| TEMPLATE ID | Laser procedure |
| Concept | Laser procedure |
| Description | Manages laser procedures involved in the domain of ophthalmology. |
| Purpose | Manages laser procedures involved in the domain of ophthalmology. |
| References | |
| Other Details (Language Independent) | - MetaDataSet:Sample Set : Template metadata sample set
|
| Language used | en |
| Citeable Identifier | 1013.26.27 |
| Root archetype id | openEHR-EHR-SECTION.laser.v1 |
| Laser | Laser: Defines the process involving treatment of ophthalmic diseases by means of techniques based in laser usage. |
| Procedure request | Procedure request: Request for a procedure to be performed. |
| Request | Request: Current Activity |
| Description | |
| Procedure requested | Procedure requested: Identification of the service requested. This is often coded with an external terminology. |
| Type of procedure | Type of procedure: * |
| Description of Procedure | Description of Procedure: A detailed narrative description of the service requested. |
| Photocoagulation details | Photocoagulation details: Specific details concerning ophthalmic treatments using photocoagulation. |
| Laterality | Laterality: Eyes in which the treatment by photocoagulation is applied.
- Left eye
- Right eye
- Both eyes
|
| Photocoagulation method | Photocoagulation method: Method chosen to perform the treatment by photocoagulation within the retina.
- Panretinal photocoagulation
- Macular laser
|
| Type of laser | Type of laser: Identifies the type of laser device needed to perform the treatment.
- Dye laser device
- Diode pumped laser device
- Gas laser device
|
| Reason for request | Reason for request: A short description of the reason for the request or indication. This is often coded with an external terminology. |
| Reason description | Reason description: A narrative description explaining the reason for request. |
| Objective | Objective: Details about specific objective or goal to be achieved by procedure. |
| Intent | Intent: Intended impact on underlying health condition or issue eg preventive, curative, palliative, adjunct, adjuvant or supportive. |
| Urgency | Urgency: Urgency of the request.
|
| Date &/or time service required | Date &/or time service required: The date and time that the service should be performed or completed. |
| Latest date service required | Latest date service required: The latest date that is acceptable for the service to be completed. |
| Supplementary information to follow | Supplementary information to follow: True indicates that additional information has been identified and will be forwarded when available eg incomplete pathology test results. |
| Supplementary information expected | Supplementary information expected: Details of the nature of supplementary information that is to follow e.g name of laboratory results. |
| Protocol | |
| Requestor Identifier | Requestor Identifier: 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. |
| Receiver identifier | Receiver 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. |
| Request status | Request status: 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. |
| Procedure undertaken | Procedure undertaken: A clinical activity that has been carried out for therapeutic or diagnostic purposes. |
| Description | |
| Procedure | Procedure: The name of the procedure. |
| Reason/s for procedure | Reason/s for procedure: The reason or indication for the procedure. |
| Method/Technique | Method/Technique: Identification of specific method or technique used for procedure. |
| Description | Description: Narrative description about the procedure carried out. |
| Additional tasks | Additional 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. |
| Task | Task: Name of additional task performed during the procedure. |
| Task description | Task description: Description of additional task performed during the procedure. |
| Record of additional task | Record of additional task: Link to a detailed record of the additional task. |
| Outcome | Outcome: Outcome of procedure performed. |
| Procedure unsuccessful | Procedure unsuccessful: Was the procedure ultimately unsuccessful? True if unsuccessful. |
| Unplanned event | Unplanned event: An unplanned event prior to or related to the procedure, which may affect its execution e.g patient self-removed cannula. |
| Complication | Complication: Details about any complication arising from the procedure. |
| Emergency? | Emergency?: Was this procedure performed as an emergency? True if Yes. |
| Comments | Comments: Comments about the procedure. |
| Multimedia | Multimedia: Multimedia representation of the procedure, including images. |
| Protocol | |
| Requestor order identifier | Requestor order identifier: The local ID assigned to the order by the healthcare provider or organisation requesting the service. |
| Receiver order identifier | Receiver 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. |