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

ARCHETYPE IDopenEHR-EHR-EVALUATION.contraindication-intravitreal_antiVEGF.v0
ConceptContraindication of intravitreal anti-VEGF injections
DescriptionIdentification of the criteria considered for exclude patients from treatment using intravitreal anti-VEGF injections.
UseUse 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.
MisuseNot to be used to record the occurrence of an adverse reaction to a substance or agent - use EVALUATION.adverse_reaction for this purpose.
PurposeTo record the identification of a treatment, medication or procedure which should not be administered or performed on this subject.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 14-11-2012
Other Details LanguageAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 14-11-2012
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, 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}
Keywordscontraindication, prevent, avoid, adverse event
Lifecyclein_development
UIDcd1eb7ae-556f-46d5-8c43-906346c92975
Language useden
Citeable Identifier1013.1.2106
Revision Number0.0.1-alpha
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Heather Leslie, Ocean Informatics, Australia (Editor)
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  • Intravitreal anti-VEGF [Treatment of intravitreal anti-VEGF injections contraindicated.]
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  • Very low VA [Visual acuity on first clinical encounter below 0.1 in decimal scale.]
  • Healed lesions [Identified signs of previous treatments such as photodynamic therapy, laser photocoagulation scars, or any vitreoretinal operative procedure.]
  • Multimorbidity [Coexistence of additional alterations on the retina causative of visual impairment.]
  • Reaction to anti-VEGF [Establishment or suspicion of any reaction due to hypersensitivity to anti-VEGF agents used in intravitreal injections.]
  • No response to treatment [Visual acuity decreased for three consecutive reviews below 0.1 in decimal scale.]
  • Morphologic deterioration [Progressive deterioration of the morphology of the lesion.]
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