From 5bae834e01a4d23763db43ec4ca99ff579a6c473 Mon Sep 17 00:00:00 2001 From: nyatindopatrick Date: Tue, 17 Dec 2024 10:26:02 +0300 Subject: [PATCH] Add cataract concepts and form --- .../bahmniforms/Cataract_surgery.json | 1 + configuration/concepts/CataractSurgery.csv | 265 ++++++++++++++++++ 2 files changed, 266 insertions(+) create mode 100644 configuration/bahmniforms/Cataract_surgery.json create mode 100644 configuration/concepts/CataractSurgery.csv diff --git a/configuration/bahmniforms/Cataract_surgery.json b/configuration/bahmniforms/Cataract_surgery.json new file mode 100644 index 0000000..09f7567 --- /dev/null +++ b/configuration/bahmniforms/Cataract_surgery.json @@ -0,0 +1 @@ +{"formJson":{"id":35,"uuid":"9c379727-66ee-4b3e-9cc0-35337f38c3f1","name":"Cataract 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Date",Question,Date,,,"1.0",20 +86358AAAAAAAAAAAFOMAAAAAAAAAAAAAAAAA,,"RBS - 11.5mmol/L Time","RBS - 11.5mmol/L Time","RBS - 11.5mmol/L Time",Question,Text,,,"1.0",21 +86358AAAAAAAAAAAFPMAAAAAAAAAAAAAAAAA,,"Nurse signature","Nurse signature","Nurse signature",Image,Complex,ImageUrlHandler,,"1.0",22 +86358AAAAAAAAAAAFQMAAAAAAAAAAAAAAAAA,,"FBS","FBS","FBS",Question,Text,,,"1.0",23 +86358AAAAAAAAAAAFRMAAAAAAAAAAAAAAAAA,,"FBS Date","FBS Date","FBS Date",Question,Date,,,"1.0",24 +86358AAAAAAAAAAAFSMAAAAAAAAAAAAAAAAA,,"FBS Time","FBS Time","FBS Time",Question,Text,,,"1.0",25 +86358AAAAAAAAAAAFUMAAAAAAAAAAAAAAAAA,,"PPBS","PPBS","PPBS",Question,Text,,,"1.0",26 +86358AAAAAAAAAAAFVMAAAAAAAAAAAAAAAAA,,"PPBS Date","PPBS Date","PPBS Date",Question,Date,,,"1.0",27 +86358AAAAAAAAAAAFWMAAAAAAAAAAAAAAAAA,,"PPBS Time","PPBS Time","PPBS Time",Question,Text,,,"1.0",28 +86358AAAAAAAAAAAFXMAAAAAAAAAAAAAAAAA,,"Verify lens sticker with the IP record","Verify lens sticker with the IP record","Verify lens sticker with the IP record",Question,Coded,,Yes;No,1,29 +86358AAAAAAAAAAAFYMAAAAAAAAAAAAAAAAA,,"Checking the dilatation","Checking the dilatation","Checking the dilatation",Question,Coded,,Yes;No,1,30 +86358AAAAAAAAAAAFZMAAAAAAAAAAAAAAAAA,,"Diet taken","Diet taken","Diet taken",Question,Coded,,Yes;No,1,31 +86358AAAAAAAAAAAGLMKAAAAAAAAAAAAAAAA,,"Pre op systemic medications taken","Pre op systemic medications taken","Pre op systemic medications taken",Question,Coded,,Yes;No,1,32 +86358AAAAAAAAAAAG1MAAHAAAAAAAAAAAAAA,,"Culture report collected","Culture report collected","Culture report collected",Question,Coded,,Yes;No,1,33 +86358AAAAAAAAAAAG2MKSAAAAAAAAAAAAAAA,,"Date","Date","Date",Question,Date,,,"1.0",34 +86358AAAAAAAAAAAG3MAAAANBSAAAAAAAAAA,,"Datetime","Datetime","Datetime",Question,Datetime,,,"1.0",35 +86JRGAAAAAAAAAAAG3MAAAAAAAAAAAAAAAAA,,"BP (mm/Hg)","BP (mm/Hg)","BP (mm/Hg)",Question,Numeric,,,"1.0",35 +863LKAAAAAAAAAAAG4MAAAAAAAAAAAAAAAAA,,"Pulse rate/min","Pulse rate/min","Pulse rate/min",Question,Numeric,,,"1.0",36 +86358AAAAAAAAAAAMBDAAAAAAAAAAAAAAAAA,,"Res rate/min","Res rate/min","Res rate/min",Question,Numeric,,,"1.0",37 +86358AAAAAAAAAAALKNAAAAAAAAAAAAAAAAA,,"Checked by","Checked by","Checked by",Question,Text,,,"1.0",38 +86358AAAAAAAAAAAG7MAAAAAAAAAAAAAAAAA,,"Time","Time","Time",Question,Text,,,"1.0",39 +86358AAAAAAAAAAAG8MAAAAAAAAAAAAAAAAA,,"Drug name","Drug name","Drug name",Question,Text,,,"1.0",40 +86358AAAAAAAAAAAG9MAAAAAAAAAAAAAAAAA,,"RE","RE","RE",Question,Text,,,"1.0",41 +86358AAAAAAAAAAAGAMAAAAAAAAAAAAAAAAA,,"LE","LE","LE",Question,Text,,,"1.0",42 +86358AAAAAAAAAAAGBMAAAAAAAAAAAAAAAAA,,"RE UCVA","RE UCVA","RE UCVA",Question,Text,,,"1.0",43 +86358AAAAAAAAAAAGCMAAAAAAAAAAAAAAAAA,,"LE