TEMPLATE Intraocular pressure study (Intraocular pressure study)

TEMPLATE IDIntraocular pressure study
ConceptIntraocular pressure study
DescriptionPerform and review the intraocular pressure measurement test.
PurposePerform and review the intraocular pressure measurement test.
References
Other Details (Language Independent)
  • MetaDataSet:Sample Set : Template metadata sample set
Language useden
Citeable Identifier1013.26.23
Root archetype idopenEHR-EHR-SECTION.intraocular_pressure_study.v1
Intraocular pressure studyIntraocular pressure study: Defines the process which involves the intraocular pressure acquisition and its study.
Procedure undertakenProcedure undertaken: A clinical activity that has been carried out for therapeutic or diagnostic purposes.
Description
ProcedureProcedure: The name of the procedure.
Reason/s for procedureReason/s for procedure: The reason or indication for the procedure.
Method/TechniqueMethod/Technique: Identification of specific method or technique used for procedure.
DescriptionDescription: Narrative description about the procedure carried out.
Additional tasksAdditional tasks: Record information about unplanned or unexpected activities that needed to be done during the procedure. Record the name of the task and a description within this archetype, but detail should be recorded in specific linked INSTRUCTION or ACTION archetypes.
TaskTask: Name of additional task performed during the procedure.
Task descriptionTask description: Description of additional task performed during the procedure.
Record of additional taskRecord of additional task: Link to a detailed record of the additional task.
OutcomeOutcome: Outcome of procedure performed.
Procedure unsuccessfulProcedure unsuccessful: Was the procedure ultimately unsuccessful? True if unsuccessful.
Unplanned eventUnplanned event: An unplanned event prior to or related to the procedure, which may affect its execution e.g patient self-removed cannula.
ComplicationComplication: Details about any complication arising from the procedure.
Emergency?Emergency?: Was this procedure performed as an emergency? True if Yes.
CommentsComments: Comments about the procedure.
MultimediaMultimedia: Multimedia representation of the procedure, including images.
Protocol
Requestor order identifierRequestor order identifier: The local ID assigned to the order by the healthcare provider or organisation requesting the service.
Receiver order identifierReceiver order identifier: 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.
Intraocular pressure measurementIntraocular pressure measurement: Intraocular pressure measurement of a single eye, normally using a tonometry device.
Data
Any eventAny event: Any measurement event.
Data
Clinical DescriptionClinical Description: An overall narrative description of the intraocular pressure test result.
Test ResultTest Result: Details of the visual field test result for each eye.
EyeEye: The eye that was examined.
  • Left eye 
  • Right eye 
Absent ResultAbsent Result: Details of a test result which could not be recorded. Specific detailed reasons should be captured in 'Additional Comment' or 'Confounding Factors' if these relate to the patient's state.
  •  Coded Text
    • Never performed 
    • Not completed. 
  •  Text
Intraocular PressureIntraocular Pressure: Measured values of the intraocular pressure.
0..90 mmHg
Applanation TimeApplanation Time: The time taken for a non-contact tonometer to flatten the cornea, used to calculate intraocular pressure.
>=0 millisec
Clinical InterpretationClinical Interpretation: A textual intepretation, generally coded, of the test result.
Overall InterpretationOverall Interpretation: A textual intepretation, generally coded, of all the test results.
Additional CommentAdditional Comment: An additional comment about the measurement.
State
Confounding FactorsConfounding Factors: Factors related to the state of the subject which may effect interpretation of the result.
Protocol
Tonometry MethodTonometry Method: Type of tonometery used to measure intracoular pressure.
  •  Coded Text
    • Goldmann 
    • Perkins 
    • Tono-Pen 
    • Icare (Rebound) 
    • Dynamic Contour 
    • Ocular Response Analyzer 
    • TGDc-01 
    • Non-contact tonometry 
  •  Text
DeviceDevice: Any physical object, product, instrument, apparatus, appliance, material or other item used directly or indirectly in the provision of healthcare, but is not used primarily through therapeutic or metabolic means.
Device nameDevice name: Identification of the device. This is very likely to be a coded field, including pre- or post-coordianted details.
DescriptionDescription: Description of the device.
TypeType: Type of device.
SizeSize: Size of device - a choice of value types is offered - count, quantity or text.
  •  Count
  •  Quantity
  •  Text
ManufacturerManufacturer: Name of manufacturer.
Date of manufactureDate of manufacture: Date the device was manufactured.
Batch numberBatch number: Manufacturer's batch number.
Date of expiryDate of expiry: Date that the device/product is no longer fit for use.
Safety featureSafety feature: Details about safety feature(s) of the device.
Type of featureType of feature: Type of safety feature of the device.
DescriptionDescription: Description of the safety feature of the device.
CommentComment: Additional narrative about the device not captured in other fields.
Device detailsDevice details: Additional details that relate to safety and quality issues for ongoing and repeated use of any device.
Organisation identifierOrganisation identifier: Organisation identifier for device. May be a text string or an IEEE EUI-64 identifier.
  •  Text
  •  Identifier
ModelModel: The model of the device.
Serial numberSerial number: The serial number of the device.
Part numberPart number: The part number of the device.
Manufacturer model nameManufacturer model name: HL7 CDA compatible representation of device manufacture details. May be a simple string or contain simple markup e.g. for Continua PHMR reports: "Pulse Master 2000||584216|69854|2.1|1.1|1.0|" repesenting Model, Unspecified, SerialNumber, PartNumber, HardwareRevision, SoftwareRevision, ProtocolRevision, and ProdSpecGMDN.
Hardware revisionHardware revision: The hardware revision number.
Software nameSoftware name: Software name - for compatibility with CDA POCD_MT000040.
Software revisionSoftware revision: The software revision number.
Protocol revisionProtocol revision: The protocol revision number.
Sampling frequencySampling frequency: The sampling frequency limits of the device.
  •  Text
  •  Quantity
RangeRange: The range limits of the device.
  •  Text
  •  Interval of Quantity
AccuracyAccuracy: The accuracy limits of the device.
  •  Text
  •  Quantity
ResolutionResolution: The resolution limits of the device.
  •  Text
  •  Quantity
Regulatory statusRegulatory status: Whether device is regulated or otherwise.
Date last cleaned/sterilizedDate last cleaned/sterilized: Date the device was last cleaned or sterilized.
Date last calibratedDate last calibrated: Date the device was last calibrated.
Date last servicedDate last serviced: The date the device was last serviced.
Additional informationAdditional information: Addtional device specification information.
FormulaeFormulae: Details about formulae or algorithms used by the device in order to generate results/output.
Formula nameFormula name: Data element which is calculated or derived.
FormulaFormula: Formula used to calculate or derive the Calculated field.