ARCHETYPE Hallazgos Clínicos - Cámara Posterior del ojo (openEHR-EHR-CLUSTER.exam_posterior_chamber.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.exam_posterior_chamber.v0
ConceptHallazgos Clínicos - Cámara Posterior del ojo
DescriptionHallazgos identificados durante el estudio de la cámara posterior del ojo que podrían tener relevancia clínica
UseSe puede utilizar anidado a arquetipos de tipo OBSERVATION relacionados con pruebas clínicas que estudien la cámara posterior del ojo. Por ejemplo, adjunto a "OBSERVATION.fundoscopic_examination" aportaría información adicional acerca de los hallazgos al examinar un fondo de ojo. También podría utilizarse con "OBSERVATION.ophthalmic_tomography_examination", aportando información acerca de los hallazgos durante la prueba de OCT. Este arquetipo se aplica a los hallazgos estructurales detectados de forma objetiva al revisar imágenes de la cámara posterior del ojo. Por tanto, su fin es recoger síntomas de trastornos oculares que puedan resultar de interés diagnóstico.
MisuseNo debe utilizarse para registrar los resultados del examen de otras estructuras del ojo que no sean la cámara posterior. No debe confundirse con los arquetipos "examination_details" que revogen información relativa a la captura de las pruebas, calidad,artefactos,... No debe ser usado para incluir hallazgos subjetivos. Existen arquetipos específicos de tipo EVALUATION para este cometido.
PurposeRegistrar detalles clínicos observados en el estudio de la cámara posterior del ojo.
References
Copyright© Nasjonal IKT HF
AuthorsForfatternavn: Aitor Eguzkitza
Organisasjon: Universidad Pública de Navarra - Complejo Hospitalario de Navarra
E-post: aitor.eguzkiza@unavarra.es
Opprinnelig skrevet dato: 2014-03-18
Other Details LanguageForfatternavn: Aitor Eguzkitza
Organisasjon: Universidad Pública de Navarra - Complejo Hospitalario de Navarra
E-post: aitor.eguzkiza@unavarra.es
Opprinnelig skrevet dato: 2014-03-18
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=Nasjonal IKT, original_namespace=no.nasjonalikt, original_publisher=Nasjonal IKT, custodian_namespace=no.nasjonalikt, MD5-CAM-1.0.1=A5799DB3FD902CF66866D1DB1679965F, build_uid=ed4b67ed-65d2-43de-8407-8c1dfb67c948, revision=0.0.1-alpha}
Keywordsojo, cámara posterior
Lifecyclein_development
UID3ea477db-ea78-4d0a-99d9-60834f1fa895
Language usedes
Citeable Identifier1078.36.812
Revision Number0.0.1-alpha
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  • Sin hemorragia [Aparentemente no hay hemorragia retiniana]
  • Hemorragia en llama [Presenta hemorragia superficial o en llama ]
    [SNOMED-CT::247132001] (Retinal flame hemorrhage (disorder))
  • Hemorragia profunda [Presenta hemorragia profunda]
    [SNOMED-CT::48742005] (Deep retinal hemorrhage (finding))
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  • EMD aparentemente ausente [No se aprecia engrosamiento retiniano o exudados duros en el polo posterior]
  • EMD leve [Algo de engrosamiento retiniano o exudados duros en polo posterior, pero distantes del centro de la mácula (edema clínicamente no significativo)]
    [SNOMED-CT::399864000] (Diabetic macular edema not clinically significant (disorder))
  • EMD moderado [Engrosamiento de la retina o exudados duros cercanos al centro de la mácula, pero sin comprometer el centro (edema clínicamente significativo)]
    [SNOMED-CT::312911008] (Clinically significant macular edema (disorder))
  • EMD severo [Engrosamiento de la retina o exudados duros que comprometen el centro de la mácula (edema clínicamente significativo) ]
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  • Sin hemorragia [Aparentemente no hay hemorragia retiniana]
  • Hemorragia en llama [Presenta hemorragia superficial o en llama ]
    [SNOMED-CT::247132001] (Retinal flame hemorrhage (disorder))
  • Hemorragia profunda [Presenta hemorragia profunda]
    [SNOMED-CT::48742005] (Deep retinal hemorrhage (finding))
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  • EMD aparentemente ausente [No se aprecia engrosamiento retiniano o exudados duros en el polo posterior]
  • EMD leve [Algo de engrosamiento retiniano o exudados duros en polo posterior, pero distantes del centro de la mácula (edema clínicamente no significativo)]
    [SNOMED-CT::399864000] (Diabetic macular edema not clinically significant (disorder))
  • EMD moderado [Engrosamiento de la retina o exudados duros cercanos al centro de la mácula, pero sin comprometer el centro (edema clínicamente significativo)]
    [SNOMED-CT::312911008] (Clinically significant macular edema (disorder))
  • EMD severo [Engrosamiento de la retina o exudados duros que comprometen el centro de la mácula (edema clínicamente significativo) ]
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