UCVA","LE UCVA","LE UCVA",Question,Text,,,"1.0",44 +86358AAAAAAAAAAAGDMAAAAAAAAAAAAAAAAA,,"RE BCVA","RE BCVA","RE BCVA",Question,Text,,,"1.0",45 +86358AAAAAAAAAAAGEMAAAAAAAAAAAAAAAAA,,"LE BCVA","LE BCVA","LE BCVA",Question,Text,,,"1.0",46 +86358AAAAAAAAAAAGFMAAAAAAAAAAAAAAAAA,,"Catataract Group","Catataract Group","Catataract Group",Question,Coded,,I;II;III,1,47 +86358AAAAAAAAAAAGGMAAAAAAAAAAAAAAAAA,,"I","I","I",Misc,N/A,,,1,48 +86358AAAAAAAAAAAGHMAAAAAAAAAAAAAAAAA,,"II","II","II",Misc,N/A,,,1,49 +86358AAAAAAAAAAAGIMAAAAAAAAAAAAAAAAA,,"III","III","III",Misc,N/A,,,1,50 +86358AAAAAAAAAAAGJMAAAAAAAAAAAAAAAAA,,"Lens Status","Lens Status","Lens Status",Question,Coded,,NS I;NS II;NS III;NS IV;PSCC;PPC;Cortical;Mature;Hypermature;Complicated;Brown;Traumatic;Penetrating;Sublaxated lens;Phacolytic;Phamarcomorphic;Aphakia;Pseudophakia;Others,1,51 +86358AAAAAAAAAAAGKMAAAAAAAAAAAAAAAAA,,"NS I","NS I","NS I",Misc,N/A,,,1,52 +86358AAAAAAAAAAAGLMAAAAAAAAAAAAAAAAA,,"NS II","NS II","NS II",Misc,N/A,,,1,53 +86358AAAAAAAAAAAGMMAAAAAAAAAAAAAAAAA,,"NS III","NS III","NS III",Misc,N/A,,,1,54 +86358AAAAAAAAAAAGNMAAAAAAAAAAAAAAAAA,,"NS IV","NS IV","NS IV",Misc,N/A,,,1,55 +86358AAAAAAAAAAAGOMAAAAAAAAAAAAAAAAA,,"PSCC","PSCC","PSCC",Misc,N/A,,,1,56 +86358AAAAAAAAAAAGPMAAAAAAAAAAAAAAAAA,,"PPC","PPC","PPC",Misc,N/A,,,1,57 +86358AAAAAAAAAAAGQMAAAAAAAAAAAAAAAAA,,"Cortical","Cortical","Cortical",Misc,N/A,,,1,58 +86358AAAAAAAAAAAGRMAAAAAAAAAAAAAAAAA,,"Mature","Mature","Mature",Misc,N/A,,,1,59 +86358AAAAAAAAAAAGSMAAAAAAAAAAAAAAAAA,,"Hypermature","Hypermature","Hypermature",Misc,N/A,,,1,60 +86358AAAAAAAAAAAGTMAAAAAAAAAAAAAAAAA,,"Complicated","Complicated","Complicated",Misc,N/A,,,1,61 +86358AAAAAAAAAAAGUMAAAAAAAAAAAAAAAAA,,"Brown","Brown","Brown",Misc,N/A,,,1,62 +86358AAAAAAAAAAAGVMAAAAAAAAAAAAAAAAA,,"Traumatic","Traumatic","Traumatic",Misc,N/A,,,1,63 +86358AAAAAAAAAAAGWMAAAAAAAAAAAAAAAAA,,"Penetrating","Penetrating","Penetrating",Misc,N/A,,,1,64 +86358AAAAAAAAAAAGXMAAAAAAAAAAAAAAAAA,,"Sublaxated lens","Sublaxated lens","Sublaxated lens",Misc,N/A,,,1,65 +86358AAAAAAAAAAAGYMAAAAAAAAAAAAAAAAA,,"Phacolytic","Phacolytic","Phacolytic",Misc,N/A,,,1,66 +86358AAAAAAAAAAAGZMAAAAAAAAAAAAAAAAA,,"Phamarcomorphic","Phamarcomorphic","Phamarcomorphic",Misc,N/A,,,1,67 +86358AAAAAAAAAAAG0MAAAAAAAAAAAAAAAAA,,"Aphakia","Aphakia","Aphakia",Misc,N/A,,,1,68 +86358AAAAAAAAAAAG1MAAAAAAAAAAAAAAAAA,,"Pseudophakia","Pseudophakia","Pseudophakia",Misc,N/A,,,1,69 +86358AAAAAAAAAAAG3MAAAAAAAAAAAAAAAAA,,"Co-existing Disease","Co-existing Disease","Co-existing Disease",Question,Coded,,None;Glaucoma;Diabetic Retinopathy;Macular Degeneration;Amblyopia;Previous refractive/intraocular surgery;Others,1,71 +86358AAAAAAAAAAAG5MAAAAAAAAAAAAAAAAA,,"Glaucoma","Glaucoma","Glaucoma",Misc,N/A,,,1,73 +86358AAAAAAAAAAAG6MAAAAAAAAAAAAAAAAA,,"Diabetic Retinopathy","Diabetic Retinopathy","Diabetic Retinopathy",Misc,N/A,,,1,74 +86358AAAAAAAAAAAG7MAAAAAAAAAAAAAAAAA,,"Macular Degeneration","Macular Degeneration","Macular Degeneration",Misc,N/A,,,1,75 +86358AAAAAAAAAAAG8MAAAAAAAAAAAAAAAAA,,"Amblyopia","Amblyopia","Amblyopia",Misc,N/A,,,1,76 +86358AAAAAAAAAAAG9MAAAAAAAAAAAAAAAAA,,"Previous refractive/intraocular surgery","Previous refractive/intraocular surgery","Previous refractive/intraocular surgery",Misc,N/A,,,1,77 +86358AAAAAAAAAAAGAMAAAAAAAAAAAAAAAAA,,"Complicating Co-morbidity","Complicating Co-morbidity","Complicating Co-morbidity",Question,Coded,,None;Small pupil(4mm or less);Pseudoexfoliation;Corneal opacity;Shallow AC;High myopia;Others,1,7 +86358AAAAAAAAAAAGBMAAAAAAAAAAAAAAAAA,,"Doctor's