ARCHETYPE Exclusion - specific (openEHR-EHR-EVALUATION.exclusion_specific.v1)

ARCHETYPE IDopenEHR-EHR-EVALUATION.exclusion_specific.v1
ConceptExclusion - specific
DescriptionA statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past.
UseUse to record a statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past. This archetype has been specifically designed to make a clear and unambiguous statement of a specific exclusion of a type of clinical item from the health record. This approach is used in preference to relying on flags or terminology to express negation. The data element 'Excluded concept' allows for recording of a single specific statement. The different specific concepts listed in the "Excluded concept' run-time name constraint identifies the different specific exclusions. This name constraint can be applied during template modelling or at run-time within a software application. Each specific exclusion should be recorded in a separate instance of this archetype. For example: record 'no past history of adverse reaction to penicillin V', 'no past history of adverse reaction to cephalosporins' and 'no known family history of heart disease' in 3 separately constrained instances of this archetype. Please note that exclusion statements can only be considered to be current and accurate at the point-in-time of recording. It is possible for a record to be able to state that an individual has NO KNOWN history of a specific problem or diagnosis (using an exclusion statement) at the same consultation as recording the evidence of their first experience of the same problem or diagnosis (using the EVALUATION.problem_diagnosis archetype). In future record statements, the individual may have a KNOWN history of the problem or diagnosis recorded in their problem list.
MisuseNot to be used to record the exclusion of all problems or diagnoses, medications, procedures, family history, adverse reactions or other clinical items - use the EVALUATION.exclusion_global archetype for this purpose. Not to be used to record the exclusion of any component of a physical examination - use the CLUSTER.exclusion_exam archetype within an appropriate OBSERVATION or CLUSTER archetype. Not to be used to record the exclusion of symptoms use the CLUSTER.exclusion_symptom archetype within an appropriate OBSERVATION or CLUSTER archetype. Not to be used to record the absence of information - use the EVALUATION.absense archetype for this purpose.
PurposeTo record a statement of exclusion about a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past.
ReferencesDerived from: Eksklusjonsutsagn - spesifikt, Draft archetype [Internet]. Nasjonal IKT, Nasjonal IKT Clinical Knowledge Manager [sited: 2017-03-17]. Available from: http://arketyper.no/ckm/#showArchetype_1078.36.1653

Exclusion statement, Deprecated Archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2017-02-17]. Available from: http://openehr.org/ckm/#showArchetype_1013.1.617
Copyright© Nasjonal IKT HF, openEHR Foundation
AuthorsAuthor name: Silje Ljosland Bakke
Organisation: Nasjonal IKT HF
Email: silje.ljosland.bakke@nasjonalikt.no
Date originally authored: 2017-02-17
Other Details LanguageAuthor name: Silje Ljosland Bakke
Organisation: Nasjonal IKT HF
Email: silje.ljosland.bakke@nasjonalikt.no
Date originally authored: 2017-02-17
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Derived from: Eksklusjonsutsagn - spesifikt, Draft archetype [Internet]. Nasjonal IKT, Nasjonal IKT Clinical Knowledge Manager [sited: 2017-03-17]. Available from: http://arketyper.no/ckm/#showArchetype_1078.36.1653 Exclusion statement, Deprecated Archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2017-02-17]. Available from: http://openehr.org/ckm/#showArchetype_1013.1.617, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=1FAA8693553C1C8E75E0BE3CF75754FE, build_uid=e01c4f1b-5e54-435f-9958-85da5c53d867, revision=1.0.1}
Keywordsexclusion, negation, rule out, rule-out, r/o, absence
Lifecyclepublished
UIDd99024d9-35e2-4d70-90ac-ec2e5bb8ced2
Language useden
Citeable Identifier1246.145.577
Revision Number1.0.1
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past., archetypeConceptComment=null, otherContributors=Tomas Alme, DIPS ASA, Norway
Vebjørn Arntzen, Oslo universitetssykehus HF, Norway (Nasjonal IKT editor)
Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)
Kristian Berg, Universitetssykehuset Nord Norge, Norway
SumanBhusan Bhattacharyya, Sudisa Consultancy Services, India
Bjørn Christensen, Helse Bergen HF, Norway
Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway
Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom
Heather Grain, Llewelyn Grain Informatics, Australia
Annette Hole Sjøborg, DIPS ASA, Norway
Hilde Hollås, DIPS ASA, Norway
Evelyn Hovenga, EJSH Consulting, Australia
Tom Jarl Jakobsen, Helse Bergen, Norway
Hanne Joensen, Helse Bergen HUS, Norway
Lars Morgan Karlsen, DIPS ASA, Norway
Heather Leslie, Ocean Health Systems, Australia (openEHR Editor)
Hallvard Lærum, Direktoratet for e-helse, Norway
Siv Marie Lien, DIPS ASA, Norway
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Andrej Orel, Marand d.o.o., Slovenia
Vladimir Pizzo, Hospital Sírio Libanês, Brazil
Navin Ramachandran, NHS, United Kingdom
Arild Stangeland, Helse Bergen, Norway
Nyree Taylor, Ocean Informatics, Australia
John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT editor), originalLanguage=en, translators=German: Ramona Wellmann, Medizinische Hochschule Hannover, wellmann.ramona@mh-hannover.de
Norwegian Bokmål: John Tore Valand, Helse Bergen HF
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  • Adverse reaction substance [The Adverse reaction substance/agent to which the 'Exclusion statement' applies. For example: 'Penicillin', 'Peanuts' or 'Latex'.]
  • Family problem/diagnosis [The Family history item to which the 'Exclusion statement' applies. For example: 'Heart desease', 'Diabetes' or 'Alzheimer'.]
  • Medication [The Medication to which the 'Exclusion statement' applies. For example: 'Paracetamol', 'Codeine' or 'Antidepressants'.]
  • Problem/diagnosis [The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'.]
  • Procedure [The Procedure to which the 'Exclusion statement' applies. For example: 'Heart surgery' or 'Appendectomy' or 'Hip replacement'.]
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