| ARCHETYPE ID | openEHR-EHR-EVALUATION.exclusion_specific.v1 |
| Concept | Exclusion - specific |
| Description | A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past. |
| Use | Use to record a statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is 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 a specific 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. The data element 'Excluded concept' allows for recording of a single specific statement. The different specific concepts listed in the "Excluded concept' run-time name constraint identifies the different specific exclusions. This name constraint can be applied during template modelling or at run-time within a software application. Each specific exclusion should be recorded in a separate instance of this archetype. For example: record 'no past history of adverse reaction to penicillin V', 'no past history of adverse reaction to cephalosporins' and 'no known family history of heart disease' in 3 separately constrained instances of this archetype. 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 a specific problem or diagnosis (using an exclusion statement) at the same consultation as recording the evidence of their first experience of the same 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 all problems or diagnoses, medications, procedures, family history, adverse reactions or other clinical items - use the EVALUATION.exclusion_global 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 a statement of exclusion about a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past. |
| References | Derived from: Eksklusjonsutsagn - spesifikt, Draft archetype [Internet]. Nasjonal IKT, Nasjonal IKT Clinical Knowledge Manager [sited: 2017-03-17]. Available from: http://arketyper.no/ckm/#showArchetype_1078.36.1653 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: 2017-02-17 |
| Other Details Language | Author name: Silje Ljosland Bakke Organisation: Nasjonal IKT HF Email: silje.ljosland.bakke@nasjonalikt.no Date originally authored: 2017-02-17 |
| 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 - spesifikt, Draft archetype [Internet]. Nasjonal IKT, Nasjonal IKT Clinical Knowledge Manager [sited: 2017-03-17]. Available from: http://arketyper.no/ckm/#showArchetype_1078.36.1653 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=FD31B6A3D7C0FE6280E39084A789BA00, build_uid=6297929d-1789-4731-90a8-03a061405761, revision=1.0.2} |
| Keywords | exclusion, negation, rule out, rule-out, r/o, absence |
| Lifecycle | published |
| UID | d99024d9-35e2-4d70-90ac-ec2e5bb8ced2 |
| Language used | en |
| Citeable Identifier | 1013.1.2737 |
| Revision Number | 1.0.2 |
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