Eyes back on FHIR? An experimental continuation of the Eyes on FHIR working group's HL7 FHIR® IG
0.1.0 - experimental Unknown region code '276'

Eyes back on FHIR? An experimental continuation of the Eyes on FHIR working group's HL7 FHIR® IG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Codes which were needed, but not found in SNOMED or LOINC, will be submitted there - JSON Representation

Draft as of 2024-12-31

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{
  "resourceType" : "CodeSystem",
  "id" : "custom-codes-to-be-submitted-to-SNOMED-or-LOINC",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem custom-codes-to-be-submitted-to-SNOMED-or-LOINC</b></p><a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC\"> </a><a name=\"hccustom-codes-to-be-submitted-to-SNOMED-or-LOINC\"> </a><a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-en-US\"> </a><p>This  code system <code>https://larfuma.github.io/fhir-eyecare-ig/CodeSystem/custom-codes-to-be-submitted-to-SNOMED-or-LOINC</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">single-optotypes<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-single-optotypes\"> </a></td><td>Single Optotypes</td><td>The visual acuity test was conducted using single optotypes.</td></tr><tr><td style=\"white-space:nowrap\">optotype-rows<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-optotype-rows\"> </a></td><td>Optotype Rows</td><td>The visual acuity test was conducted using rows of optotypes.</td></tr><tr><td style=\"white-space:nowrap\">optotype-presentation<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-optotype-presentation\"> </a></td><td>Optotype Presentation</td><td>Whether the optotypes were presented as single optotypes or as rows of optotypes</td></tr><tr><td style=\"white-space:nowrap\">Optotype<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-Optotype\"> </a></td><td>Optotype</td><td>Figures or letters of different sizes, which are discriminated by a patient in Visual acuity testing</td></tr><tr><td style=\"white-space:nowrap\">Landolt C<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-LandoltC\"> </a></td><td>Landolt C</td><td>Landolt C Optotype, also known as Landolt Ring Optotype</td></tr><tr><td style=\"white-space:nowrap\">Sjogren's Hand Test<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-Sjogren.39sHandTest\"> </a></td><td>Sjogren's Hand Test</td><td>A Visual Acuity Test with a Chart consisting of pictures of hands with fingers pointing towards various directions.</td></tr><tr><td style=\"white-space:nowrap\">Lea Symbol Test<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-LeaSymbolTest\"> </a></td><td>Lea Symbol Test</td><td>A four-Optotype Visual acuity Test for Children developed by Dr Lea Hyvaerinen</td></tr><tr><td style=\"white-space:nowrap\">Refractive Correction<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-RefractiveCorrection\"> </a></td><td>Refractive Correction</td><td>The process of improving visual acuity by changing the paths of light rays by in order to more accurately focus it on the retina</td></tr><tr><td style=\"white-space:nowrap\">trial-lenses-autorefraction<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-trial-lenses-autorefraction\"> </a></td><td>Trial Lenses - Values from Autorefraction</td><td>Trial lenses used for visual acuity testing based on values obtained from an autorefractor.</td></tr><tr><td style=\"white-space:nowrap\">trial-lenses-manifest-without-cycloplegia<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-trial-lenses-manifest-without-cycloplegia\"> </a></td><td>Trial Lenses - Values from Manifest Refraction without Cycloplegia</td><td>Trial lenses used for visual acuity testing based on values from manifest refraction without cycloplegia.</td></tr><tr><td style=\"white-space:nowrap\">trial-lenses-manifest-with-cycloplegia<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-trial-lenses-manifest-with-cycloplegia\"> </a></td><td>Trial Lenses - Values from Manifest Refraction with Cycloplegia</td><td>Trial lenses used for visual acuity testing based on values from manifest refraction with cycloplegia.</td></tr><tr><td style=\"white-space:nowrap\">trial-lenses-retinoscopy<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-trial-lenses-retinoscopy\"> </a></td><td>Trial Lenses - Values from Retinoscopy</td><td>Trial lenses used for visual acuity testing based on values from retinoscopy.</td></tr><tr><td style=\"white-space:nowrap\">trial-lenses-unspecified-origin<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-trial-lenses-unspecified-origin\"> </a></td><td>Trial Lenses - Values of Unspecified Origin</td><td>Trial lenses used for visual acuity testing where the origin of the refractive values is unspecified.