ARCHETYPE Exclusion - global (openEHR-EHR-EVALUATION.exclusion_global.v1)

ARCHETYPE IDopenEHR-EHR-EVALUATION.exclusion_global.v1
ConceptExclusion - global
DescriptionAn overall statement of exclusion about all Problems/diagnoses, Family history, Medications, Procedures, Adverse reactions or other clinical items that are either not currently present, or have not been present in the past.
UseUse to record an overall statement of exclusion about all Problem/diagnosis, Family history, Medications, Procedures, Adverse reactions or other clinical item that are 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 an overall 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. Each global statement should be recorded in a separate instance - for example a separate instance for a statement about medications and another for adverse reactions. The 'Global statement' data element allows for recording of a single Global statement. The different Global statements listed in the "Global statement' run-time name constraint identifies the the different global exclusions. This name constraint can be applied during template modelling or at run-time within a software application. 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 any problems or diagnoses (using an exclusion statement) at the same consultation as recording the evidence of their first experience of a 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 a specific problem/diagnosis, medication, procedure, family history, adverse reaction or other clinical item - use the EVALUATION.exclusion_specific 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 an overall statement of exclusion about all Problem/diagnosis, Family history, Medications, Procedures, Adverse reactions or other clinical item that are either not currently present, or have not been present in the past.
ReferencesDerived from: Eksklusjonsutsagn - overordnet, Draft archetype [Internet]. Nasjonal IKT, Nasjonal IKT Clinical Knowledge Manager [cited: 2017-03-17]. Available from: http://arketyper.no/ckm/#showArchetype_1078.36.1650

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: 2017-02-16
Other Details LanguageAuthor name: Silje Ljosland Bakke
Organisation: Nasjonal IKT HF
Email: silje.ljosland.bakke@nasjonalikt.no
Date originally authored: 2017-02-16
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 - overordnet, Draft archetype [Internet]. Nasjonal IKT, Nasjonal IKT Clinical Knowledge Manager [cited: 2017-03-17]. Available from: http://arketyper.no/ckm/#showArchetype_1078.36.1650 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=B5F597BB42D9AEC354AD597077ABC0D5, build_uid=6a0b41b3-1ed4-4ecc-8633-7be797cc0562, revision=1.1.2}
Keywordsexclusion, negation, rule out, rule-out, r/o, absence
Lifecyclepublished
UID4fe94967-5791-4094-9547-e2a4a8c61f15
Language useden
Citeable Identifier1246.145.698
Revision Number1.1.2
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Vebjørn Arntzen, Oslo universitetssykehus HF, Norway (Nasjonal IKT redaktør)
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
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
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Bjørn Næss, DIPS ASA, Norway
Andrej Orel, Marand d.o.o., Slovenia
Arild Stangeland, Helse Bergen, Norway
Norwegian Review Summary, Nasjonal IKT HF, Norway
Nyree Taylor, Ocean Informatics, Australia
Pål Thorberg, DIPS ASA, Norway
Lene Thoresen, St. Olavs Hospital, Norway
John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør), originalLanguage=en, translators=German: Katrin Troeltzsch, Nationales Centrum für Tumorerkrankungen, Heidelberg, katrin.troeltzsch@med.uni-heidelberg.de
Norwegian Bokmål: Silje Ljosland Bakke, Nasjonal IKT HF
Portuguese (Brazil): Adriana Kitajima, Débora Farage, Fernanda Maia, Laíse Figueiredo, Marivan Abrahão, Core Consulting, contato@coreconsulting.com.br, Hospital Alemão Oswaldo Cruz (HAOC)
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  • Global exclusion of family history [Overall statement of exclusion of all significant health-related problems in relatives or family members of the individual at the time of recording.]
  • Global exclusion of medication use [Overall statement of exclusion about the use of all medications at the time of recording.]
  • Global exclusion of procedures [Overall statement of exclusion about all procedures at the time of recording.]
  • Global exclusion of adverse reactions [Overall statement of exclusion about all adverse reactions at the time of recording.]
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