signature","Doctor's signature","Doctor's signature",Image,Complex,ImageUrlHandler,,"1.0",78 +86358AAAAAAAAAAAGCMAAAAAAAAAAAAAAAAA,,"Fit for surgery","Fit for surgery","Fit for surgery",Question,Coded,,Yes;No,1,79 +86358AAAAAAAAAAAGDMAAAAAAAAAAAAAAAAA,,"Systemic Disease","Systemic Disease","Systemic Disease",Question,Text,,,"1.0",80 +86358AAAAAAAAAAAGEAMAAAAAAAAAAAAAAAAA,,"Pre Block - Pulse","Pre Block - Pulse","Pre Block - Pulse",Question,Numeric,,,"1.0",81 +86358AAAAAAAAAAAGFMAAAAAAAAAAAAAAAAA,,"SPO2","SPO2","SPO2",Question,Numeric,,,"1.0",82 +86358AAAAAAAAAAAGGMAAAAAAAAAAAAAAAAA,,"Intraoperative Problems","Intraoperative Problems","Intraoperative Problems",Question,Coded,,Yes;No,1,83 +86358AAAAAAAAAAAGHMAAAAAAAAAAAAAAAAA,,"Post-Operative Problems","Post-Operative Problems","Post-Operative Problems",Question,Coded,,Yes;No,1,84 +86358AAAAAAAAAAAGIMAAAAAAAAAAAAAAAAA,,"Signature","Signature","Signature",Image,Complex,ImageUrlHandler,,"1.0",85 +86358AAAAAAAAAAAGJMAAAAAAAAAAAAAAAAA,,"Eye","Eye","Eye",Question,Coded,,RE;LE,1,86 +86358AAAAAAAAAAAGKMAAAAAAAAAAAAAAAAA,,"RE","RE","RE",Misc,N/A,,,1,87 +86358AAAAAAAAAAAGLMAAAAAAAAAAAAAAAAA,,"LE","LE","LE",Misc,N/A,,,1,88 +86358AAAAAAAAAAAGMMAAAAAAAAAAAAAAAAA,,"Date of surgery","Date of surgery","Date of surgery",Question,Date,,,"1.0",89 +86358AAAAAAAAAAAGNMAAAAAAAAAAAAAAAAA,,"The patient has confirmed:","The patient has confirmed:","The patient has confirmed:",Question,Coded,,Identify(Name and address);Eye;Use of topical antibiotics;Pre-op systematic medications taken;Type of surgery and IOL;Billing details verified;A-scan verified,1,90 +86358AAAAAAAAAAAGOMAAAAAAAAAAAAAAAAA,,"Identify(Name and address)","Identify(Name and address)","Identify(Name and address)",Misc,N/A,,,1,91 +86358AAAAAAAAAAAGPMAAAAAAAAAAAAAAAAA,,"Eye","Eye","Eye",Misc,N/A,,,1,92 +86358AAAAAAAAAAAGQMAAAAAAAAAAAAAAAAA,,"Use of topical antibiotics","Use of topical antibiotics","Use of topical antibiotics",Misc,N/A,,,1,93 +86358AAAAAAAAAAAGRMAAAAAAAAAAAAAAAAA,,"Pre-op systematic medications taken","Pre-op systematic medications taken","Pre-op systematic medications taken",Misc,N/A,,,1,94 +86358AAAAAAAAAAAGSMAAAAAAAAAAAAAAAAA,,"Type of surgery and IOL","Type of surgery and IOL","Type of surgery and IOL",Misc,N/A,,,1,95 +86358AAAAAAAAAAAGTMAAAAAAAAAAAAAAAAA,,"Billing details verified","Billing details verified","Billing details verified",Misc,N/A,,,1,96 +86358AAAAAAAAAAAGUMAAAAAAAAAAAAAAAAA,,"A-scan verified","A-scan verified","A-scan verified",Misc,N/A,,,1,97 +86358AAAAAAAAAAAGVMAAAAAAAAAAAAAAAAA,,"Any known allergy","Any known allergy","Any known allergy",Question,Coded,,Yes;No,1,98 +86358AAAAAAAAAAAGWMAAAAAAAAAAAAAAAAA,,"Pre-op iodine applied","Pre-op iodine applied","Pre-op iodine applied",Question,Coded,,Yes;No,1,99 +86358AAAAAAAAAAAGXMAAAAAAAAAAAAAAAAA,,"Surgeon & Nurse verbally confirm","Surgeon & Nurse verbally confirm","Surgeon & Nurse verbally confirm",Question,Coded,,Patient identify;Eye;Procedure;Lens model and power,1,100 +86358AAAAAAAAAAAGYMAAAAAAAAAAAAAAAAA,,"Patient identify","Patient identify","Patient identify",Misc,N/A,,,1,101 +86358AAAAAAAAAAAG0MAAAAAAAAAAAAAAAAA,,"Procedure","Procedure","Procedure",Misc,N/A,,,1,103 +86358AAAAAAAAAAAG1MAAAAAAAAAAAAAAAAA,,"Lens model and power","Lens model and power","Lens model and power",Misc,N/A,,,1,104 +86358AAAAAAAAAAAG2MAAAAAAAAAAAAAAAAA,,"Aseptic precautions taken","Aseptic precautions taken","Aseptic precautions taken",Question,Coded,,Yes;No,1,105 +86358AAAAAAAAAAAG3MAAAAAAAAAAAAAAAAA,,"Eye cleaned with Betadine","Eye