| All | OperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.progress_note.v1, otherContributors=Jose Andonegui, Complejo hospitalario de Navarra (CHN), jose.andonegui.navarro@cfnavarra.es; Luis Serrano, Universidad Pública de Navarra (UPNA), lserrano@unavarra.es; Jesús D. Trigo, Universidad Pública de Navarra (UPNA), jesusdaniel.trigo@unavarra.es, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1], code=at0000, itemType=COMPOSITION, level=0, text=Progress Note, description=Document used to record details of health-related events that have occurred as part of the subject's care, and/or the subject's health status, findings, opinions and plans that are current at the time of recording., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0], code=at0000, itemType=SECTION, level=1, text=Intraocular injection, description=Manages the process of planning and then carrying out an ophthalmic treatment by means of intraocular injection., 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.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0], code=at0000, itemType=INSTRUCTION, level=2, text=Medication order, description=Instructions for use of a medication, vaccine or other therapeutic item., comment=null, 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.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001], code=at0001, itemType=ACTIVITY, level=3, text=Order, description=Order., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, 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.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002], code=at0002, 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.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0070], code=at0070, itemType=ELEMENT, level=5, text=Medication item, description=Identification of the medication, vaccine or other therapeutic item being ordered., comment=It is strongly recommended that the 'Medication item' be coded with a terminology capable of triggering decision support, where possible. The extent of coding may vary from the simple name of the medication item through to structured details about the actual medication pack to be used. Free text entry should only be used if there is no appropriate terminology available., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0091], code=at0091, itemType=ELEMENT, level=5, text=Route, description=The route of administration., comment=For example: 'oral', 'intravenous', or 'topical'.
Coding of the route with a terminology is preferred, where possible. Multiple potential routes may be specified., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0009], code=at0009, itemType=ELEMENT, level=5, text=Dose directions description, description=Complete narrative description about how the medication is to be used., comment=Including the amount, when to take it and additional instructions for use. Where the medication dose directions are fully carried by the structured, computable dose directions, this element should carry the narrative equivalent, generally auto-generated. If it is not possible to represent the intended dosage directions fully in computable form, partial representation is not recommended, and the directions should be only recorded in narrative form using this data element., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0047], code=at0047, itemType=ELEMENT, level=5, text=Parsable dose directions, description=The structured, parsable and computable representation of the dose directions., comment=Generally this is only used when passing information between legacy systems. For example: '10mg bd; 20mg n' as used by the NHS Dose syntax (in development)., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PARSABLE, bindings=null, values=Formalism- text/html
- text/plain
- text/xml
- text/rtf
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0109], code=at0109, itemType=ELEMENT, level=5, text=Dose amount description, description=The narrative description of the dose amount of the medication, vaccine or other therapeutic item., comment=Will generally only be used for legacy formats where dose directions are simply split between textual representations of dose and amount., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0055], code=at0055, itemType=ELEMENT, level=5, text=Dose timing description, description=The narrative description of the dose frequency and other timing of the medication, vaccine or other therapeutic item., comment=Will generally only be used for legacy formats where dose directions are simply split between textual representations of dose and amount., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0018], code=at0018, itemType=ELEMENT, level=5, text=Clinical indication, description=The clinical reason for ordering the medication, vaccine or other therapeutic good., comment=For example: 'Angina'. Coding of the clinical indication with a terminology is preferred, where possible. This data element allows multiple occurrences., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0148], code=at0148, itemType=ELEMENT, level=5, text=Therapeutic intent, description=The overall therapeutic intent of the medication., comment=For example: 'palliative care', 'low-dose propylaxis'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=- Treatment for wet AMD
- Treatment for DR and DME
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0113], code=at0113, itemType=CLUSTER, level=5, text=Order details, description=Details about the intended course 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0113]/items[at0012], code=at0012, itemType=ELEMENT, level=6, text=Order start date/time, description=The date and optional time to commence use of the medication, vaccine or other therapeutic good., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0113]/items[at0013], code=at0013, itemType=ELEMENT, level=6, text=Order stop date/time, description=The date and optional time to cease use of the medication, vaccine or other therapeutic good., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0113]/items[at0011], code=at0011, itemType=ELEMENT, level=6, text=Order start criterion, description=A condition which, when met, requires the commencement of administration or use., comment=For example: 'Start if symptoms recur'., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0113]/items[at0016], code=at0016, itemType=ELEMENT, level=6, text=Order stop criterion, description=A condition which, when met, requires the cessation of administration or use., comment=For example: 'Stop after symptoms disappear''., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0113]/items[at0060], code=at0060, itemType=ELEMENT, level=6, text=Administrations already complete, description=The number of administrations of the medication, vaccine or other therapeutic good that have been completed, as part of the proposed overall course but prior to the issue of this order., comment=For example: To record that the patient had been taking antibiotics three days prior to hospital admission, in the context of a 7-day course., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0113]/items[at0050], code=at0050, itemType=ELEMENT, level=6, text=Duration of course already complete, description=The time period during which the patient has already been using the medication, vaccine or other therapeutic good, as a part of the proposed overall course but prior to the issue of this order., comment=For example: To record that the patient had been taking antibiotics 3 days prior to hospital admission, in the context of a 7 day course., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=>=PT0H
