archetype (adl_version=1.4)
	openEHR-EHR-EVALUATION.contraindication.v1

concept
	[at0000]	-- Contraindication
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Ocean Informatics">
		["email"] = <"heather.leslie@oceaninformatics.com">
		["date"] = <"14-11-2012">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record the identification of a treatment, medication or procedure which should not be administered or performed on this subject.">
			use = <"Use to record the identification of a treatment, medication or procedure which should not be administered or performed on this subject. 

This contraindication may be identified in a number of ways, for example: 
- previous experience of a procedure being performed and subsequent clinical assessment that this should not be repeated; 
- genomic testing results that indicate an adverse event may take place if a treatment or medication is administered; or
- experience of a family member to a similar treatment, medication or procedure.

Clinical decision support for prescribing should include checking of both known adverse reactions to the proposed medicine (EVALUATION.adverse_reaction) plus known contraindications using this archetype.">
			keywords = <"contraindication", "prevent", "avoid", "adverse event">
			misuse = <"Not to be used to record the occurrence of an adverse reaction to a substance or agent - use EVALUATION.adverse_reaction for this purpose.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"AuthorDraft">
	other_contributors = <"Sam Heard, Ocean Informatics, Australia", "Heather Leslie, Ocean Informatics, Australia (Editor)", "Ian McNicoll, Ocean Informatics, United Kingdom (Editor)">
	other_details = <
		["current_contact"] = <"Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com">
		["MD5-CAM-1.0.1"] = <"14A229FEE6973A30307A27331D8B80E7">
	>

definition
	EVALUATION[at0000] matches {	-- Contraindication
		data matches {
			ITEM_TREE[at0001] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0002] occurrences matches {0..1} matches {	-- Contraindication
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0003] occurrences matches {0..1} matches {	-- Evidence/Rationale
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0006] matches {	-- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0004] occurrences matches {0..1} matches {	-- Date Last Updated
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
				}
			}
		}
	}

ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Contraindication">
					description = <"Identification of a treatment, medicine, vaccine or procedure which should not be administered or performed on this subject.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Contraindication">
					description = <"Identified contraindication to a treatment, medicine, vaccine or procedure.">
					comment = <"Coding of the identified Contraindication with a terminology is desirable, where possible.">
				>
				["at0003"] = <
					text = <"Evidence/Rationale">
					description = <"Evidence or rationale for the contraindication.">
					comment = <"This should be explicitly stated, so that this rationale can be explicit if this data is shared in a message or with another clinical system, although an optional link to evidence within the same record is also permitted.">
				>
				["at0004"] = <
					text = <"Date Last Updated">
					description = <"The date at which the contraindication was most recently deemed to apply, normally as a result of  clinical assertion or affirmation.">
				>
				["at0006"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
			>
		>
	>