</td></tr><tr><td style=\"white-space:nowrap\">VA_Confounder_Right_Pupil_Dilated<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-VA_Confounder_Right_Pupil_Dilated\"> </a></td><td>The Visual Acuity measurement is confounded by a right dilated pupil after dilating eyedrop use</td><td>The Pupil of the Right eye is in a Mydriatic state because dilating Eyedrops were used</td></tr><tr><td style=\"white-space:nowrap\">VA_Confounder_Left_Pupil_Dilated<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-VA_Confounder_Left_Pupil_Dilated\"> </a></td><td>The Visual Acuity measurement is confounded by a left dilated pupil after dilating eyedrop use</td><td>The Visual Acuity measurement is confounded by a left dilated pupil after dilating eyedrop use</td></tr><tr><td style=\"white-space:nowrap\">VA_Confounded_pathological_right_pupil_function<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-VA_Confounded_pathological_right_pupil_function\"> </a></td><td>The Visual Acuity measurement is confounded by a pathological right pupil function, independent of eyedrops</td><td>The Visual Acuity measurement is confounded by a pathological right pupil function, independent of eyedrops</td></tr><tr><td style=\"white-space:nowrap\">VA_Confounded_pathological_left_pupil_function<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-VA_Confounded_pathological_left_pupil_function\"> </a></td><td>The Visual Acuity measurement is confounded by a pathological left pupil function, independent of eyedrops</td><td>The Visual Acuity measurement is confounded by a pathological left pupil function, independent of eyedrops</td></tr><tr><td style=\"white-space:nowrap\">VA_not_confounded_by_pupil_function<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-VA_not_confounded_by_pupil_function\"> </a></td><td>Absence of significant confounding effect of pupil function on VA measurement</td><td>Absence of significant confounding effect of pupil function on VA measurement</td></tr><tr><td style=\"white-space:nowrap\">logMAR<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-logMAR\"> </a></td><td>Logarithm of the Minimum Angle of Resolution</td><td>Logarithm of the Minimum Angle of Resolution as a Unit of Visual Acuity</td></tr><tr><td style=\"white-space:nowrap\">MAR<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-MAR\"> </a></td><td>Minimum Angle of Resolution</td><td>Minimum Angle of Resolution as a Unit of Visual Acuity</td></tr><tr><td style=\"white-space:nowrap\">Decimal<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-Decimal\"> </a></td><td>Decimal Unit of Visual Acuity</td><td>Reciprocal value of Minimum Angle of Resolution, equivalent to calculating the fraction of a Snellen Ratio</td></tr><tr><td style=\"white-space:nowrap\">Jaeger J<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-JaegerJ\"> </a></td><td>Jaeger type (J) Unit</td><td>Unit of Visual acuity, determined by a the smallest print read on a Jaeger chart</td></tr><tr><td style=\"white-space:nowrap\">VAS<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-VAS\"> </a></td><td>Visual Acuity Score</td><td>Unit of Visual acuity, calculated as 100 - 50 x logMAR</td></tr><tr><td style=\"white-space:nowrap\">Number of recongnized optotypes<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-Numberofrecongnizedoptotypes\"> </a></td><td>Number of recongnized optotypes</td><td>Number of optotypes that were correctly identified, usually in terms of Letters read</td></tr><tr><td style=\"white-space:nowrap\">pupillomotor-function-finding-narrative<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-pupillomotor-function-finding-narrative\"> </a></td><td>Pupillomotor Function Finding Narrative</td><td>A narrative description of the pupillomotor function assessment.</td></tr><tr><td style=\"white-space:nowrap\">comparison-of-pupil-diameter-between-eyes<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-comparison-of-pupil-diameter-between-eyes\"> </a></td><td>Comparison of Pupil Diameter between Eyes</td><td>An observation comparing the pupil diameters of both eyes.</td></tr><tr><td style=\"white-space:nowrap\">swinging-light-test<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-swinging-light-test\"> </a></td><td>Swinging Light Test</td><td>An assessment using the swinging flashlight test to detect a relative afferent pupillary defect (RAPD).</td></tr><tr><td style=\"white-space:nowrap\">near-reaction-assessment<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-near-reaction-assessment\"> </a></td><td>Near Reaction Assessment</td><td>An assessment of the pupil's reaction to near stimuli.</td></tr><tr><td style=\"white-space:nowrap\">anisocoria-right-pupil-larger-than-left<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-anisocoria-right-pupil-larger-than-left\"> </a></td><td>Anisocoria right pupil larger than left pupil</td><td>A finding of Anisocoria with the right pupil having a larger diameter than the left pupil.</td></tr><tr><td style=\"white-space:nowrap\">anisocoria-left-pupil-larger-than-right<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-anisocoria-left-pupil-larger-than-right\"> </a></td><td>Anisocoria left pupil larger than right pupil</td><td>A finding of Anisocoria with the left pupil having a larger diameter than the right pupil.