Units:, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133], code=at0133, itemType=CLUSTER, level=5, text=Administration directions, description=Details about the administration of the medication, vaccine or other therapeutic good., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[at0092], code=at0092, itemType=ELEMENT, level=6, 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[at0094], code=at0094, itemType=ELEMENT, level=6, 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0], code=at0000, itemType=CLUSTER, level=6, 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0080], code=at0080, itemType=ELEMENT, level=7, 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=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Clinical Setting, description=Allocation where the intravitreal injection takes place., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Office setting
- Treatment room
- Operating room
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0068], code=at0068, itemType=ELEMENT, level=7, text=Contraindications, description=Identifies possible contraindications (if any) to be considered before conducting ITV injections., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Ocular hipertension/glaucoma
- Previous conditions/surgeries
- Recent surgery
- Complex conditions
- Anticoagulation
- Allergy
- Infection
- Abnormalities
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0003], code=at0003, itemType=CLUSTER, level=7, text=Anaesthetic, description=Details concerning the anaesthetic prior to the 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0003]/items[at0002], code=at0002, itemType=ELEMENT, level=8, text=Anaesthetic Type, description=Type of anesthesia chosen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Topical
- Drops
- Gel
- Injection
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=8, text=Anaesthetic Route, description=Route chosen to apply the anesthesia., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Retrobulbar
- Peribulbar
- Subtenons
- Subconjunctival
- Topical
- Topical and intracameral
- Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0003]/items[at0014], code=at0014, itemType=ELEMENT, level=8, text=Anaesthetic Agent, description=Anesthetic agent., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: ac0002, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0016], code=at0016, itemType=CLUSTER, level=7, text=Preparation, description=Details about preparation of the intervention., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0016]/items[at0057], code=at0057, itemType=ELEMENT, level=8, text=Sterile Drape, description=Use or not of a sterile drape before injection., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0016]/items[at0058], code=at0058, itemType=ELEMENT, level=8, text=Speculum, description=Use of speculum or on the contrary manual eye lid retraction, to prevent contact of the eyelashes and eyelid margins with both the injection site and the injection needle., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0016]/items[at0060], code=at0060, itemType=ELEMENT, level=8, text=Sterile Gloves, description=Use of sterile or nonsterile gloves during the intervention., 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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- Apraclonidine 1%
- Acetazolamide 250mg
- Acetazolamide 500mg
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- Apraclonidine 1%
- Acetazolamide 250mg
- Acetazolamide 500mg
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0026]/items[at0030], code=at0030, itemType=CLUSTER, level=8, text=Post Injection examination, description=Routine examination to check the patient's status after the therapy., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0026]/items[at0030]/items[at0031], code=at0031, itemType=ELEMENT, level=9, text=Counting Fingers, description=Evaluation about if the patient is able to count fingers or not., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0026]/items[at0030]/items[at0032], code=at0032, itemType=ELEMENT, level=9, text=IOP Checked, description=Intraocular pressure measurement is recommended or not., 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-INSTRUCTION.medication_order.v0]/activities[at0001]/description[at0002]/items[at0133]/items[openEHR-EHR-CLUSTER.intravitreal_injection_details.v0]/items[at0029], code=at0029, itemType=ELEMENT, level=7, text=Complications, description=Possible complications due to intravitreal injections., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Infectious endophthalmitis
- Subconjunctival haemorrage
- Conjunctival damage
- Corneal abrasion
- Lens damage
- Retinal damage
- Other
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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=Value set: 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
- Substitute product not dispensed
, 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[at0133], code=at0133, itemType=ELEMENT, level=5, text=Dispensing substitution reason, description=The reason or justification for the substitution action taken., 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[at0043], code=at0043, itemType=ELEMENT, level=4, text=Order scheduled datetime, description=The datetime at which the medication order was scheduled to occur., comment=Used to compare variance from actual action time where this is not readily calculable from the original instruction., 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-ACTION.medication.v0]/description[at0017]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Reason, description=The reason(s) the specific action or step was carried out. 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=, 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[at0001], code=at0001, itemType=ELEMENT, level=6, text=Clinical Setting, description=Allocation where the intravitreal injection takes place., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Office setting
- Treatment room
- Operating room
, 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[at0068], code=at0068, itemType=ELEMENT, level=6, text=Contraindications, description=Identifies possible contraindications (if any) to be considered before conducting ITV injections., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Ocular hipertension/glaucoma
- Previous conditions/surgeries
- Recent surgery
- Complex conditions
- Anticoagulation
- Allergy
- Infection
- Abnormalities
, 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[at0003], code=at0003, itemType=CLUSTER, level=6, text=Anaesthetic, description=Details concerning the anaesthetic prior to the 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[at0003]/items[at0002], code=at0002, itemType=ELEMENT, level=7, text=Anaesthetic Type, description=Type of anesthesia chosen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Topical
- Drops
- Gel
- Injection
, 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[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=7, text=Anaesthetic Route, description=Route chosen to apply the anesthesia., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Retrobulbar
