archetype (adl_version=1.4)
	openEHR-EHR-EVALUATION.exclusion-problem_diagnosis.v1
specialise
	openEHR-EHR-EVALUATION.exclusion.v1

concept
	[at0000.1]	-- Exclusion of a Problem/Diagnosis
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 positively record statement/s about problems or diagnoses that need to be clinically excluded from the health record at a specific point in time.">
			use = <"Use to record positive statement/s about the absence or exclusion of problems or diagnoses within the health record at a specific point in time. For example: to record that the subject has not ever had any significant problems or diagnoses; or that the subject has never been diagnosed with diabetes.

This archetype has specifically been designed to avoid the need to use flags or terminology to express negation about any problems or diagnoses 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 the previous diagnosis of diabetes during a consultation is only relevant at the time and is effectively obsolete after if the results of a blood glucose test is above diagnostic levels.">
			keywords = <"exclusion", "problem", "diagnosis">
			misuse = <"Not to be used to record exclusion statements about adverse reactions, medications or procedures - use other specific specialisations of the EVALUATION.exclusion archetype for this purpose.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"AuthorDraft">
	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 of Problem/Diagnosis, draft archetype, NEHTA Clinical Knowledge Manager [Internet]. NEHTA. Authored: 02 Mar 2010. Available at: 
http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1304_2(accessed 3 Sept 2013)">
		["MD5-CAM-1.0.1"] = <"4C8CAFC70D510CF617DD5B580BFDA8F6">
	>

definition
	EVALUATION[at0000.1] matches {	-- Exclusion of a Problem/Diagnosis
		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..*} matches {	-- Problem/Diagnosis
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {[ac0.1]}		-- Problem or Diagnosis
							}
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0007] occurrences matches {0..1} matches {	-- Comment
						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 = <"Exclusion Statement">
					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 a Problem/Diagnosis">
					description = <"Positive statement/s about problems or diagnoses that need to be recorded as clinically excluded from 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 exclusion of use of known problems or diagnoses in the health record.">
					comment = <"For example: \"No known significant problems or diagnoses\"; or \"No evidence of\" or \"Never diagnosed with\" (diabetes).">
				>
				["at0003"] = <
					text = <"Specific Object">
					description = <"Identification of the specific object/s to which the Exclusion Statement applies.">
				>
				["at0003.1"] = <
					text = <"Problem/Diagnosis">
					description = <"Identification of the specific problems/diagnoses to which the Exclusion Statement applies.">
					comment = <"Coding of the Problem or Diagnosis with a terminology is desirable, where possible.">
				>
				["at0004"] = <
					text = <"Date Last Updated">
					description = <"The date at which the exclusion was last clinically asserted, affirmed or confirmed.">
				>
				["at0006"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0007"] = <
					text = <"Comment">
					description = <"Additional narrative about the Exclusion not captured in other fields.">
				>
			>
		>
	>
	constraint_definitions = <
		["en"] = <
			items = <
				["ac0.1"] = <
					text = <"Problem or Diagnosis">
					description = <"All possible problems or diagnoses.">
				>
			>
		>
	>