Adverse reaction: Evaluation
Generated by the Ocean HTML generator: 25/05/2006 Comments to Ocean Informatics Copyright openEHR Foundation © 2006

Concept

Archetype Id

Structure
Recording the presence or absence of a harmful or undesirable response to an agent or substance including food, as determined by the clinician - excluding poisoning and abnormal use Id: openEHR-EHR-EVALUATION.adverse.v1
Reference model: EHR
ADL

Data

Protocol
Data: TREE

Concept

Description

Type

Cardinality

Values
Agent The agent or substance or class that caused the adverse reactionText
mandatory
1..1		 Free or coded text
Agent category The category of the agentCoded text
optional
0..1		 Food
Animal
Medication
Other chemical or substance
Non-active ingredient of medication
Imaging dye or media
Exposure and reaction detail, Details of the reaction experienced by the person.       Cluster (0..*) optional, repeating
 

Concept

Description

Type

Cardinality

Values
Specific substance The specific substance that caused the reaction if different from the agent (e.g. brands or members of a class)Text
optional
0..1		 Free or coded text
Reaction category The type of reaction experience by the person as determined by the clinicianCoded text
optional
0..1		 Intolerance
Sensitivity
Allergy
No reaction
Probability of causation Degree of certainty that the agent was the cause of the reactionCoded text
optional
0..1		 Certain/Highly likely
Probable
Possible
Date of exposure The date (+/- time) when the person became exposed to the agentDate & Time
optional
0..1		 Allow all
yyyy-??-??T??:??:??
Duration of the exposure The duration of the exposure to the agentQuantity
optional
0..1		 Property = TIME
Reaction severity The category of the reaction for future referenceCoded text
optional
0..1		 Mild
Disabling
Life threatening
Reaction description A description of the reaction to this agent as experienced by the personText
mandatory
1..1		 Free or coded text
Date of onset of reaction The date the reaction beganDate & Time
optional
0..1		 Allow all
yyyy-??-??T??:??:??
Duration of the reaction The duration of the reactionQuantity
optional
0..1		 Property = TIME

Supported by the General Practice Computing Group of Australia through funding from the Commonwealth Department of Health and Ageing