ARCHETYPE Substance use (openEHR-EHR-OBSERVATION.substance_use.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.substance_use.v0
ConceptSubstance use
DescriptionThe consumption of a specific substance or class of substances that may harm an individual's health or social well-being at a specific point or interval of time.
UseUse to record the consumption of a specific substance or class of substances that may harm an individual's health or social well-being. This includes use at specific point or interval of time, and use of mathematical functions such as average or maximum consumption over a interval of time. This archetype has been designed as a framework for objectively documenting the use or administration of a single substance. While it supports recognition of abuse and dependence, it is not intended exclusively for this purpose. A typical use of this archetype will be related to a diary record of use or consumption of substances. Substances that fall within the scope of this archetype include harmful or potentially addictive substances, legal and illegal substances, as well as medications that are misused. Misuse may involve administration without clinical supervision, use for non-recommended purposes, or consumption in quantities or frequencies that exceed safe dosages. Examples of substances that may be recorded using this archetype include but are not limited to: - tobacco; - alcohol; - caffeine; - nicotine and other clinically significant components of vaping liquid; - psychostimulants; - barbiturates; - cannabis; - hallucinogens; - opioids; - GHB; - MDMA; - sniffing of hydrocarbons or other solvents; - "bath salts"; and - medication administration, such as a laxative for purposes other than relief of constipation, beta blockers to reduce the heart rate in elite athletes and anabolic steroids in weight lifters.
MisuseNot to be used to record summary details about the use of the substance. Use EVALUATION.substance_use_summary for this purpose. Not to be used to record answers to pre-defined screening questions about substance use. Use OBSERVATION.substance_use_screening archetype for this purpose. Not to be used to record use of consumption of tobacco or alcohol. Use a separate archetype for this purpose, or a specialisation of this archetype. Not to be used to record the summary or persistent information about, or monitor the cumulative dose of, a medication. Use EVALUATION.medication_summary for this purpose. Not to be used to record accidental administration of, or exposure to, a substance or medication, overdoses or poisonings, etc. Use an Adverse event archetype for this purpose. Not to be used to record information about appropriate medication use under clinical supervision, for recommended therapeutic intent and at appropriate dosages. Use an appropriate medication archetype for this purpose.
PurposeTo record the consumption of a specific substance or class of substances that may harm an individual's health or social well-being at a specific point or interval of time.
References
Copyright© copyright (c) 2009 openEHR Foundation, openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2009-05-06
Other Details LanguageAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2009-05-06
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, references=, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=52609E1B6CB58FB9C74D4B7944A5EC77, build_uid=b1a64fc7-5a23-470d-9cbf-52389d9b9f3e, revision=0.0.1-alpha}
Keywordsdrugs, addiction, abuse, doping, narcotics, performance enhancing, steroids
Lifecyclein_development
UID76247f4f-a44a-4b3f-b303-d86fae7a1a24
Language useden
Citeable Identifier1013.1.146
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The consumption of a specific substance or class of substances that may harm an individual's health or social well-being at a specific point or interval of time., archetypeConceptComment=null, otherContributors=Sam Heard, Ocean Informatics, Australia
Vebjørn Arntzen, Oslo University Hospital, Norway, originalLanguage=en, translators=
  • Portuguese (Brazil): Adriana Kitajima, Débora Farage, Fernanda Maia, Laíse Figueiredo, Marivan Abrahão, Core Consulting, contato@coreconsulting.com.br, Hospital Alemão Oswaldo Cruz (HAOC)
  • Arabic (Syria): ?
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={protocol=[], credentials=[], description=[], ism_transition=[], provider=[], content=[], activities=[], relationships=[], contacts=[], details=[], capabilities=[], context=[], other_participations=[], state=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], source=[], items=[], identities=[], target=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Substance name, description=The name of the substance or class of substance., comment=Coding with an external terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=CLUSTER, level=4, text=Consumption details, description=Details about the consumption of the substance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=Form, description=Form of the substance used., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010]/items[at0018], code=at0018, itemType=ELEMENT, level=5, text=Route, description=The name of the route of administration of the specified substance., comment=Coding with an external terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Pattern, description=The pattern of frequency of use of the specific substance., comment=This element is repeatable to allow multiple ways of recording the pattern of use. The typical pattern of use can be made more granular by coding with a terminology or a local value set, or using the quantity data type, in a template., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Daily use [Used every day.]
    • Weekly use [Used at least weekly.]
    • Irregular use [Used irregularly.]
    • No use [Not used at all.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010]/items[at0012], code=at0012, itemType=ELEMENT, level=5, text=Amount, description=Amount of substance consumed. Data type can be further specified in specialised archetypes or in templates., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ANY, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Triggers, description=Identified triggers which stimulate or cause use., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014], code=at0014, itemType=SLOT, level=4, text=Readiness for change, description=Details about the readiness to change use or consumption of substance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.change.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Evidence of dependence, description=Description of any evidence of dependence on the substance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=data, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Substance name, description=The name of the substance or class of substance., comment=Coding with an external terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=CLUSTER, level=4, text=Consumption details, description=Details about the consumption of the substance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=Form, description=Form of the substance used., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010]/items[at0018], code=at0018, itemType=ELEMENT, level=5, text=Route, description=The name of the route of administration of the specified substance., comment=Coding with an external terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Pattern, description=The pattern of frequency of use of the specific substance., comment=This element is repeatable to allow multiple ways of recording the pattern of use. The typical pattern of use can be made more granular by coding with a terminology or a local value set, or using the quantity data type, in a template., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Daily use [Used every day.]
    • Weekly use [Used at least weekly.]
    • Irregular use [Used irregularly.]
    • No use [Not used at all.]
  •  Text
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