ARCHETYPE Drug allergy (openEHR-EHR-EVALUATION.drugallergy.v1)

ARCHETYPE IDopenEHR-EHR-EVALUATION.drugallergy.v1
ConceptDrug allergy
DescriptionDetails of an an allergy or other adverse reaction to a drug or other medicinal substance.
UseThis archetype is very closely aligned to the CfH GP2GP Drug allergy archetype and should be used to record allergies, intolerances and adverse reactions to drugs and other medicinal substances. It is designed primarily for use with in a UK primary care context but may be suitable for use within secondary care, particularly where the prime requirement is to record propensity to drug allergy for decision support purposes.
MisuseThis archetype should not be used to record adverse reactions or allergies to non-medicinal substances such as foodstuffs, pollens or animals.
PurposeTo record details of a known or suspected allergy or other adverse reaction, intolerance to a drug or medicinal substance, drug group or trade family group of drugs.
ReferencesNHS Scotland SCI-XML schema http://www.sci.scot.nhs.uk/products/gateway/gate_down_xml.htm

DoH, UK NHS Message Implementation Guidance, http://www.uktcregistration.nss.cfh.nhs.uk/trud3/user/guest/group/0/pack/23;jsessionid=D52317DAD88F60096DFF3113BA604F1A
Copyright© openEHR Foundation
AuthorsAuthor name: Ian McNicoll
Organisation: Ocean Informatics, UK
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 2012-09-12
Other Details LanguageAuthor name: Ian McNicoll
Organisation: Ocean Informatics, UK
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 2012-09-12
OtherDetails Language Independent{references=NHS Scotland SCI-XML schema http://www.sci.scot.nhs.uk/products/gateway/gate_down_xml.htm DoH, UK NHS Message Implementation Guidance, http://www.uktcregistration.nss.cfh.nhs.uk/trud3/user/guest/group/0/pack/23;jsessionid=D52317DAD88F60096DFF3113BA604F1A, MD5-CAM-1.0.1=FBD57278DBCC612BF8FF04A47B972710}
Keywordsallergy, adverse, intolerance
LifecycleInitial
Language useden
Citeable Identifier1013.1.955
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=[SNOMED-CT::419511003 | Propensity to adverse reactions to drug (disorder)], archetypeConceptDescription=Details of an an allergy or other adverse reaction to a drug or other medicinal substance., archetypeConceptComment=null, otherContributors=Leo Fogarty, GP2GP project, NHS England
John Williams, GP2GP project, NHS England, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], activities=[], credentials=[], state=[], capabilities=[], items=[], events=[], provider=[], content=[], target=[], contacts=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0023]/items[at0024], code=at0024, itemType=SLOT, level=2, text=Record provenance, description=Details of the provenance of the record e.g. source, name and role of author, care setting., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.record_provenance.v1 and specialisations, extendedValues=null]], other_participations=[], relationships=[], ism_transition=[], description=[], source=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Causative agent, description=Details of the agent or medicinal substance believed to be the cause of the adverse reaction or allergy., comment=For GP2GP V2 use, there are 4 permissible ways to express a Causative agent: Drug Group (SNOMED-CT), dm+d VMP/AMP (dm+d), Ingredient (SNOMED-CT), TradeFamily/TradeFamilyGroup (SNOMED-CT). It is MANDATORY that one and only one of these must always be selected. Optionally, in addition a SNOMED AllergyCode may be sent as a mapping, but can never be sent on its own. For legacy use other codes are permissible such as FDB Agent codes, EMIS Drug codes and READ codes., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=[SNOMED-CT::246075003 | Causative agent (attribute)], values=Constraint:
CausativeAgent
A causative agent term from one of the approved terminology subsets.

Constraint bindings:
[DM+D]
subset=VMP/AMP
[READ]
subset=Allergy code
[SNOMED-CT]
subset=Allergy code; dm+d Ingredient; Trade family ; Trade Family Group
[FDB]
subset=Agent
[EMIS_DRUGS]
subset=Agent
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Reaction, description=An optional pre-coodinated unqualified SNOMED-CT code for the nature of the reaction produced by the drug allergy., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=[SNOMED-CT::282100009 | Adverse reaction to substance (disorder)], values=Constraint:
Clinical Finding
Any SNOMED-CT term in the Clinical Finding hierarchy.

Constraint binding:
[SNOMED-CT]
subset=ClinicalFinding
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Certainty, description=The certainty with which the reaction is deemed to be be due to allergy to the agent. This item has a Translation Set= Read Code (V2 or CTV3) and Snomed Code to ensure forwards and backwards compatability., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=[SNOMED-CT::255544004 | Certainties (qualifier value)], values=
  • Unlikely [The reaction was unlikely to have been caused by the agent.]
    [SNOMED-CT::1491118016]
  • Likely [The reaction was likely to have been caused by the agent.]
    [SNOMED-CT::5961011]
  • Certain [The agent was thought to have been certain to have caused the reaction but has not been confirmed by testing.]
    [SNOMED-CT::255545003] (Definite (qualifier value))
  • Confirmed [The rection to the agent has been confirmed by testing.]
    [SNOMED-CT::410605003] (Confirmed present (qualifier value))
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Severity, description=The severity of the reaction., comment=This item has a Translation Set = Read Code (V2 or CTV3) and Snomed Code to ensure forwards and backwards compatability., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=[SNOMED-CT::272141005 | Severities (qualifier value)], values=
  • Mild [The reaction was mild.]
    [SNOMED-CT::255604002] (Mild (qualifier value))
  • Mild to moderate [The reaction was mild to moderate.]
    [SNOMED-CT::255604002] (Mild (qualifier value))
  • Moderate [The reaction was moderate.]
    [SNOMED-CT::6736007] (Moderate (severity modifier) (qualifier value))
  • Moderate to severe [The reaction was moderate to severe.]
    [SNOMED-CT::371924009] (Moderate to severe (qualifier value))
  • Severe [The reaction was severe.]
    [SNOMED-CT::24484000] (Severe (severity modifier) (qualifier value))
  • Life-threatening [The reaction was life-threatening.]
    [SNOMED-CT::442452003] (Life threatening severity (qualifier value))
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Date of onset, description=The date of onset of the reaction., comment=From Welsh IHR model, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0022], code=at0022, itemType=ELEMENT, level=2, text=Comment, description=Any additional comment about the allergy., comment=From Welsh IHR model, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], context=[], details=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0023], code=at0023, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001], code=at0001, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=1..*, subCardinalityText=, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0023]/items[at0024], code=at0024, itemType=SLOT, level=2, text=Record provenance, description=Details of the provenance of the record e.g. source, name and role of author, care setting., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.record_provenance.v1 and specialisations, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]