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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

StructureDefinition/Posteriorsegment-narrative
StructureDefinition/PupillomotoricDiagnosticReport
StructureDefinition/pupil-comparison
StructureDefinition/pupil-diameter
Base ophthalmic Observation profile

Base profile specifically constrained for describing ophthalmic Observations

Intraocular Pressure (IOP)

A measurement of a patient’s intraocular (within the eyeball) pressure (in mmHg).

OCT RFNL Observations

The Observations associated with the OCT RNFL DiagnosticReport (note: this valueset can also be used independently to describe specific findings/Observations captured by a OCT test, which may not necessarily be referenced by the DiagnosticReport.)

OCT RNFL Diagnostic Report

The DiagnosticReport profile for an OCT RNFL

OCT macula Diagnostic Report

The DiagnosticReport profile for an OCT macula

OCT macula Observations

The Observations associated with the OCT macula DiagnosticReport (note: this valueset can also be used independently to describe specific findings/Observations captured by a OCT test, which may not necessarily be referenced by the DiagnosticReport.)

Ocular anatomical location

The description of an ophthalmic anatomical site that is located within the following structures: the eyeball or the periocular or orbital regions (as opposed to non-ocular anatomical locations). This profile is used by combining the unique valueset (hyperlink) for relevant ophthalmic specific BodyStructure.locationQualifier (Body Site modifier) in combination with the base Observation BodyStructure.location (Body Site; descendants from SNOMED 371398005 (Eye Region Structure), each with a preferred binding in order to refine the accuracy of the location decription of occular structures. This unique qualifying element is important because these locations are routinely described either diffently and/or more granularly than other body parts. Of note - non occular (or surrounding) anatomical location references of Observations (eg - arm) do not need to use this modified specialty profile.

Ophthalmic Diagnoses

A profile to describe the formal past/present clinical diagnosis of a specific non-ophthalmic pathological Condition. As noted above, although the Condition Resource is also referenced in the non-ophthalmic findings profile, this profile is a modification of the base Condition Resource (as opposed to a base Obervation Resource modification, referencing Condition).

Ophthalmic diagnostic test report

Base profile specifically constrained for describing ophthalmic reports

VF Diagnostic Report

The DiagnosticReport profile for a visual field DT

VF Observations

The Observations associated with the VF DiagnosticReport (note: this valueset can also be used independently to describe specific findings/Observations captured by a VF test, which may not necessarily be referenced by the DiagnosticReport.)

Visual Acuity (VA)

An assessment of a patients ability to see.

Visual Acuity (VA) V2

An assessment of a patients ability to see - Version two - simpler structure than Version 1

Visual Acuity (VA) V3

An assessment of a patients ability to see - Version three

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

StructureDefinition/LensDuringVATestSpecification

Specification any Lens that was n front of an eye during a Visual Acuity test test

StructureDefinition/OwnLensDuringVATestSpecification

Specification of the Lens that was worn during the Visual Acuity test test

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Intraocular pressure (IOP) method valueset

Describes the various methods of capturing IOP that relate to the IOP Observation profile

Lens Types

This ValueSet includes all SNOMED CT codes that are descendants of ‘Contact lenses, device’ (57368009) and ‘Eye glasses, device’ (50121007).

OCT Macula Observable Entities ValueSet

OCT Macula observations coding

OCT RNFL Observable Entities ValueSet

OCT RNFL observations coding

Observation Status

Describes whether a recorded observation is either final or amended

Ophthalmic anatomical location

Describes the ophthalmic structure being referenced

Ophthalmic anatomical location qualifiers

Describes whether a recorded observation is either final or amended

Ophthalmology Condition ICD10 and SNOMED codes ValueSet

Clinical findings for the eye region.

Ophthalmology Procedures Valueset

This ValueSet represents procedure codes for clinical and billing purposes.

Ophthalmology observations (SNOMED)

Concept descends from 363926002 - Eye/vision observable (observable entity)

Optotype Presentation ValueSet

A ValueSet that includes codes representing the type of optotype presentation used during visual acuity testing.

Optotype ValueSet

A ValueSet that includes codes representing optotype used during visual acuity testing.

