TEMPLATE Follow-up schedule for patients with suspected DR (Follow-up schedule for patients with suspected DR)

TEMPLATE ID	Follow-up schedule for patients with suspected DR
Concept	Follow-up schedule for patients with suspected DR
Description	Manage a DR screening service for patients with suspected retinopathy.
Purpose	Manage a DR screening service for patients with suspected retinopathy.
References
Authors	name: Aitor Eguzkitza; organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra; email: aitor.eguzkiza@unavarra.es; date: 2015-10-19
Other Details Language	name: Aitor Eguzkitza; organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra; email: aitor.eguzkiza@unavarra.es; date: 2015-10-19
Other Details (Language Independent)	MetaDataSet:Sample Set : Template metadata sample set
Language used	en
Citeable Identifier	1013.26.79
Root archetype id	openEHR-EHR-COMPOSITION.request.v1
Request for service	Request for service: Document sent from one treating healthcare provider or organisation to another, for the purpose of requesting advice, a service or transfer of care.
Diagnostic test planning	Diagnostic test planning: Schedules each patient to perform the diagnostic tests necessary to assess a specific disease.
Care Plan	Care Plan: Order or instruction for the creation and sequence of activities to achieve a specified management goal or treatment outcome, carried out by health professionals and/or the subject.
Activity	Activity: Current Activity.
Description
Care Plan Name	Care Plan Name: Identification of the care plan.
Description	Description: Description of the care plan scope, intent and proposed activities.
Indication	Indication: Indication for the care plan. For example: a known diagnosis; or a specific goal.
Date of Onset	Date of Onset: Date of onset for the care plan.
Comment	Comment: Additional narrative about the care plan order not captured in other fields.
Care Plan	Care Plan: Plan or sequence of discrete activities developed to achieve a specified management goal or treatment outcome, carried out by health professionals and/or the patient.
Description
Care Plan Name	Care Plan Name: Name of care plan.
Description	Description: Description of activity performed/enacted against the plan.
Reason	Reason: Reason for activity being performed /enacted against the plan.
Protocol
Care Plan ID	Care Plan ID: Identification of care plan.
Expiry Date	Expiry Date: Anticipated date beyond which the care plan can be deemed 'expired'.
IOP measurement request	IOP measurement request: Request for provision of a specified service by another healthcare provider or organisation.
Request	Request: Current Activity.
Description
Service requested	Service requested: Identification of the service requested. This is often coded with an external terminology.
Description of service	Description of service: A detailed narrative description of the service requested.
Reason for request	Reason for request: A short description of the reason for the request. This is often coded with an external terminology.
Reason description	Reason description: A narrative description explaining the reason for request.
Intent	Intent: Stated intent of the request by the referrer.
Urgency	Urgency: Urgency of the request. Routine
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.
Duration	Duration: Length of time the referral is valid.
Duration	Duration: Duration for which the referral is valid.
Indefinite	Indefinite: If true, referral is for an indefinite period of time.
Funduscopic examination request	Funduscopic examination request: Generic request for an imaging examination request.
Request	Request: Current Activity.
Description
Examination requested	Examination requested: Identification of the examination requested. This is often coded with an external terminology.
Description of examination	Description of examination: A detailed narrative description of the examination requested.
Acquisition details on eye fundus images	Acquisition details on eye fundus images: Defines specific details about the acquisition of images from eye fundus.
Laterality	Laterality: Eye/s from which the eye fundus is examined. Left eye Right eye Both eyes
Method	Method: Method chosen to perform the funduscopic examination. Non-mydriatic retinography Assumed value: Non-mydriatic retinography
Attempts Allowed	Attempts Allowed: Limit on the number of attempts allowed to conduct the acquisition (doesn't compute if test is repeated by a specific recognized technical failure). >=1 Assumed value: 3
Zone of Retina	Zone of Retina: Anatomical structures from retina in which the study of eye fundus is focused. Value set: ac0001
Study Fields Photographed	Study Fields Photographed: Specifies which fields from a specific subdivision of the retina are photographed in the study of eye fundus. Value set: ac0002
Mosaic	Mosaic: If true, the study includes a mosaic image that combines all eye fundus fields acquired into a single picture. Assumed value: false
Reason for request	Reason for request: A short description of the reason for the request. This is often coded with an external terminology.
Reason description	Reason description: A narrative description explaining the reason for request.
Intent	Intent: Stated intent of the request by the referrer.
Urgency	Urgency: Urgency of the request. Routine
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.
Other contributors	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