ARCHETYPE Exclusion of an Adverse Reaction (NEHTA) (openEHR-EHR-EVALUATION.exclusion_nehta-adverse_reaction.v1)

Type: openEHR ARCHETYPE
Purpose: To record positive statement/s about the absence or exclusion of adverse reactions within the health record at a specific point in time.
Use: Use to record positive statement/s about the absence or exclusion of adverse reactions within the health record at a specific point in time. For example: to record that the subject has not ever had any significant adverse reactions; or that the subject has never had a reaction to penicillin. This detailed clinical model (DCM) has specifically been designed to avoid the need to use flags or terminology to express negation about any adverse reactions within the health record. Exclusion statements can only be considered to be current and accurate at the time of recording. For example: recording an exclusion of a reaction to penicillin during a consultation is only relevant at the time of recording and may be effectively obsolete immediately after first administration of penicillin if there is an adverse reaction.
Misuse: Not to be used to record exclusion statements about use of medications, procedures, family history, or problems or diagnoses - use other specific specialisations of the EVALUATION.exclusion archetype for these purposes.

Available formats: ADL XML

ARCHETYPE IDopenEHR-EHR-EVALUATION.exclusion_nehta-adverse_reaction.v1
ConceptExclusion of an Adverse Reaction (NEHTA)
DescriptionPositive statement/s about the absence or exclusion of adverse reactions within the health record at a specific point in time.
UseUse to record positive statement/s about the absence or exclusion of adverse reactions within the health record at a specific point in time. For example: to record that the subject has not ever had any significant adverse reactions; or that the subject has never had a reaction to penicillin. This detailed clinical model (DCM) has specifically been designed to avoid the need to use flags or terminology to express negation about any adverse reactions within the health record. Exclusion statements can only be considered to be current and accurate at the time of recording. For example: recording an exclusion of a reaction to penicillin during a consultation is only relevant at the time of recording and may be effectively obsolete immediately after first administration of penicillin if there is an adverse reaction.
MisuseNot to be used to record exclusion statements about use of medications, procedures, family history, or problems or diagnoses - use other specific specialisations of the EVALUATION.exclusion archetype for these purposes.
PurposeTo record positive statement/s about the absence or exclusion of adverse reactions within the health record at a specific point in time.
ReferencesExclusion Statement - Adverse Reaction, draft archetype, openEHR Clinical Knowledge Manager [Internet]. London: openEHR Foundation. Authored: 02 Mar 2010. Available at: http://www.openehr.org/ckm/#showArchetype_1013.1.618_1 (accessed 31 July 2013).
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2010-03-02
Other Details LanguageAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2010-03-02
Other Details (Language Independent)
  • References: Exclusion Statement - Adverse Reaction, draft archetype, openEHR Clinical Knowledge Manager [Internet]. London: openEHR Foundation. Authored: 02 Mar 2010. Available at: http://www.openehr.org/ckm/#showArchetype_1013.1.618_1 (accessed 31 July 2013).
  • Current Contact: Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com
  • MD5-CAM-1.0.1: F1055E9180CFD9D9953F1278C9E3F95D
Keywordsexclusion, adverse, reaction, allergy, intolerance, hypersensitivity
LifecycleCommitteeDraft
Language useden
Citeable Identifier1013.1.1544
data
Exclusion StatementExclusion Statement: A statement about absence or exclusion of known adverse reactions in the health record.
For example: "No known adverse reactions"; "No known adverse reaction to" (penicillin).
Substance/AgentSubstance/Agent: Identification of a specific substance or agent to which the Exclusion Statement applies.
Coding of the Substance/Agent with a terminology is desirable, where possible.
Choice of:
  •  Coded Text
    Constraint:
    Substances or Agents
    [All substances or agents that may be responsible for an adverse reaction.]
  •  Text
Other contributorsSam Heard, Ocean Informatics, Australia
Ian McNicoll, Ocean Informatics, Australia
Stephen Chu, NEHTA, Australia
Stephen Royce, NEHTA, Australia
Translators