RetinaIntegration
0.5.0 - ci-build

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Artifacts Summary

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

Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.

Retina CapabilityStatement

CapabilityStatement for DIPS Retina Integration FHIR API.

Behavior: Operation Definitions

These are custom operations that can be supported by and/or invoked by systems conforming to this implementation guide.

Retina Append AI Result Operation

OperationDefinition for appending retina AI results to an existing DiagnosticReport.

Structures: Abstract Profiles

These are profiles on resources or data types that describe patterns used by other profiles, but cannot be instantiated directly. I.e. instances can conform to profiles based on these abstract profiles but do not declare conformance to the abstract profiles themselves.

Retina Observation

Base observation profile for observations connected to RetinaDiagnosticReport.

Structures: Resource Profiles

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

Retina AI Device

AI device/software system used for automated retina screening analysis.

Retina Diabetic Macular Edema Finding

Observation profile for documenting findings related to diabetic macular edema (DME) in retina examinations.

Retina Diabetic Retinopathy Finding

Observation profile for documenting findings related to diabetic retinopathy (DR) in retina examinations.

Retina DiagnosticReport

Diagnostic report for the grading process of a single examination which is part of a screening program.

Retina HbA1c Observation

HbA1c level as reported by patient prior to retina examination.

Retina Image Quality Assessment

The image quality as assesed by AI (2000-series).

Retina ImagingStudy

Profile for imaging studies related to retina examinations, including fundus photography and OCT imaging.

Structures: Extension Definitions

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

Cautions

Special considerations or cautions for grading this examination (5000-series).

Days Until Next Examination

Number of days until next examination.

Previous Examination Conclusion

The conclusion from the previous examination (1000 series). If this is the first examination, this extension is not present.

Retinal Image View

The centering or anatomical focus of a retinal image.

Terminology: Value Sets

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

Retina Body Site

Body site codes for retinal observations (right or left retina).

Retina Cautions

Special considerations or cautions for grading this examination (5000-series).

Retina Conclusion

Codes describing the current or final conclusion of the examination (1000-series).

Retina Image Quality

Image quality as assessed by AI (2000-series).

Retina Image View

Codes describing the centering used when capturing retinal images, such as macula-centered or optic disc-centered (6000-series).

Retina Imaging Procedures

Valid procedure codes for Retina imaging studies. Contains two Norwegian procedure codes from no-kodeverk-7275: CKDP10 for fundus photography and CKFX16 for OCT imaging of the eye fundus using light-wave based technique.

Terminology: Code Systems

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

Retina Cautions

Cautions to consider when grading examinations (5000-series).

Retina Conclusion

Codes for the current or final conclusion of the grading process (1000-series).

Retina Image Quality

Image quality as assessed by AI solution (2000-series).

Retina Image View

Codes describing the centering used when capturing retinal images (6000-series).

Terminology: Naming Systems

These define identifier and/or code system identities used by systems conforming to this implementation guide.

Retina DiagnosticReport Identifier System

IDs to identify retina diagnostic reports.

Retina ImagingStudy Identifier System

IDs identifying imaging studies associated with a diagnostic report. Includes both internal GUIDs and Sectra image study IDs.

Retina Observation Identifier System

IDs identifying observations associated with a diagnostic report.

Example: Example Instances

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

Bundle-SingleExamination-Example

A bundle containing a single DiagnosticReport with a single ImagingStudy awaiting AI result without any previous examination and without andy cautions.

Bundle-TwoExaminations-Example

A bundle containing two DiagnosticReports with their corresponding ImagingStudies and HbA1cObservations. One DiagnosticReport has a previous examination and cautions, while the other does not. One report has two ImagingStudies.

RetinaAIDevice-Example

AI device that performed the automated retina analysis.

RetinaAppendAIResultOperation-Example

Example request from client to append AI results to existing DiagnosticReport.

RetinaCameraDevice-Example

TODO: Camera profile not defined yet. Camera device not used yet.

RetinaDiabeticMacularEdemaFinding-Example-left

Left eye diabetic macular edema finding example.

RetinaDiabeticMacularEdemaFinding-Example-right

Right eye diabetic macular edema finding example.

RetinaDiabeticRetinopathyFinding-Example-left

Left eye diabetic retinopathy finding example.

RetinaDiabeticRetinopathyFinding-Example-right

Right eye diabetic retinopathy finding example.

RetinaDiagnosticReport-Example

Example after AI result is appended. Both eyes.

RetinaDiagnosticReport-Example-PendingAI

Example of DiagnosticReport pending AI result. Does not have a previous examination.

RetinaDiagnosticReport-Notification-Example

Notification from DIPS to external system that new retina examination is ready for AI grading.

RetinaHbA1cObservation-Example

HbA1c level observation example.

RetinaImageQualityAssessment-Example-left

Left eye image quality assessment example.

RetinaImageQualityAssessment-Example-right

Right eye image quality assessment example.

RetinaImagingStudy-available-Example

An 'available' ImagingStudy updated by AI system.

RetinaImagingStudy-registered-Example

A 'registered' ImagingStudy awaiting AI grading.