- Peribulbar
- Subtenons
- Subconjunctival
- Topical
- Topical and intracameral
- Other
, 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[at0003]/items[at0014], code=at0014, itemType=ELEMENT, level=7, text=Anaesthetic Agent, description=Anesthetic agent., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: ac0002, 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], code=at0016, itemType=CLUSTER, level=6, text=Preparation, description=Details about preparation of the intervention., 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[at0016]/items[at0057], code=at0057, itemType=ELEMENT, level=7, text=Sterile Drape, description=Use or not of a sterile drape before injection., 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[at0058], code=at0058, itemType=ELEMENT, level=7, text=Speculum, description=Use of speculum or on the contrary manual eye lid retraction, to prevent contact of the eyelashes and eyelid margins with both the injection site and the injection needle., 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[at0060], code=at0060, itemType=ELEMENT, level=7, text=Sterile Gloves, description=Use of sterile or nonsterile gloves during the intervention., 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[at0059], code=at0059, itemType=ELEMENT, level=7, 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 [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[at0085], code=at0085, itemType=ELEMENT, level=7, text=Dilation Required, description=Need or not of pupillary dilation prior to the surgical intervention., 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[at0017], code=at0017, itemType=ELEMENT, 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=Value set: 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, dataType=DV_CODED_TEXT, bindings=null, values=Value set: ac0004, 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[at0018], code=at0018, itemType=ELEMENT, level=7, text=Pre Injection IOP Lowering Therapy Required, description=Select if pre Injection IOP lowering therapy is required., 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[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 1%
- Acetazolamide 250mg
- Acetazolamide 500mg
, 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=Value set: 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 1%
- Acetazolamide 250mg
- Acetazolamide 500mg
, 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[at0030], code=at0030, itemType=CLUSTER, level=7, text=Post Injection examination, description=Routine examination to check the patient's status after the therapy., 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[at0030]/items[at0031], code=at0031, itemType=ELEMENT, level=8, text=Counting Fingers, description=Evaluation about if the patient is able to count fingers or not., 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[at0026]/items[at0030]/items[at0032], code=at0032, itemType=ELEMENT, level=8, text=IOP Checked, description=Intraocular pressure measurement is recommended or not., 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[at0029], code=at0029, itemType=ELEMENT, level=6, text=Complications, description=Possible complications due to intravitreal injections., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Infectious endophthalmitis
- Subconjunctival haemorrage
- Conjunctival damage
- Corneal abrasion
- Lens damage
- Retinal damage
- Other
, 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[at0025], code=at0025, itemType=ELEMENT, level=4, text=Sequence number, description=The sequence number specific to the action being recorded., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, 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[at0024], code=at0024, itemType=ELEMENT, level=4, text=Comment, description=A comment on the action taken including details of any variance between the intended action and the action actually performed., 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-EVALUATION.adverse_reaction_risk.v1], code=at0000, itemType=EVALUATION, level=2, text=Adverse reaction risk, description=Risk of harmful or undesirable physiological response which is unique to an individual and associated with exposure to a substance., comment=Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings., uncommonOntologyItems={source=openEHR,FHIR}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, 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], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_injection.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Substance, description=Identification of a substance, or substance class, that is considered to put the individual at risk of an adverse reaction event., comment=Both an individual substance and a substance class are valid entries in 'Substance'. 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=Value set: 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=, 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[at0117], code=at0117, itemType=ELEMENT, level=4, text=Onset of last reaction, description=The date and/or time of the onset of the last known occurrence of a reaction event., comment=This date may be be a duplicate of the most recent 'Onset of reaction' date.
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 corticosteroid cover., 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], code=at0042, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.progress_note.v1]/content[openEHR-EHR-SECTION.intraocular_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=Value set: 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=Value set: 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 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
- Right eye
- Both eyes
, 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[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=Value set: 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
- Grid photocoagulation
- Focal macular
- Grid macular
- PRP
- Sector PRP
- Circle of laser
- Laser demarcation
- Other
, 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=Value set: 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
- Right eye
- Both eyes
, 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[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=Value set: 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
- Grid photocoagulation
- Focal macular
- Grid macular
- PRP
- Sector PRP
- Circle of laser
- Laser demarcation
- Other
, 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=>=PT0S, 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=Value set: 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=Value set: 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
- 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
- Right eye
- Both eyes
, 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=Value set: 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=Value set: 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
- Right eye
- Both eyes
, 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=Value set: 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=>=PT0S, 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] |