6.3.2.16.1.2 <methodCode code=' ' codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT '/> The methodCode element SHALL be used to record the specific method used to make an observation. SNOMED CT Procedure hierarchy (71388002) SHOULD be used for method codes; however, other code sets MAY be used, if desired. The following SNOMED CT codes represent a very limited list of examples; it is not an exhaustive list for implementation. Code Value Code Description 398891008 Slit lamp biomicroscopy 76949005 Gonioscopy 414273009 Fluorescein staining of eye ----- ------ 6.3.2.16.1.3 <interpretationCode code=' ' codeSystem=' ' codeSystemName=' '/> If there is an interpretation that can be performed using an observation result (e.g., high, borderline, normal, low), these MAY be recorded within the interpretationCode element. The SNOMED CT Clinical Findings hierarchy (404684003) SHOULD be used for interpretation however, other code sets MAY be used, if desired (e.g., ICD-10). The following SNOMED CT codes represent a very limited list of examples; it is not an exhaustive list for implementation. Code Value Code Description 301926003 Conjunctiva normal Central corneal epithelial staining 301928002 pattern Peripheral corneal epithelial staining 301929005 pattern 301936006 Anterior chamber of eye normal 314016000 Age-related lens opacity 370952005 Decreased tear film break-up ----- ------ 6.3.2.17 Posterior Segment 1.3.6.1.4.1.19376.1.12.1.2.18 Template ID 1.3.6.1.4.1.19376.1.12.1.2.18 Parent Template The posterior segment section shall contain a description of any type of posterior segment General Description exam.
6.3.2.16.1.2 <methodCode code=' ' codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT '/> The methodCode element SHALL be used to record the specific method used to make an observation. SNOMED CT Procedure hierarchy (71388002) SHOULD be used for method codes; however, other code sets MAY be used, if desired. The following SNOMED CT codes represent a very limited list of examples; it is not an exhaustive list for implementation. Code Value Code Description 398891008 Slit lamp biomicroscopy 76949005 Gonioscopy 414273009 Fluorescein staining of eye ----- ------ 6.3.2.16.1.3 <interpretationCode code=' ' codeSystem=' ' codeSystemName=' '/> If there is an interpretation that can be performed using an observation result (e.g., high, borderline, normal, low), these MAY be recorded within the interpretationCode element. The SNOMED CT Clinical Findings hierarchy (404684003) SHOULD be used for interpretation however, other code sets MAY be used, if desired (e.g., ICD-10). The following SNOMED CT codes represent a very limited list of examples; it is not an exhaustive list for implementation. Code Value Code Description 301926003 Conjunctiva normal 301928002 Central corneal epithelial staining pattern 301929005 Peripheral corneal epithelial staining pattern 301936006 Anterior chamber of eye normal 314016000 Age-related lens opacity 370952005 Decreased tear film break-up ----- ------ 6.3.2.17 Posterior Segment 1.3.6.1.4.1.19376.1.12.1.2.18 Template ID 1.3.6.1.4.1.19376.1.12.1.2.18 Parent Template General Description The posterior segment section shall contain a description of any type of posterior segment exam.
IHE_EyeCare_Supp_CCDA_GEE_TI_v0.1.docx