| ARCHETYPE ID | openEHR-EHR-EVALUATION.exclusion_global.v1 |
| Concept | Exclusion - global |
| Description | An 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. |
| Use | Use 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. |
| Misuse | Not 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. |
| Purpose | 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. |
| 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 |
| Copyright | © Nasjonal IKT HF, openEHR Foundation |
| Authors | Author name: Silje Ljosland Bakke Organisation: Nasjonal IKT HF Email: silje.ljosland.bakke@nasjonalikt.no Date originally authored: 2017-02-16 |
| Other Details Language | Author 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=94A7237B611A8FAB5C0F0DBEA236C3F9, build_uid=d7bd414b-824b-4271-b19c-bfd7b610757b, revision=1.1.4} |
| Keywords | exclusion, negation, rule out, rule-out, r/o, absence |
| Lifecycle | published |
| UID | 4fe94967-5791-4094-9547-e2a4a8c61f15 |
| Language used | en |
| Citeable Identifier | 1246.145.698 |
| Revision Number | 1.1.4 |
| All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=An 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., archetypeConceptComment=null, otherContributors=Tomas Alme, DIPS ASA, Norway 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=
All not explicitly excluded archetypes, extendedValues=null]], provider=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=(Global exclusion statement), description=An overall statement of exclusion about all Problems/diagnoses, Family history, Medications, Procedures, Adverse reactions or other clinical items., comment=For example: 'No previous diagnoses', 'No known family history', 'No known history of adverse reactions', 'Never taken any medications' or 'No known operations or significant procedures'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Runtime name constraint:
All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null] |