Person—ophthalmological assessment outcome (left retina) (last 12 months), code N

Identifying and definitional attributes

Metadata item type:Data Element
Short name:Ophthalmological assessment—outcome (left retina)
METeOR identifier:270472
Registration status:Health, Standard 01/03/2005
Definition:The result of an ophthalmological assessment for the left retina during the last 12 months, as represented by a code.
Data Element Concept:Person—ophthalmological assessment outcome

Value domain attributes

Representational attributes

Representation class:Code
Data type:Number
Format:N
Maximum character length:1
Permissible values:
ValueMeaning
1Normal
2Diabetes abnormality
3Non-diabetes abnormality
4Not visualised
Supplementary values:
9Not stated/inadequately described

Data element attributes

Collection and usage attributes

Guide for use:

This is a repeating record of both eyes.

1st field - Right retina

2nd field - Left retina

Record the result of the fundus examination for each eye as: Normal/ Diabetes abnormality/ Non-diabetes abnormality/ or Not visualised.

Example:

  • code 12 for right retina Normal and left retina Diabetes abnormality
  • code 32 for right retina Non-diabetes abnormality and left retina Diabetes abnormality

Only the result of an assessment carried out in the last 12 months should be recorded.

Collection methods:

Ophthalmological assessment should be performed by an ophthalmologist or a suitably trained clinician.

A comprehensive ophthalmological examination includes:

  • Checking visual acuity with Snellen chart - correct with pinhole if indicated;
  • Examination for cataract;
  • Examination of fundi with pupils dilated.

Source and reference attributes

Submitting organisation:National Diabetes Data Working Group
Origin:National Diabetes Outcomes Quality Review Initiative (NDOQRIN) data dictionary.

Relational attributes

Related metadata references:

Supersedes Ophthalmological assessment - outcome, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (18.5 KB)

See also Person—ophthalmological assessment outcome (right retina) (last 12 months), code N Health, Standard 01/03/2005

Implementation in Data Set Specifications:
All attributes +

Diabetes (clinical) DSS Health, Superseded 21/09/2005

DSS specific attributes +

Diabetes (clinical) NBPDS Health, Standard 21/09/2005

DSS specific attributes +

Diabetes (clinical) NBPDS Health, Candidate 15/05/2017

DSS specific attributes +