</td></tr><tr><td style=\"white-space:nowrap\">anisocoria-with-larger-pupil-diameter-difference-in-bright-lighting-conditions<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-anisocoria-with-larger-pupil-diameter-difference-in-bright-lighting-conditions\"> </a></td><td>Anisocoria more pronounced in bright light</td><td>A finding that the absolute Difference in Diameter between the Pupils of both eyes is larger in bright lighting conditions</td></tr><tr><td style=\"white-space:nowrap\">anisocoria-with-larger-pupil-diameter-difference-in-low-lighting-conditions<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-anisocoria-with-larger-pupil-diameter-difference-in-low-lighting-conditions\"> </a></td><td>Anisocoria more pronounced in low lighting</td><td>A finding that the absolute Difference in Diameter between the Pupils of both eyes is larger in low lighting conditions</td></tr><tr><td style=\"white-space:nowrap\">anisocoria-independent-of-lighting-conditions<a name=\"custom-codes-to-be-submitted-to-SNOMED-or-LOINC-anisocoria-independent-of-lighting-conditions\"> </a></td><td>Difference in Pupil size between eyes not different in bright or low light</td><td>A finding that the absolute Difference in Diameter between the Pupils of both eyes is larger in low lighting conditions</td></tr></table></div>"
  },
  "url" : "https://larfuma.github.io/fhir-eyecare-ig/CodeSystem/custom-codes-to-be-submitted-to-SNOMED-or-LOINC",
  "version" : "0.1.0",
  "name" : "CustomCodeSystem",
  "title" : "Codes which were needed, but not found in SNOMED or LOINC, will be submitted there",
  "status" : "draft",
  "experimental" : true,
  "date" : "2024-12-31T12:44:09+00:00",
  "publisher" : "Lars Fuhrmann",
  "contact" : [
    {
      "name" : "Lars Fuhrmann",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://larfuma.github.io/fhir-eyecare-ig/"
        },
        {
          "system" : "email",
          "value" : "fuhr.lars@gmail.com"
        }
      ]
    }
  ],
  "description" : "Codes which were needed, but not found in SNOMED or LOINC, will be submitted there",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "276"
        }
      ]
    }
  ],
  "content" : "complete",
  "concept" : [
    {
      "code" : "single-optotypes",
      "display" : "Single Optotypes",
      "definition" : "The visual acuity test was conducted using single optotypes."
    },
    {
      "code" : "optotype-rows",
      "display" : "Optotype Rows",
      "definition" : "The visual acuity test was conducted using rows of optotypes."
    },
    {
      "code" : "optotype-presentation",
      "display" : "Optotype Presentation",
      "definition" : "Whether the optotypes were presented as single optotypes or as rows of optotypes"
    },
    {
      "code" : "Optotype",
      "display" : "Optotype",
      "definition" : "Figures or letters of different sizes, which are discriminated by a patient in Visual acuity testing"
    },
    {
      "code" : "Landolt C",
      "display" : "Landolt C",
      "definition" : "Landolt C Optotype, also known as Landolt Ring Optotype"
    },
    {
      "code" : "Sjogren's Hand Test",
      "display" : "Sjogren's Hand Test",
      "definition" : "A Visual Acuity Test with a Chart consisting of pictures of hands with fingers pointing towards various directions."
    },
    {
      "code" : "Lea Symbol Test",
      "display" : "Lea Symbol Test",
      "definition" : "A four-Optotype Visual acuity Test for Children developed by Dr Lea Hyvaerinen"
    },
    {
      "code" : "Refractive Correction",
      "display" : "Refractive Correction",
      "definition" : "The process of improving visual acuity by changing the paths of light rays by in order to more accurately focus it on the retina"
    },
    {
      "code" : "trial-lenses-autorefraction",
      "display" : "Trial Lenses - Values from Autorefraction",
      "definition" : "Trial lenses used for visual acuity testing based on values obtained from an autorefractor."
    },
    {
      "code" : "trial-lenses-manifest-without-cycloplegia",
      "display" : "Trial Lenses - Values from Manifest Refraction without Cycloplegia",
      "definition" : "Trial lenses used for visual acuity testing based on values from manifest refraction without cycloplegia."
    },
    {
      "code" : "trial-lenses-manifest-with-cycloplegia",
      "display" : "Trial Lenses - Values from Manifest Refraction with Cycloplegia",
      "definition" : "Trial lenses used for visual acuity testing based on values from manifest refraction with cycloplegia."
    },
    {
      "code" : "trial-lenses-retinoscopy",
      "display" : "Trial Lenses - Values from Retinoscopy",
      "definition" : "Trial lenses used for visual acuity testing based on values from retinoscopy."
    },
    {
      "code" : "trial-lenses-unspecified-origin",
      "display" : "Trial Lenses - Values of Unspecified Origin",
      "definition" : "Trial lenses used for visual acuity testing where the origin of the refractive values is unspecified."
