ARCHETYPE Contraindication of intravitreal anti-VEGF injections (openEHR-EHR-EVALUATION.contraindication-intravitreal_antiVEGF.v0)

Name: Contraindication of intravitreal anti-VEGF injections
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-EVALUATION.contraindication-intravitreal_antiVEGF.v0
Concept	Contraindication of intravitreal anti-VEGF injections
Description	Identification of the criteria considered for exclude patients from treatment using intravitreal anti-VEGF injections.
Use	Use to record the identification of a treatment, medication or procedure which should not be administered or performed on this subject. This contraindication may be identified in a number of ways, for example: previous experience of a procedure being performed and subsequent clinical assessment that this should not be repeated; genomic testing results that indicate an adverse event may take place if a treatment or medication is administered; or experience of a family member to a similar treatment, medication or procedure. Clinical decision support for prescribing should include checking of both known adverse reactions to the proposed medicine (EVALUATION.adverse_reaction) plus known contraindications using this archetype.
Misuse	Not to be used to record the occurrence of an adverse reaction to a substance or agent - use EVALUATION.adverse_reaction for this purpose.
Purpose	To record the identification of a treatment, medication or procedure which should not be administered or performed on this subject.
References
Copyright	© openEHR Foundation
Authors	Author name: Heather Leslie Organisation: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date originally authored: 14-11-2012
Other Details Language	Author name: Heather Leslie Organisation: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date originally authored: 14-11-2012
Other Details (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 Current Contact: Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com Original Namespace: org.openehr Original Publisher: openEHR Foundation Custodian Namespace: org.openehr MD5-CAM-1.0.1: B55AF23D8474964B958B772941E481AC Build Uid: 447d0098-4004-46bb-ace2-34fb784390dc Revision: 0.0.1-alpha
Keywords	contraindication, prevent, avoid, adverse event
Lifecycle	in_development
UID	cd1eb7ae-556f-46d5-8c43-906346c92975
Language used	en
Citeable Identifier	1013.1.2106
Revision Number	0.0.1-alpha
data
Contraindication	Contraindication: Identified contraindication to a treatment, medicine, vaccine or procedure. at0.13::Intravitreal anti-VEGF [Treatment of intravitreal anti-VEGF injections contraindicated.]
Evidence/Rationale	Evidence/Rationale: Evidence or rationale for the contraindication. at0.7::Very low VA [Visual acuity on first clinical encounter below 0.1 in decimal scale.] at0.8::Healed lesions [Identified signs of previous treatments such as photodynamic therapy, laser photocoagulation scars, or any vitreoretinal operative procedure.] at0.9::Multimorbidity [Coexistence of additional alterations on the retina causative of visual impairment.] at0.10::Reaction to anti-VEGF [Establishment or suspicion of any reaction due to hypersensitivity to anti-VEGF agents used in intravitreal injections.] at0.11::No response to treatment [Visual acuity decreased for three consecutive reviews below 0.1 in decimal scale.] at0.12::Morphologic deterioration [Progressive deterioration of the morphology of the lesion.]
protocol
Date Last Updated	Date Last Updated: The date at which the contraindication was most recently deemed to apply, normally as a result of clinical assertion or affirmation.
Other contributors	Sam Heard, Ocean Informatics, Australia Heather Leslie, Ocean Informatics, Australia (Editor) Ian McNicoll, Ocean Informatics, United Kingdom (Editor)
Translators