ID

29621

Descrizione

http://openehr.org/ckm/ To record a contraindication for a clinical intervention in the health record of an individual due to the likelihood, or possibility, of causing harm to the individual if the identified intervention is carried out. This archetype may also be used to record a contraindication for a clinical intervention in the health record of the individual, even though the resulting clinical effect may cause harm to others and not directly on the individual. For example: administration of live vaccines should be contraindicated in an individual who has a family member in an immunosuppressed state or actively taking immunosuppressive therapy, as that family member may be at significant risk of contracting the infectious disease. This archetype should be regarded as a critical archetype by any clinical decision support system testing for any relevant therapeutic precautions as a clinician commences a new clinical Intervention for an individual. This contraindication may be identified in a number of ways including, but not limited to: - previous experience of a procedure being performed and subsequent clinical assessment that this should not be repeated; - implantation of a metal device which precludes some imaging examinations - genomic test results that indicate an adverse event may take place if a treatment or medication is administered; or - adverse experience by a family member to a similar treatment, medication or procedure. In the case of medications or vaccines, this archetype complements the EVALUATION.adverse_reaction_risk archetype by identifying other reasons why a medication or vaccine should not be administered, other than an adverse reaction. In view of this, clinical decision support for prescribing should include reference to this archetype plus the EVALUATION.adverse_reaction_risk as part of a safe prescribing process.

collegamento

http://openehr.org/ckm/

Keywords

  1. 10/04/18 10/04/18 - Halim Ugurlu
Titolare del copyright

openEHR Foundation

Caricato su

10 aprile 2018

DOI

Per favore, per richiedere un accesso.

Licenza

Creative Commons BY-NC 3.0

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openEHR-EHR-EVALUATION.contraindication.v0

openEHR-EHR-EVALUATION.contraindication.v0

  1. StudyEvent: openEHR-EHR-EVALUATION.contraindication.v0
    1. openEHR-EHR-EVALUATION.contraindication.v0
openEHR-EHR-EVALUATION.contraindication.v0.xml
Descrizione

openEHR-EHR-EVALUATION.contraindication.v0.xml

Alias
UMLS CUI-1
C1301624
Contraindication
Descrizione

A clinical intervention (including, but not limited to, use of a treatment or performance of a test or procedure) that should not be carried out due to the likelihood, or possibility, of harm being caused to an individual.

Tipo di dati

text

Alias
UMLS CUI [1]
C1301624
Contraindicated intervention
Descrizione

Identification, by name, of a clinical intervention or class of intervention including, but not limited to, a treatment, test or procedure that should not be performed.

Tipo di dati

text

Alias
UMLS CUI [1,1]
C0522473
UMLS CUI [1,2]
C0184661
Rationale
Descrizione

Narrative description explaining the relationship between the 'Indication' and the 'Contraindicated intervention'.

Tipo di dati

text

Alias
UMLS CUI [1]
C3146298
UMLS CUI [2,1]
C1301624
UMLS CUI [2,2]
C0678257
Last updated
Descrizione

Date when the contraindication information was last updated.

Tipo di dati

datetime

Alias
UMLS CUI [1,1]
C3174387
UMLS CUI [1,2]
C1301624
Criticality
Descrizione

An indication of the potential for critical system organ damage or life threatening consequence.

Tipo di dati

text

Alias
UMLS CUI [1]
C3858539
Comment
Descrizione

Additional narrative about the contraindication, not captured in other fields.

Tipo di dati

text

Alias
UMLS CUI [1]
C0947611
Review date
Descrizione

Date when next due for review by a clinician.

Tipo di dati

datetime

Alias
UMLS CUI [1,1]
C3166277
UMLS CUI [1,2]
C0011008
Category
Descrizione

Category of the identified 'Contraindicated intervention'.

Tipo di dati

text

Alias
UMLS CUI [1,1]
C0683312
UMLS CUI [1,2]
C0522473
UMLS CUI [1,3]
C0184661
Status
Descrizione

Assertion about the certainty or potential future risk, of the identified 'Contraindicated intervention'.

Tipo di dati

text

Alias
UMLS CUI [1]
C3650242
Extension
Descrizione

Additional information required to capture local content or to align with other reference models/formalisms.

Tipo di dati

text

Alias
UMLS CUI [1]
C1546922
Indication
Descrizione

Identification of the clinical reason why the identified 'Contraindicated intervention' should not be used or performed.

Tipo di dati

text

Alias
UMLS CUI [1]
C3146298
Valid period start
Descrizione

Date/time when the Contraindication becomes active.

Tipo di dati

datetime

Alias
UMLS CUI [1]
C0808070

Similar models

openEHR-EHR-EVALUATION.contraindication.v0

  1. StudyEvent: openEHR-EHR-EVALUATION.contraindication.v0
    1. openEHR-EHR-EVALUATION.contraindication.v0
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
openEHR-EHR-EVALUATION.contraindication.v0.xml
C1301624 (UMLS CUI-1)
Contraindication
Item
Contraindication
text
C1301624 (UMLS CUI [1])
Contraindicated intervention
Item
Contraindicated intervention
text
C0522473 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
Rationale
Item
Rationale
text
C3146298 (UMLS CUI [1])
C1301624 (UMLS CUI [2,1])
C0678257 (UMLS CUI [2,2])
Last updated
Item
Last updated
datetime
C3174387 (UMLS CUI [1,1])
C1301624 (UMLS CUI [1,2])
Item
Criticality
text
C3858539 (UMLS CUI [1])
Code List
Criticality
CL Item
Low (1)
CL Item
High (2)
CL Item
Indeterminate (3)
Comment
Item
Comment
text
C0947611 (UMLS CUI [1])
Review date
Item
Review date
datetime
C3166277 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Category
Item
text
C0683312 (UMLS CUI [1,1])
C0522473 (UMLS CUI [1,2])
C0184661 (UMLS CUI [1,3])
Item
Status
text
C3650242 (UMLS CUI [1])
Code List
Status
CL Item
Suspected (1)
CL Item
Likely (2)
CL Item
Confirmed (3)
CL Item
Resolved (4)
CL Item
Refuted (5)
Extension
Item
Extension
text
C1546922 (UMLS CUI [1])
Indication
Item
Indication
text
C3146298 (UMLS CUI [1])
Valid period start
Item
Valid period start
datetime
C0808070 (UMLS CUI [1])

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