    },
    {
      "code" : "VA_Confounder_Right_Pupil_Dilated",
      "display" : "The Visual Acuity measurement is confounded by a right dilated pupil after dilating eyedrop use",
      "definition" : "The Pupil of the Right eye is in a Mydriatic state because dilating Eyedrops were used"
    },
    {
      "code" : "VA_Confounder_Left_Pupil_Dilated",
      "display" : "The Visual Acuity measurement is confounded by a left dilated pupil after dilating eyedrop use",
      "definition" : "The Visual Acuity measurement is confounded by a left dilated pupil after dilating eyedrop use"
    },
    {
      "code" : "VA_Confounded_pathological_right_pupil_function",
      "display" : "The Visual Acuity measurement is confounded by a pathological right pupil function, independent of eyedrops",
      "definition" : "The Visual Acuity measurement is confounded by a pathological right pupil function, independent of eyedrops"
    },
    {
      "code" : "VA_Confounded_pathological_left_pupil_function",
      "display" : "The Visual Acuity measurement is confounded by a pathological left pupil function, independent of eyedrops",
      "definition" : "The Visual Acuity measurement is confounded by a pathological left pupil function, independent of eyedrops"
    },
    {
      "code" : "VA_not_confounded_by_pupil_function",
      "display" : "Absence of significant confounding effect of pupil function on VA measurement",
      "definition" : "Absence of significant confounding effect of pupil function on VA measurement"
    },
    {
      "code" : "logMAR",
      "display" : "Logarithm of the Minimum Angle of Resolution",
      "definition" : "Logarithm of the Minimum Angle of Resolution as a Unit of Visual Acuity"
    },
    {
      "code" : "MAR",
      "display" : "Minimum Angle of Resolution",
      "definition" : "Minimum Angle of Resolution as a Unit of Visual Acuity"
    },
    {
      "code" : "Decimal",
      "display" : "Decimal Unit of Visual Acuity",
      "definition" : "Reciprocal value of Minimum Angle of Resolution, equivalent to calculating the fraction of a Snellen Ratio"
    },
    {
      "code" : "Jaeger J",
      "display" : "Jaeger type (J) Unit",
      "definition" : "Unit of Visual acuity, determined by a the smallest print read on a Jaeger chart"
    },
    {
      "code" : "VAS",
      "display" : "Visual Acuity Score",
      "definition" : "Unit of Visual acuity, calculated as 100 - 50 x logMAR"
    },
    {
      "code" : "Number of recongnized optotypes",
      "display" : "Number of recongnized optotypes",
      "definition" : "Number of optotypes that were correctly identified, usually in terms of Letters read"
    },
    {
      "code" : "pupillomotor-function-finding-narrative",
      "display" : "Pupillomotor Function Finding Narrative",
      "definition" : "A narrative description of the pupillomotor function assessment."
    },
    {
      "code" : "comparison-of-pupil-diameter-between-eyes",
      "display" : "Comparison of Pupil Diameter between Eyes",
      "definition" : "An observation comparing the pupil diameters of both eyes."
    },
    {
      "code" : "swinging-light-test",
      "display" : "Swinging Light Test",
      "definition" : "An assessment using the swinging flashlight test to detect a relative afferent pupillary defect (RAPD)."
    },
    {
      "code" : "near-reaction-assessment",
      "display" : "Near Reaction Assessment",
      "definition" : "An assessment of the pupil's reaction to near stimuli."
    },
    {
      "code" : "anisocoria-right-pupil-larger-than-left",
      "display" : "Anisocoria right pupil larger than left pupil",
      "definition" : "A finding of Anisocoria with the right pupil having a larger diameter than the left pupil."
    },
    {
      "code" : "anisocoria-left-pupil-larger-than-right",
      "display" : "Anisocoria left pupil larger than right pupil",
      "definition" : "A finding of Anisocoria with the left pupil having a larger diameter than the right pupil."
    },
    {
      "code" : "anisocoria-with-larger-pupil-diameter-difference-in-bright-lighting-conditions",
      "display" : "Anisocoria more pronounced in bright light",
      "definition" : "A finding that the absolute Difference in Diameter between the Pupils of both eyes is larger in bright lighting conditions"
    },
    {
      "code" : "anisocoria-with-larger-pupil-diameter-difference-in-low-lighting-conditions",
      "display" : "Anisocoria more pronounced in low lighting",
      "definition" : "A finding that the absolute Difference in Diameter between the Pupils of both eyes is larger in low lighting conditions"
    },
    {
      "code" : "anisocoria-independent-of-lighting-conditions",
      "display" : "Difference in Pupil size between eyes not different in bright or low light",
      "definition" : "A finding that the absolute Difference in Diameter between the Pupils of both eyes is larger in low lighting conditions"
    }
  ]
}