| ARCHETYPE ID | openEHR-EHR-EVALUATION.exclusion-adverse_reaction.v1 |
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| Concept | Exclusion of an Adverse Reaction |
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| Description | Positive statement/s about adverse reactions that need to be recorded as clinically excluded from the health record at a specific point in time. |
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| 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 archetype 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. |
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| Misuse | Not to be used to record exclusion statements about use of medications, procedures, problems or diagnoses - use other specific specialisations of the EVALUATION.exclusion archetype for these purposes. |
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| Purpose | To positively record statement/s about the use of medications that need to be clinically excluded from the health record at a specific point in time. |
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| References | Exclusion of an Adverse Reaction, draft archetype, NEHTA Clinical Knowledge Manager [Internet]. NEHTA. Authored: 02 Mar 2010. Available at:
http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1302_3 (accessed 3 Sept 2013) |
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| Copyright | © openEHR Foundation |
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| Authors | Author name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2010-03-02
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| Other Details Language | Author name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2010-03-02
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| Other Details (Language Independent) | - References: Exclusion of an Adverse Reaction, draft archetype, NEHTA Clinical Knowledge Manager [Internet]. NEHTA. Authored: 02 Mar 2010. Available at:
http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1302_3 (accessed 3 Sept 2013)
- Current Contact: Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com
- MD5-CAM-1.0.1: E16FAA97344C551556B200E2559F9CC7
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| Keywords | exclusion, adverse, reaction, allergy, intolerance, hypersensitivity |
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| Lifecycle | AuthorDraft |
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| Language used | en |
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| Citeable Identifier | 1013.1.1575 |
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| protocol | |
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| Date Last Updated | Date Last Updated: The date at which the exclusion was last clinically asserted, affirmed or confirmed. |
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| data | |
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| Exclusion Statement | Exclusion Statement: A statement about exclusion of known adverse reactions in the health record.
For example: "No known adverse reactions"; "No known adverse reaction to" (penicillin). |
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| Substance/Agent | Substance/Agent: Identification of the 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
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| Comment | Comment: Additional narrative about the Exclusion not captured in other fields. |
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| Other contributors | Sam Heard, Ocean Informatics, Australia
Ian McNicoll, Ocean Informatics, Australia
Stephen Chu, NEHTA, Australia
Stephen Royce, NEHTA, Australia |
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| Translators | |
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