cleaned with Betadine","Eye cleaned with Betadine",Question,Coded,,Yes;No,1,106 +86358AAAAAAAAAAAG4MAAAAAAAAAAAAAAAAA,,"Draped & speculum applied","Draped & speculum applied", "Draped & speculum applied",Question,Coded,,Yes;No,1,107 +86358AAAAAAAAAAAG5MAAAAAAAAAAAAAAAAA,,"Nurse verbally confirms with team:","Nurse verbally confirms with team:","Nurse verbally confirms with team:",Question,Coded,,Name of the procedures recorded;Any specific post op instructions,1,108 +86358AAAAAAAAAAAG6MAAAAAAAAAAAAAAAAA,,"Name of the procedures recorded","Name of the procedures recorded","Name of the procedures recorded",Misc,N/A,,,1,109 +86358AAAAAAAAAAAG7MAAAAAAAAAAAAAAAAA,,"Any specific post op instructions","Any specific post op instructions","Any specific post op instructions",Misc,N/A,,,1,110 +86358AAAAAAAAAAAG8MAAAAAAAAAAAAAAAAA,,"Anesthesia","Anesthesia","Anesthesia",Question,Coded,,Topical;Retrobulbar;Peribulbar;Sedation;GA,1,111 +86358AAAAAAAAAAAG9MAAAAAAAAAAAAAAAAA,,"Given by Sign","Given by Sign","Given by Sign",Image,Complex,ImageUrlHandler,,"1.0",112 +86358AAAAAAAAAAAGAMAAAAAAAAAAAAAAAAA,,"Given by Name","Given by Name","Given by Name",Question,Text,,,"1.0",113 +86358AAAAAAAAAAAGBMAAAAAAAAAAAAAAAAA,,"Given by Time","Given by Time","Given by Time",Question,Text,,,"1.0",114 +86358AAAAAAAAAAAGCMAAAAAAAAAAAAAAAAA,,"If repeated by Sign","If repeated by Sign","If repeated by Sign",Image,Complex,ImageUrlHandler,,"1.0",115 +86358AAAAAAAAAAAGDMAAAAAAAAAAAAAAAAA,,"If repeated by Name","If repeated by Name","If repeated by Name",Question,Text,,,"1.0",116 +86358AAAAAAAAAAAGEAMAAAAAAAAAAAAAAAAA,,"If repeated by Time","If repeated by Time","If repeated by Time",Question,Text,,,"1.0",117 +86358AAAAAAAAAAAGFMAAAAAAAAAAAAAAAAA,,"Complications if any","Complications if any","Complications if any",Question,Coded,,IV Mannitol;Xylocaine testdose,1,118 +86358AAAAAAAAAAAGGMAAAAAAAAAAAAAAAAA,,"IV Mannitol","IV Mannitol","IV Mannitol",Misc,N/A,,,1,119 +86358AAAAAAAAAAAGHMAAAAAAAAAAAAAAAAA,,"Xylocaine testdose","Xylocaine testdose","Xylocaine testdose",Misc,N/A,,,1,120 +86358AAAAAAAAAAAGIMAAAAAAAAAAAAAAAAA,,"Surgeon Name","Surgeon Name","Surgeon Name",Question,Text,,,"1.0",121 +86358AAAAAAAAAAAGJMAAAAAAAAAAAAAAAAA,,"Assistant Nurse","Assistant Nurse","Assistant Nurse",Question,Text,,,"1.0",122 +86358AAAAAAAAAAAGKMAAAAAAAAAAAAAAAAA,,"Starting time","Starting time","Starting time",Question,Time,,,"1.0",123 +86358AAAAAAAAAAAGLMAAAAAAAAAAAAAAAAA,,"Finishing time","Finishing time","Finishing time",Question,Time,,,"1.0",124 +86358AAAAAAAAAAAGMMAAAAAAAAAAAAAAAAA,,"Phaco time","Phaco time","Phaco time",Question,Time,,,"1.0",125 +86358AAAAAAAAAAAGNMAAAAAAAAAAAAAAAAA,,"Type of surgery","Type of surgery","Type of surgery",Question,Coded,,ECCE;SICS;Phaco;Lens removal;Secondary IOL;Resurgery (outside operated),1,126 +86358AAAAAAAAAAAGOMAAAAAAAAAAAAAAAAA,,"ECCE","ECCE","ECCE",Misc,N/A,,,1,127 +86358AAAAAAAAAAAGPMAAAAAAAAAAAAAAAAA,,"SICS","SICS","SICS",Misc,N/A,,,1,128 +86358AAAAAAAAAAAGQMAAAAAAAAAAAAAAAAA,,"Phaco","Phaco","Phaco",Misc,N/A,,,1,129 +86358AAAAAAAAAAAGRMAAAAAAAAAAAAAAAAA,,"Lens removal","Lens removal","Lens removal",Misc,N/A,,,1,130 +86358AAAAAAAAAAAGSMAAAAAAAAAAAAAAAAA,,"Secondary IOL","Secondary IOL","Secondary IOL",Misc,N/A,,,1,131 +86358AAAAAAAAAAAGTMAAAAAAAAAAAAAAAAA,,"Resurgery (outside operated)","Resurgery (outside operated)","Resurgery (outside operated)",Misc,N/A,,,1,132 +86358AAAAAAAAAAAGUMAAAAAAAAAAAAAAAAA,,"Type of IOL","Type of IOL","Type of IOL",Question,Coded,,Rigid;Aspheric;Auroflex;Aurovue;Acrylic;Multifocal;Auro