archetype (adl_version=1.4)
	openEHR-EHR-EVALUATION.exclusion_nehta-adverse_reaction.v1
specialise
	openEHR-EHR-EVALUATION.exclusion_nehta.v1

concept
	[at0000.1]	-- Exclusion of an Adverse Reaction (NEHTA)
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Ocean Informatics">
		["email"] = <"heather.leslie@oceaninformatics.com">
		["date"] = <"2010-03-02">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			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.">
			keywords = <"exclusion", "adverse", "reaction", "allergy", "intolerance", "hypersensitivity">
			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.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"CommitteeDraft">
	other_contributors = <"Sam Heard, Ocean Informatics, Australia", "Ian McNicoll, Ocean Informatics, Australia", "Stephen Chu, NEHTA, Australia", "Stephen Royce, NEHTA, Australia">
	other_details = <
		["current_contact"] = <"Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com">
		["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).">
		["MD5-CAM-1.0.1"] = <"F1055E9180CFD9D9953F1278C9E3F95D">
	>

definition
	EVALUATION[at0000.1] matches {	-- Exclusion of an Adverse Reaction (NEHTA)
		data matches {
			ITEM_TREE[at0001] matches {	-- Tree
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0002.1] occurrences matches {1..*} matches {	-- Exclusion Statement
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0003.1] occurrences matches {0..1} matches {	-- Substance/Agent
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {[ac0.1]}		-- Substances or Agents
							}
							DV_TEXT matches {*}
						}
					}
				}
			}
		}
	}

ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Exclusion Statement (NEHTA)">
					description = <"Generic, positive statement/s that need to be recorded as clinically excluded from the health record at a specific point in time.">
				>
				["at0000.1"] = <
					text = <"Exclusion of an Adverse Reaction (NEHTA)">
					description = <"Positive statement/s about the absence or exclusion of adverse reactions within the health record at a specific point in time.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Exclusion Statement">
					description = <"The statement about an exclusion in the health record.">
					comment = <"Use to capture any information that is needed to be positively recorded as being excluded within the record. The statement can support recording global statements or statements about a specified object. See specialisations for Medications, Adverse Reactions, Problem/Diagnosis and Procedures as common examples that have been explicitly modelled.">
				>
				["at0002.1"] = <
					text = <"Exclusion Statement">
					description = <"A statement about absence or exclusion of known adverse reactions in the health record.">
					comment = <"For example: \"No known adverse reactions\"; \"No known adverse reaction to\" (penicillin).">
				>
				["at0003"] = <
					text = <"Specific Object">
					description = <"Identification of the specific object/s to which the Exclusion Statement applies.">
				>
				["at0003.1"] = <
					text = <"Substance/Agent">
					description = <"Identification of a specific substance or agent to which the Exclusion Statement applies.">
					comment = <"Coding of the Substance/Agent with a terminology is desirable, where possible.">
				>
			>
		>
	>
	constraint_definitions = <
		["en"] = <
			items = <
				["ac0.1"] = <
					text = <"Substances or Agents">
					description = <"All substances or agents that may be responsible for an adverse reaction.">
				>
			>
		>
	>