this archetype. If the anatomical location 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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ophthalmic_surgery_details_for_posterior_segment_of_eye.v0], code=at0000, itemType=CLUSTER, level=4, text=Ophthalmic surgery details for posterior segment of eye, description=Defines specific details concerning any operative procedure assigned to the posterior segment of the eye., 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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ophthalmic_surgery_details_for_posterior_segment_of_eye.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Laterality, description=Eyes in which the surgery is carried out., 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  [Treatment performed on both eyes of the patient.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ophthalmic_surgery_details_for_posterior_segment_of_eye.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Operative procedure, description=Defines the type of operative procedure to perform., 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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ophthalmic_surgery_details_for_posterior_segment_of_eye.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Comments, description=Comments directed to surgeons describing specific characteristics concerning the intervention., 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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0048], code=at0048, itemType=ELEMENT, level=4, text=Outcome, description=Outcome of procedure performed., comment=Coding with a terminology is preferred, where possible., 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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Complication, description=Details about any complication arising from the procedure., comment=Use this data element to record simple terms or precoordinated complications. If the requirements for recording complication are more complex then use of a specific CLUSTER archetype within the 'Procedure detail' SLOT in this archetype is advised and 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.surgery_procedure.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.surgery_procedure.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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0061], code=at0061, itemType=ELEMENT, level=4, text=Total duration, description=The total amount of time taken to complete the procedure, which may include time spent during the active phase of the procedure plus time during which the procedure was suspended., comment=Only for use in association with the 'Procedure completed' pathway steps., 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-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0067], code=at0067, itemType=ELEMENT, level=4, text=Procedure type, description=The type of procedure., comment=This pragmatic data element may be used to support organisation within the user interface., 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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the activity or care pathway step 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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/protocol[at0053], code=at0053, 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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/protocol[at0053]/items[at0054], code=at0054, itemType=ELEMENT, level=4, text=Requestor order identifier, description=The local ID assigned to the order by the healthcare provider or organisation requesting the service., comment=This is equivalent to Placer Order Number in HL7 v2 specifications., 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.surgery_procedure.v0]/items[openEHR-EHR-ACTION.procedure.v1]/protocol[at0053]/items[at0056], code=at0056, itemType=ELEMENT, level=4, text=Receiver order 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=This is equivalent to Filler Order Number in HL7 v2 specifications., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Identifier
, extendedValues=null]], templateType=normal]