| ARCHETYPE ID | openEHR-EHR-EVALUATION.exclusion-medication.v1 |
|---|---|
| Concept | Exclusion of a Medication |
| Description | Statement/s about use of medication that needs to be positively recorded as clinically excluded from the health record ata a specific point in time. |
| Use | Use to record positive statement/s about the absence or exclusion of use of medication within the health record at a specific point in time. For example: to record that the subject is not currently taking any medications; or that the subject has never taken corticosteroids. This archetype has specifically been designed to avoid the need to use flags or terminology to express negation about any medication use within the health record. Exclusion statements can only be considered to be current and accurate at the time of recording. For example: exclusion of use of coumarin on admission to hospital is only relevant at the time of recording, and is effectively obsolete if the subsequent diagnosis is deep venous thrombosis and the subject is commenced on heparin or coumarin. |
| Misuse | Not to be used to record exclusion statements about adverse reactions, procedures, problems or diagnoses - use other specific specialisations of the EVALUATION.exclusion archetype for these purposes. |
| 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. |
| References | Exclusion of a Medication, draft archetype, NEHTA Clinical Knowledge Manager [Internet]. NEHTA. Authored: 02 Mar 2010. Available at: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1303_2 (accessed 3 Sep 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, medicine, medication |
| Lifecycle | AuthorDraft |
| Language used | en |
| Citeable Identifier | 1013.1.619 |
| protocol | |
| Date Last Updated | Date Last Updated: The date at which the exclusion was last clinically asserted, affirmed or confirmed. |
| data | |
| Exclusion Statement | Exclusion Statement: A statement about exclusion of use of medication in the health record. The statement can support recording that no medications are being taken or that one or more specified medications are not being taken. For example: "Not currently taking any medications"; "Never taken any medications" or "Not currently taking corticosteroids". |
| Medication | Medication: Identification of the specific medication/s to which the Exclusion Statement applies. Coding of the Medication with a terminology is desirable, where possible. Choice of:
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| Comment | Comment: Additional narrative about the Exclusion not captured in other fields. |
| Other contributors | Sam Heard, Ocean Informatics, Australia Ian McNicoll, Ocean Informatics, Australia Stephen Chu, NEHTA, Australia Stephen Royce, NEHTA, Australia |
| Translators |