ARCHETYPE ID | openEHR-EHR-OBSERVATION.adverse_reaction_screening.v0 |
Concept | Adverse reaction screening questionnaire |
Description | Series of questions and associated answers used to screen for the presence of any previous adverse reactions. |
Use | Use to create a framework for recording answers to pre-defined screening questions about past adverse reactions. This archetype has deliberately been loosely modelled to be inclusive of the broadest range of adverse reactions, including but not limited to allergies, sensitivities, intolerances and side effects which warrant avoiding exposure to the identified substance. Substances include, but are not limited to: - Therapeutic substance administered correctly at an appropriate dosage for the individual. - Food. - Materials derived from plants or animals. - Venom from insect stings. Common use cases include, but are not limited to: - Systematic questioning in any consultation, for example: --- Allergy to penicilin? Yes, No, Unknown, Unsure. --- Reaction to sticking plasters? Yes, No, Unknown, Unsure. --- Do you have any food intolerances? --- Have you ever had an allergy to dogs? The semantics of this archetype are intentionally loose, and querying this archetype would normally only be useful or safe within the context of each specific template. In a template, each data element would usually be renamed to the specific question asked. Where value sets have been proposed for common use cases, these can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case. Use a separate instance of this archetype to distinguish between a questionnaire recording information about an adverse reaction that has occurred at any time in the past and information about an adverse reaction which occurred within a specified time interval - for example the difference between "Do you have any allergies?" compared to "Have you had any reactions to any medications in the last four weeks?" The source of the information in a questionnaire response may vary in different contexts but can be specifically identified using the 'Information provider' element in the Reference Model. This archetype has been designed to be used as a screening tool or to record simple questionnaire-format data for use in situations such as a disease registry. If the screening questionnaire identifies the presence of an adverse reaction, it is recommended that clinical system record and persist the specific details about the adverse reaction (such as the date of clinical recognition) using the EVALUATION.adverse_reaction_risk archetype or the CLUSTER.adverse_reaction_event. |
Misuse | Not to be used to record details about the presence or absence of an adverse reaction, outside of a screening context. Use EVALUATION.adverse_reaction_risk, CLUSTER.adverse_reaction_event or EVALUATION.exclusion_specific for these purposes. |
Purpose | To create a framework for recording answers to pre-defined screening questions about adverse reactions. |
References | |
Copyright | © openEHR Foundation |
Authors | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2023-06-26 |
Other Details Language | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2023-06-26 |
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, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=85019DDC65C060FF767B142CDB615873, build_uid=c344f6cb-3765-4789-8654-c575fdcf9592, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org., revision=0.0.1-alpha} |
Keywords | Condition, state, illness, syndrome, questionnaire, screening, issue, allergy, intolerance |
Lifecycle | in_development |
UID | eede47de-8deb-4e0e-b226-a8e9eee360ab |
Language used | en |
Citeable Identifier | 1013.1.6902 |
Revision Number | 0.0.1-alpha |
All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Series of questions and associated answers used to screen for the presence of any previous adverse reactions., archetypeConceptComment=The answers may be self-reported., otherContributors=Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor) Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor) Ivar Berge, Oslo University Hospital, Norway (openEHR Editor) Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor) Fabian Max Bürki, University of Berne, Switzerland Mona Didriksen, Helse Vest IKT, Norway Aleksander Furnes, Helse Nord IKT, Norway Ciprian Gerstenberger, Helse Nord IKT, Norway (openEHR Editor) Matteus Janicki, Akershus Universitetssykehus, Norway Anne K Fossum, OUS, Norway June Marie Nepstad Knappskog, Helse Nord IKT AS, Norway (openEHR Editor) Martin Koch, Servei Català de la Salut, Spain Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor) Eli Larsen, UNN, Norway (openEHR Editor) Liv Laugen, Oslo University Hospital, Norway, Norway (openEHR Editor) Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Ruth Lochan, Akademiska Sjukhuset Uppsala, Sweden Jonas Lyshaug, FSE/ HN IKT, Norway Olha Nikolaieva, University Hospital Basel, Switzerland Mikael Nyström, Cambio Healthcare Systems AB, Sweden Marlene Pérez Colman, Digital Health and Care Wales, United Kingdom Terje Sagmyr, Helse Vest IKT, Norway (openEHR Editor) Norwegian Review Summary, Norwegian Public Hospitals, Norway John Tore Valand, Helse Vest IKT, Norway (openEHR Editor) Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor) Karsten Øvretveit, Helse Vest IKT, Norway (openEHR Editor), originalLanguage=en, translators= , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={other_participations=[], details=[], description=[], capabilities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0021], code=at0021, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]], relationships=[], items=[], activities=[], credentials=[], ism_transition=[], content=[], source=[], identities=[], provider=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event 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]], state=[], contacts=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Screening purpose, description=The context or reason for screening., comment=This data element is intended to provide collection context for the question/answer groups when queried at a later date. It is not expected that this data element will be exposed to the individual, but only stored in data. For example: pre-admission screening or the name of the actual questionnaire., 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[at0028], code=at0028, itemType=ELEMENT, level=4, text=Any adverse reactions?, description=Is there a history of any adverse reactions relevant for the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
openEHR-EHR-CLUSTER.organisation.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0025], code=at0025, itemType=ELEMENT, level=5, text=Comment, description=Additional narrative about the specific adverse reaction question, not captured in other fields., 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[at0042], code=at0042, itemType=SLOT, level=4, text=Additional details, description=Structured details or questions about screening for adverse reactions., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]], context=[], target=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0007], code=at0007, itemType=ITEM_TREE, level=0, 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], 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=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0021], code=at0021, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null] |