| ARCHETYPE ID | openEHR-EHR-EVALUATION.exclusion_nehta.v1 |
|---|---|
| Concept | Exclusion Statement (NEHTA) |
| Description | Generic, positive statement/s about the absence or exclusion of any clinical findings or evaluations within the health record at a specific point in time. |
| Use | Use to record the positive exclusion or absence of clinical findings or evaluations within the health record at a specific point in time. This detailed clinical model (DCM) has specifically been designed to avoid the need to use flags or terminology to express negation about any item within the health record. This DCM has been deliberately kept simple and open in order to capture simple statements about anything that may be usefully recorded as absent or excluded within the health record. Specialisations of this DCM will capture specific and more detailed information about common exclusions, such as problems or diagnoses. Exclusion statements can only be considered to be current and accurate at the time of recording. |
| Misuse | Not to be used to record the exclusion or absence of adverse reactions, medication use, procedures, family history, problems or diagnoses - use specific specialisations of this archetype for this purpose. |
| Purpose | To record generic, positive statement/s about the absence or exclusion of any clinical findings or evaluations within the health record at a specific point in time. |
| References | Exclusion Statement, draft archetype, openEHR Clinical Knowledge Manager [Internet]. London: openEHR Foundation. Authored: 02 Mar 2010. Available at: http://www.openehr.org/ckm/#showArchetype_1013.1.617_1 (accessed 31 July 2013). |
| Copyright | © openEHR Foundation |
| Authors | Author name: Heather Leslie Organisation: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date originally authored: 2010-03-02 |
| Other Details Language | Author name: Heather Leslie Organisation: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date originally authored: 2010-03-02 |
| Other Details (Language Independent) |
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| Keywords | exclusion |
| Lifecycle | published |
| UID | 00299e5b-922f-4f4c-adf4-9614ea5f4ad7 |
| Language used | en |
| Citeable Identifier | 1013.1.1543 |
| Revision Number | 1.0.0 |
| data | |
| Exclusion Statement | Exclusion Statement: The statement about the absence or exclusion of clinical findings or evaluations in the health record. 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. |
| Specific Object | Specific Object: Identification of the specific object/s to which the Exclusion Statement applies. |
| Other contributors | Sam Heard, Ocean Informatics, Australia Ian McNicoll, Ocean Informatics, Australia Stephen Chu, NEHTA, Australia Stephen Royce, NEHTA, Australia |
| Translators |