Pinhole Occluder Usage Values

This ValueSet contains SNOMED CT codes to represent whether a pinhole occluder was used during a visual acuity measurement.

Pupil Function Confounders

ValueSet including codes that represent confounders due to pupil function that may affect visual acuity measurements.

Pupil Testing Active Substances

This ValueSet contains codes to represent active substances used in pharmacological testing during pupil diameter measurements.

Pupil-Diameter-Comparison

A ValueSet containing codes for various pupillomotor function observations.

Room Brightness Levels

This ValueSet contains codes to represent the brightness of the room where a test was performed.

Special VA testing Parameters

This ValueSet contains codes to represent whether special testing parameters, such as a pinhole occluder or glare light, were used during a visual acuity measurement.

ValueSet-right-left-both-eyes

ValueSet containing laterality codes for ophthalmic observations which may contain information on one or both eyes

ValueSet-right-left-eyes

ValueSet containing laterality codes for ophthalmic observations which should only contain information on either the right or left eye, not both

Visual Acuity Categorical Values

ValueSet containing categorical values for visual acuity observations.

Visual Acuity Correction Methods

Methods of correction used during a visual acuity test.

Visual Acuity Correction Methods

Methods of correction used during a visual acuity test.

Visual Acuity Measurement Methods valueset

Describes the various charts that can be used to assess visual acuity where concept descends from 400912000 (Visual acuity test equipment (physical object))

Visual Acuity Quantity Units

Units of Measure of Visual acuity

Visual Acuity Test Distance

Codes representing the distances at which visual acuity tests are performed.

Visual Field Observable Entities ValueSet

Visual field observation coding

Visual acuity method valueset (SNOMED)

Describes the visual acuity observation result, where concept descends from 363983007 (Visual acuity)

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Body Structure Qualifiers

Additional body site qualifiers

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

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

IOP Methods Code System

IOP additional method types

Visual field test parameter observations

Visual field observation additional codes

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Example DiagnosticReport - pupillomotoric-report-1
Example Observation - posteriorsegment-example
Example Observation - pupil-comparison-1
Example Observation - pupil-comparison-2
Example Observation - pupil-comparison-3
Example Observation - pupil-comparison-4
Example Observation - pupil-diameter-left-eye-1
Example Observation - pupil-diameter-left-eye-2
Example Observation - pupil-diameter-left-eye-3
Example Observation - pupil-diameter-left-eye-4
Example Observation - pupil-diameter-right-eye-1
Example Observation - pupil-diameter-right-eye-2
Example Observation - pupil-diameter-right-eye-3
Example Observation - pupil-diameter-right-eye-4
Example Observation - va-measurement-example-patient-1-with-overrefraction-v3
Example Observation - va-measurement-example-patient-1-without-overrefraction-v3
Example Observation - va-measurement-example-patient-2-bino-50cm-with-od-contactlens
Example Observation - va-measurement-experiment
Example Observation - va-observation-v2-example-patient-1-with-overrefraction
Example Observation - va-observation-v2-example-patient-1-without-overrefraction
Left Eye Body Structure
Media Example
Media Example
Patient Example
Practitioner Example
Right Eye Body Structure

Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

BodyStructure/bodystructure-right-eye-6oclock
Condition/condition-ophthal-glaucoma
DiagnosticReport/diagnostic-report-visual-field-test-le-0
DiagnosticReport/diagnostic-report-visual-field-test-re-0
Observation/observation-iop-goldman-le-0
Observation/observation-iop-goldman-re-0
Observation/observation-iop-icare-home-le-0
Observation/observation-iop-icare-home-re-0
Observation/observation-refraction-le-0
Observation/observation-refraction-re-0
Observation/vf-false-positives-le-0
Observation/vf-false-positives-re-0
Observation/vf-fixation-loss-le-0
Observation/vf-fixation-loss-re-0
Observation/vf-mean-deviation-le-0
Observation/vf-mean-deviation-re-0
Observation/vf-pattern-standard-deviation-le-0
Observation/vf-pattern-standard-deviation-re-0
Observation/vf-test-duration-le-0
Observation/vf-test-duration-re-0
Procedure/perimetry-24-2-perimetry-test