Toric;Imported Toric,1,133 +86358AAAAAAAAAAAGVMAAAAAAAAAAAAAAAAA,,"Rigid","Rigid","Rigid",Misc,N/A,,,1,134 +86358AAAAAAAAAAAGWMAAAAAAAAAAAAAAAAA,,"Aspheric","Aspheric","Aspheric",Misc,N/A,,,1,135 +86358AAAAAAAAAAAGXMAAAAAAAAAAAAAAAAA,,"Auroflex","Auroflex","Auroflex",Misc,N/A,,,1,136 +86358AAAAAAAAAAAGYMAAAAAAAAAAAAAAAAA,,"Aurovue","Aurovue","Aurovue",Misc,N/A,,,1,137 +86358AAAAAAAAAAAGZMAAAAAAAAAAAAAAAAA,,"Acrylic","Acrylic","Acrylic",Misc,N/A,,,1,138 +86358AAAAAAAAAAAG0MAAAAAAAAAAAAAAAAA,,"Multifocal","Multifocal","Multifocal",Misc,N/A,,,1,139 +86358AAAAAAAAAAAG1MAAAAAAAAAAAAAAAAA,,"Auro Toric","Auro Toric","Auro Toric",Misc,N/A,,,1,140 +86358AAAAAAAAAAAG2MAAAAAAAAAAAAAAAAA,,"Imported Toric","Imported Toric","Imported Toric",Misc,N/A,,,1,141 +86358AAAAAAAAAAAG3MAAAAAAAAAAAAAAAAA,,"Section","Section","Section",Question,Coded,,Corneal;Limbal;Scleral,1,142 +86358AAAAAAAAAAAG4MAAAAAAAAAAAAAAAAA,,"Corneal","Corneal","Corneal",Misc,N/A,,,1,143 +86358AAAAAAAAAAAG5MAAAAAAAAAAAAAAAAA,,"Limbal","Limbal","Limbal",Misc,N/A,,,1,144 +86358AAAAAAAAAAAG6MAAAAAAAAAAAAAAAAA,,"Scleral","Scleral","Scleral",Misc,N/A,,,1,145 +86358AAAAAAAAAAAG7MAAAAAAAAAAAAAAAAA,,"Site","Site","Site",Question,Coded,,Superior;Temporal;LRI,1,146 +86358AAAAAAAAAAAG8MAAAAAAAAAAAAAAAAA,,"Superior","Superior","Superior",Misc,N/A,,,1,147 +86358AAAAAAAAAAAG9MAAAAAAAAAAAAAAAAA,,"Temporal","Temporal","Temporal",Misc,N/A,,,1,148 +86358AAAAAAAAAAAGAMAAAAAAAAAAAAAAAAA,,"LRI","LRI","LRI",Misc,N/A,,,1,149 +86358AAAAAAAAAAAGBMAAAAAAAAAAAAAAAAA,,"IOL","IOL","IOL",Question,Coded,,In Bag;Sulcus;IF IOL;SF IOL;Nil,1,150 +86358AAAAAAAAAAAGCMAAAAAAAAAAAAAAAAA,,"In Bag","In Bag","In Bag",Misc,N/A,,,1,151 +86358AAAAAAAAAAAGDMAAAAAAAAAAAAAAAAA,,"Sulcus","Sulcus","Sulcus",Misc,N/A,,,1,152 +86358AAAAAAAAAAAGEMAAAAAAAAAAAAAAAAA,,"IF IOL","IF IOL","IF IOL",Misc,N/A,,,1,153 +86358AAAAAAAAAAAGFMAAAAAAAAAAAAAAAAA,,"SF IOL","SF IOL","SF IOL",Misc,N/A,,,1,154 +86358AAAAAAAAAAAGHMAAAAAAAAAAAAAAAAA,,"Capsulotomy","Capsulotomy","Capsulotomy",Question,Coded,,Canopener;CCC;Envelope,1,156 +86358AAAAAAAAAAAGIMAAAAAAAAAAAAAAAAA,,"Canopener","Canopener","Canopener",Misc,N/A,,,1,157 +86358AAAAAAAAAAAGJMAAAAAAAAAAAAAAAAA,,"CCC","CCC","CCC",Misc,N/A,,,1,158 +86358AAAAAAAAAAAGKMAAAAAAAAAAAAAAAAA,,"Envelope","Envelope","Envelope",Misc,N/A,,,1,159 +86358AAAAAAAAAAAGLMAAAAAAAAAAAAAAAAA,,"Iridectomy","Iridectomy","Iridectomy",Question,Coded,,Nil;PI;SI;ST,1,160 +86358AAAAAAAAAAAGNMAAAAAAAAAAAAAAAAA,,"PI","PI","PI",Misc,N/A,,,1,162 +86358AAAAAAAAAAAGOMAAAAAAAAAAAAAAAAA,,"SI","SI","SI",Misc,N/A,,,1,163 +86358AAAAAAAAAAAGPMAAAAAAAAAAAAAAAAA,,"ST","ST","ST",Misc,N/A,,,1,164 +86358AAAAAAAAAAAGQMAAAAAAAAAAAAAAAAA,,"Intracameral","Intracameral","Intracameral",Question,Coded,,Xylocaine;Adrenaline;Trypanblue;Pilocarpine;Antibiotic;Triamcinolone,1,165 +86358AAAAAAAAAAAGRMAAAAAAAAAAAAAAAAA,,"Xylocaine","Xylocaine","Xylocaine",Misc,N/A,,,1,166 +86358AAAAAAAAAAAGSMAAAAAAAAAAAAAAAAA,,"Adrenaline","Adrenaline","Adrenaline",Misc,N/A,,,1,167 +86358AAAAAAAAAAAGTMAAAAAAAAAAAAAAAAA,,"Trypanblue","Trypanblue","Trypanblue",Misc,N/A,,,1,168 +86358AAAAAAAAAAAGUMAAAAAAAAAAAAAAAAA,,"Pilocarpine","Pilocarpine","Pilocarpine",Misc,N/A,,,1,169 +86358AAAAAAAAAAAGVMAAAAAAAAAAAAAAAAA,,"Antibiotic","Antibiotic","Antibiotic",Misc,N/A,,,1,170 +86358AAAAAAAAAAAGWMAAAAAAAAAAAAAAAAA,,"Triamcinolone","Triamcinolone","Triamcinolone",Misc,N/A,,,1,171 +86358AAAAAAAAAAAGXMAAAAAAAAAAAAAAAAA,,"Devices","Devices","Devices",Question,Coded,,CTR;Iris hooks;Capsule hooks;Modified CTR,1,172 +86358AAAAAAAAAAAGYMAAAAAAAAAAAAAAAAA,,"CTR","CTR","CTR",Misc,N/A,,,1,173 +86358AAAAAAAAAAAGZMAAAAAAAAAAAAAAAAA,,"Iris hooks","Iris hooks","Iris hooks",Misc,N/A,,,1,174 +86358AAAAAAAAAAAG0MAAAAAAAAAAAAAAAAA,,"Capsule hooks","Capsule hooks","Capsule hooks",Misc,N/A,,,1,175 +86358AAAAAAAAAAAG1MAAAAAAAAAAAAAAAAA,,"Modified CTR","Modified CTR","Modified CTR",Misc,N/A,,,1,176 +86358AAAAAAAAAAAG2MAAAAAAAAAAAAAAAAA,,"Sutures","Sutures","Sutures",Question,Coded,,Yes;No,1,177 +86358AAAAAAAAAAAG3MAAAAAAAAAAAAAAAAA,,"If yes, material","If yes, material","If yes, material",Question,Text,,,1,178 +86358AAAAAAAAAAAG4MAAAAAAAAAAAAAAAAA,,"Complications","Complications","Complications",Question,Coded,,Premature Entry;Rhexis tear;PC Rent;DM detachment;Iridodialysis (>3hrs);Drop (Nucleus/ Epinucleus/IOL);Zonular Dialysis;Vitreous Disturbance;Failure to implant;IOL damage / exchange,1,179 +86358AAAAAAAAAAAG5MAAAAAAAAAAAAAAAAA,,"Premature Entry","Premature Entry","Premature Entry",Misc,N/A,,,1,180 +86358AAAAAAAAAAAG6MAAAAAAAAAAAAAAAAA,,"Rhexis tear","Rhexis tear","Rhexis tear",Misc,N/A,,,1,181 +86358AAAAAAAAAAAG7MAAAAAAAAAAAAAAAAA,,"PC Rent","PC Rent","PC Rent",Misc,N/A,,,1,182 +86358AAAAAAAAAAAG8MAAAAAAAAAAAAAAAAA,,"DM detachment","DM detachment","DM detachment",Misc,N/A,,,1,183 +86358AAAAAAAAAAAG9MAAAAAAAAAAAAAAAAA,,"Iridodialysis (>3hrs)","Iridodialysis (>3hrs)","Iridodialysis (>3hrs)",Misc,N/A,,,1,184 +86358AAAAAAAAAAAGAMAAAAAAAAAAAAAAAAA,,"Drop (Nucleus/ Epinucleus/IOL)","Drop (Nucleus/ Epinucleus/IOL)","Drop (Nucleus/ Epinucleus/IOL)",Misc,N/A,,,1,185 +86358AAAAAAAAAAAGBMAAAAAAAAAAAAAAAAA,,"Zonular Dialysis","Zonular Dialysis","Zonular Dialysis",Misc,N/A,,,1,186 +86358AAAAAAAAAAAGCMAAAAAAAAAAAAAAAAA,,"Vitreous Disturbance","Vitreous Disturbance","Vitreous Disturbance",Misc,N/A,,,1,187 +86358AAAAAAAAAAAGDMAAAAAAAAAAAAAAAAA,,"Failure to implant","Failure to implant","Failure to implant",Misc,N/A,,,1,188 +86358AAAAAAAAAAAGEAMAAAAAAAAAAAAAAAAA,,"IOL damage / exchange","IOL damage / exchange","IOL damage / exchange",Misc,N/A,,,1,189 +86358AAAAAAAAAAAGFMAAAAAAAAAAAAAAAAA,,"At which step:",At which step:,At which step:,Question,Coded,,Nucleus Delivery;Emulsification;I/A IOL Implantation,1,190 +86358AAAAAAAAAAAGGMAAAAAAAAAAAAAAAAA,,"Nucleus Delivery","Nucleus Delivery","Nucleus Delivery",Misc,N/A,,,1,191 +86358AAAAAAAAAAAGHMAAAAAAAAAAAAAAAAA,,"Emulsification","Emulsification","Emulsification",Misc,N/A,,,1,192 +86358AAAAAAAAAAAGIMAAAAAAAAAAAAAAAAA,,"I/A IOL Implantation","I/A IOL Implantation","I/A IOL Implantation",Misc,N/A,,,1,193 +86358AAAAAAAAAAAGJMAAAAAAAAAAAAAAAAA,,"Vitrectomy","Vitrectomy","Vitrectomy",Question,Coded,,Yes;No;Automated;Weck sponge,1,194 +86358AAAAAAAAAAAGKMAAAAAAAAAAAAAAAAA,,Automated,Automated,Automated,Misc,N/A,,,1,195 +86358AAAAAAAAAAAGLMAAAAAAAAAAAAAAAAA,,Weck sponge,Weck sponge,Weck sponge,Misc,N/A,,,1,196 +86358AAAAAAAAAAAGMMAAAAAAAAAAAAAAAAA,,"Remarks","Remarks","Remarks",Question,Text,,,"1.0",197 +86358AAAAAAAAAAAGNMAAAAAAAAAAAAAAAAA,,"Signature","Signature","Signature",Image,Complex,ImageUrlHandler,,"1.0",198 +86358AAAAAAAAAAAGOMAAAAAAAAAAAAAAAAA,,"Complaints","Complaints","Complaints",Question,Text,,,"1.0",199 +86358AAAAAAAAAAAGPMAAAAAAAAAAAAAAAAA,,"Well-opposed (Normal)","Well-opposed (Normal)","Well-opposed (Normal)",Question,Coded,,Yes;No,1,200 +86358AAAAAAAAAAAGQMAAAAAAAAAAAAAAAAA,,"Wound Leak","Wound Leak","Wound Leak",Question,Coded,,Yes;No,1,201 +86358AAAAAAAAAAAGRMAAAAAAAAAAAAAAAAA,,"Iris Prolapse","Iris Prolapse","Iris Prolapse",Question,Coded,,Yes;No,1,202 +86358AAAAAAAAAAAGSMAAAAAAAAAAAAAAAAA,,"Clear(Normal)","Clear(Normal)","Clear(Normal)",Question,Coded,,Yes;No,1,203 +86358AAAAAAAAAAAGTMAAAAAAAAAAAAAAAAA,,"Striate Keratitis","Striate Keratitis","Striate Keratitis",Question,Coded,,1+;2+;3+,1,204 +86358AAAAAAAAAAAGUMAAAAAAAAAAAAAAAAA,,"Epithelial Edema","Epithelial Edema","Epithelial Edema",Question,Coded,,1+;2+;3+,1,205 +86358AAAAAAAAAAAGVMAAAAAAAAAAAAAAAAA,,"Epithelial defect","Epithelial defect","Epithelial defect",Question,Coded,,Yes;No,1,206 +86358AAAAAAAAAAAGWMAAAAAAAAAAAAAAAAA,,"DM strip more than 1/3","DM strip more than 1/3","DM strip more than 1/3",Question,Coded,,Yes;No,1,207 +86358AAAAAAAAAAAGXMAAAAAAAAAAAAAAAAA,,"Normal","Normal","Normal",Question,Coded,,Yes;No,1,208 +86358AAAAAAAAAAAGYMAAAAAAAAAAAAAAAAA,,"Shallow AC","Shallow AC","Shallow AC",Question,Coded,,Yes;No,1,209 +86358AAAAAAAAAAAGZMAAAAAAAAAAAAAAAAA,,"Iritis","Iritis","Iritis",Question,Coded,,1+;2+;3+,1,210 +86358AAAAAAAAAAAG0MAAAAAAAAAAAAAAAAA,,"1+","1+","1+",Misc,N/A,,,1,211 +86358AAAAAAAAAAAG1MAAAAAAAAAAAAAAAAA,,"2+","2+","2+",Misc,N/A,,,1,212 +86358AAAAAAAAAAAG2MAAAAAAAAAAAAAAAAA,,"3+","3+","3+",Misc,N/A,,,1,213 +86358AAAAAAAAAAAG3MAAAAAAAAAAAAAAAAA,,"Hyphema less than 3mm","Hyphema less than 3mm","Hyphema less than 3mm",Question,Coded,,Yes;No,1,214 +86358AAAAAAAAAAAG4MAAAAAAAAAAAAAAAAA,,"Hyphema more than 3mm","Hyphema more than 3mm","Hyphema more than 3mm",Question,Coded,,Yes;No,1,215 +86358AAAAAAAAAAAG5MAAAAAAAAAAAAAAAAA,,"Minimal cortex","Minimal cortex","Minimal cortex",Question,Coded,,Yes;No,1,216 +86358AAAAAAAAAAAG6MAAAAAAAAAAAAAAAAA,,"Significant cortex/epinucleus","Significant cortex/epinucleus","Significant cortex/epinucleus",Question,Coded,,Yes;No,1,217 +86358AAAAAAAAAAAG7MAAAAAAAAAAAAAAAAA,,"Vitreous loss","Vitreous loss","Vitreous loss",Question,Coded,,Yes;No,1,218 +86358AAAAAAAAAAAG8MAAAAAAAAAAAAAAAAA,,"Fibrinous uveitis","Fibrinous uveitis","Fibrinous uveitis",Question,Coded,,Yes;No,1,219 +86358AAAAAAAAAAAG9MAAAAAAAAAAAAAAAAA,,"Severe uveitis with hypopyon","Severe uveitis with hypopyon","Severe uveitis with hypopyon",Question,Coded,,Yes;No,1,220 +86358AAAAAAAAAAAGAMAAAAAAAAAAAAAAAAA,,"Vitreous in AC/Section","Vitreous in AC/Section","Vitreous in AC/Section",Question,Coded,,Yes;No,1,221 +86358AAAAAAAAAAAGBMAAAAAAAAAAAAAAAAA,,"Round (Normal)","Round (Normal)","Round (Normal)",Question,Coded,,Yes;No,1,222 +86358AAAAAAAAAAAGCMAAAAAAAAAAAAAAAAA,,"Irregular","Irregular","Irregular",Question,Coded,,Yes;No,1,223 +86358AAAAAAAAAAAGDMAAAAAAAAAAAAAAAAA,,"Iridodialysis","Iridodialysis","Iridodialysis",Question,Coded,,Yes;No,1,224 +86358AAAAAAAAAAAGEMAAAAAAAAAAAAAAAAA,,"In bag","In bag","In bag",Question,Coded,,Yes;No,1,225 +86358AAAAAAAAAAAGFMAAAAAAAAAAAAAAAAA,,"In sulcus","In sulcus","In sulcus",Question,Coded,,Yes;No,1,226 +86358AAAAAAAAAAAGGMAAAAAAAAAAAAAAAAA,,"Not assessable","Not assessable","Not assessable",Question,Coded,,Yes;No,1,227 +86358AAAAAAAAAAAGHMAAAAAAAAAAAAAAAAA,,"Decentered","Decentered","Decentered",Question,Coded,,Yes;No,1,228 +86358AAAAAAAAAAAGIMAAAAAAAAAAAAAAAAA,,"Dislocated","Dislocated","Dislocated",Question,Coded,,Yes;No,1,229 +86358AAAAAAAAAAAGJMAAAAAAAAAAAAAAAAA,,"Aphakia","Aphakia","Aphakia",Question,Coded,,Yes;No,1,230 +86358AAAAAAAAAAAGKMAAAAAAAAAAAAAAAAA,,"Intact","Intact","Intact",Question,Coded,,Yes;No,1,231 +86358AAAAAAAAAAAGLMAAAAAAAAAAAAAAAAA,,"Rent","Rent","Rent",Question,Coded,,Yes;No,1,232 +86358AAAAAAAAAAAGMMAAAAAAAAAAAAAAAAA,,"Zonular dialysis","Zonular dialysis","Zonular dialysis",Question,Coded,,Yes;No,1,233 +86358AAAAAAAAAAAGNMAAAAAAAAAAAAAAAAA,,"Normal","Normal","Normal",Question,Coded,,Yes;No,1,234 +86358AAAAAAAAAAAGOMAAAAAAAAAAAAAAAAA,,"Pathology","Pathology","Pathology",Question,Coded,,Yes;No,1,235 +86358AAAAAAAAAAAGPMAAAAAAAAAAAAAAAAA,,"Discharged by","Discharged by","Discharged by",Question,Text,,,"1.0",236 +86358AAAAAAAAAAAGQMAAAAAAAAAAAAAAAAA,,"Follow up date","Follow up date","Follow up date",Question,Date,,,"1.0",237 +86358AAAAAAAAAAAGRMAAAAAAAAAAAAAAAAA,,"Counselled by","Counselled by","Counselled by",Question,Text,,,"1.0",238: +86358AAAAAAAAAAAGSMAAAAAAAAAAAAAAAAA,,"Eye","Eye","Eye",Question,Text,,,"1.0",239 +86358AAAAAAAAAAAGTMAAAAAAAAAAAAAAAAA,,"Vn. un aided","Vn. un aided","Vn. un aided",Question,Text,,,"1.0",240 +86358AAAAAAAAAAAGUMAAAAAAAAAAAAAAAAA,,"Vn. with PH","Vn. with PH","Vn. with PH",Question,Text,,,"1.0",241 +86358AAAAAAAAAAAGVMAAAAAAAAAAAAAAAAA,,"Reason (If UCVA 6/24 and less)","Reason (If UCVA 6/24 and less)","Reason (If UCVA 6/24 and less)",Question,Text,,,"1.0",242 +86358AAAAAAAAAAAGWMAAAAAAAAAAAAAAAAA,,"Patient-related risk factors Surgical or immediate post-operative complications Checked by","Patient-related risk factors Surgical or immediate post-operative complications Checked by","Patient-related risk factors Surgical or immediate post-operative complications Checked by",Question,Text,,,"1.0",243 +86358AAAAAAAAAAAGXMAAAAAAAAAAAAAAAAA,,"Time","Time","Time",Question,Text,,,"1.0",244 +86358AAAAAAAAAAAGYMAAAAAAAAAAAAAAAAA,,"Clinic Intime","Clinic Intime","Clinic Intime",Question,Time,,,"1.0",245 +86358AAAAAAAAAAAGZMAAAAAAAAAAAAAAAAA,,"Surgery Date","Surgery Date","Surgery Date",Question,Date,,,"1.0",246 +86358AAAAAAAAAAAG0MAAAAAAAAAAAAAAAAA,,"Complaints","Complaints","Complaints",Question,Text,,,"1.0",247 +86358AAAAAAAAAAAG1MAAAAAAAAAAAAAAAAA,,"Present medication","Present medication","Present medication",Question,Text,,,"1.0",248 +86358AAAAAAAAAAAG2MAAAAAAAAAAAAAAAAA,,"Dilation done","Dilation done","Dilation done",Question,Coded,,Yes;No,1,249 +86358AAAAAAAAAAAG3MAAAAAAAAAAAAAAAAA,,"Dilation applied by","Dilation applied by","Dilation applied by",Question,Text,,,"1.0",250 +86358AAAAAAAAAAAG4MAAAAAAAAAAAAAAAAA,,"Duration","Duration","Duration",Question,Text,,,"1.0",251 +86358AAAAAAAAAAAG5MAAAAAAAAAAAAAAAAA,,"Type of glass","Type of glass","Type of glass",Question,Text,,,"1.0",252 +86358AAAAAAAAAAAG6MAAAAAAAAAAAAAAAAA,,"Lens","Lens","Lens",Question,Text,,,"1.0",253 +86358AAAAAAAAAAAG7MAAAAAAAAAAAAAAAAA,,"Frame","Frame","Frame",Question,Text,,,"1.0",254 +86358AAAAAAAAAAAG8MAAAAAAAAAAAAAAAAA,,"D BOC","D BOC","D BOC",Question,Text,,,"1.0",255 +86358AAAAAAAAAAAG9MAAAAAAAAAAAAAAAAA,,"Condition of Spectacles","Condition of Spectacles","Condition of Spectacles",Question,Coded,,Good;Fair;Poor,1,256 +86358AAAAAAAAAAAGAMAAAAAAAAAAAAAAAAA,,"RE","RE","RE",Question,Coded,,Spherical;Cylinder;Axis;V/A with PG,1,257 +86358AAAAAAAAAAAGBMAAAAAAAAAAAAAAAAA,,"LE","LE","LE",Question,Coded,,Spherical;Cylinder;Axis;V/A with PG,1,258 +86358AAAAAAAAAAAGCMAAAAAAAAAAAAAAAAA,,"RE: Add","RE: Add","RE: Add",Question,Coded,,Spherical;Cylinder;Axis;V/A with PG,1,259 +86358AAAAAAAAAAAGDMAAAAAAAAAAAAAAAAA,,"LE: Add","LE: Add","LE: Add",Question,Coded,,Spherical;Cylinder;Axis;V/A with PG,1,260 +86358AAAAAAAAAAAGEAMAAAAAAAAAAAAAAAAA,,"Spherical","Spherical","Spherical",Misc,N/A,,,1,261 +86358AAAAAAAAAAAGFMAAAAAAAAAAAAAAAAA,,"Cylinder","Cylinder","Cylinder",Misc,N/A,,,1,262 +86358AAAAAAAAAAAGGMAAAAAAAAAAAAAAAAA,,"Axis","Axis","Axis",Misc,N/A,,,1,263 +86358AAAAAAAAAAAGHMAAAAAAAAAAAAAAAAA,,"V/A with PG","V/A with PG","V/A with PG",Misc,N/A,,,1,264 \ No newline at end of file