ARCHETYPE ID | openEHR-EHR-EVALUATION.adverse_reaction_uk.v1 |
Concept | Adverse reaction |
Description | Details of a harmful or undesirable effect, including allergy and intolerance, associated with known or suspected exposure to a drug or other medicinal substance. |
Use | This archetype is a superset of the HSCIC GP2GP Drug allergy archetype and can be used for GP2GP purposes, with suitable templating to record allergies, intolerances and adverse reactions to drugs and other medicinal substances. This archetype reflects the behaviour of current UK GP systems which make no distinction between the concepts of 'adverse reaction event' and 'propensity to future adverse reaction'. It is aligned with the RCP 'core headings' definitions for allergy recording. It is designed primarily for use with in a UK primary care context but may be suitable for use within secondary care, particularly where the prime requirement is to record propensity to adverse reactions to drugs and other medicinal substances for decision support purposes. |
Misuse | This archetype is not designed to support adverse reaction reporting requirements e.g 'Yellow Card' scheme. It should not be used to record negated statements such as "No history of adverse reactions" or "Allergy to Penicillin refuted by challenge testing". A specific 'Exclusion of adverse reaction' archetype is used for this purpose to ensure that negated statements are clearly separated from positive statements. It should not be used to record 'absence' statements such as "No information available on adverse reactions" . A different 'Absence of information' archetype is used for this purpose to ensure that 'absence' statements are clearly separated from positive statements. |
Purpose | To record details of a known or suspected allergy, other adverse reaction, intolerance to a drug or medicinal substance, drug group or trade family group of drugs. Whilst this is a primarily a record of the adverse reaction event, it should also be regarded as a statement of 'propensity to future similar reactions', intended to appear quite distinctly within systems and to trigger appropriate prescribing decision support. |
References | NHS Scotland SCI-XML schema http://www.sci.scot.nhs.uk/products/gateway/gate_down_xml.htm NWIS Wales SCI-XML schema HSCIC England NHS Message Implementation Guidance, http://www.uktcregistration.nss.cfh.nhs.uk/trud3/ HL7 Patient Care work on Allergy and Intolerance - http://wiki.hl7.org/index.php?title=Allergy_%26_Intolerance NEHTA draft 'Adverse Reaction' archetype: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.868_7 openEHR draft 'Adverse Reaction' archetype http://www.openehr.org/ckm/#showArchetype_1013.1.197 ISB England, Representation in Electronic Patient Records of Allergic Reactions, Adverse Reactions, and Intolerance of Pharmaceutical Products http://www.isb.nhs.uk/documents/isb-1582/amd-24-2011/1582242011npfitepdb.pdf RCP London, Standards for the clinical structure and content of patient records, http://www.rcplondon.ac.uk/sites/default/files/standards-for-the-clinical-structure-and-content-of-patient-records.pdf RCP London, Standards for core clinical information, http://www.rcplondon.ac.uk/sites/default/files/core_clinical_headings_for_electronic_health_records_v1.4.pdf |
Copyright | © Apperta Foundation |
Authors | Author name: Ian McNicoll Organisation: SCIMP, NHS Scotland Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2012-09-12 |
Other Details Language | Author name: Ian McNicoll Organisation: SCIMP, NHS Scotland Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2012-09-12 |
OtherDetails Language Independent | {licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=Apperta UK, references=NHS Scotland SCI-XML schema http://www.sci.scot.nhs.uk/products/gateway/gate_down_xml.htm NWIS Wales SCI-XML schema HSCIC England NHS Message Implementation Guidance, http://www.uktcregistration.nss.cfh.nhs.uk/trud3/ HL7 Patient Care work on Allergy and Intolerance - http://wiki.hl7.org/index.php?title=Allergy_%26_Intolerance NEHTA draft 'Adverse Reaction' archetype: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.868_7 openEHR draft 'Adverse Reaction' archetype http://www.openehr.org/ckm/#showArchetype_1013.1.197 ISB England, Representation in Electronic Patient Records of Allergic Reactions, Adverse Reactions, and Intolerance of Pharmaceutical Products http://www.isb.nhs.uk/documents/isb-1582/amd-24-2011/1582242011npfitepdb.pdf RCP London, Standards for the clinical structure and content of patient records, http://www.rcplondon.ac.uk/sites/default/files/standards-for-the-clinical-structure-and-content-of-patient-records.pdf RCP London, Standards for core clinical information, http://www.rcplondon.ac.uk/sites/default/files/core_clinical_headings_for_electronic_health_records_v1.4.pdf, original_namespace=uk.org.clinicalmodels, original_publisher=Apperta UK, custodian_namespace=uk.org.clinicalmodels, MD5-CAM-1.0.1=33AC41368D0CAB88272D2A577B0F5F1B, build_uid=79097ab2-1fbb-454f-b3c3-c27a0574bd4a, revision=1.0.2} |
Keywords | allergy, adverse, intolerance, sensitivity, hypersensitivity, immune, drug, medication, reaction, anaphylaxis |
Lifecycle | deprecated |
UID | 746105ec-69c4-4d05-9a0c-8e309c9c4893 |
Language used | en |
Citeable Identifier | 1051.32.4 |
Revision Number | 1.0.2 |
All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Details of a harmful or undesirable effect, including allergy and intolerance, associated with known or suspected exposure to a drug or other medicinal substance., archetypeConceptComment=null, otherContributors=Steve Bentley, HSCIC, United Kingdom Colin Brown, SCIMP, United Kingdom Rachel Clements, Cegedim Rx Ltd, United Kingdom Richard Cottrell, NHS Ayrshire and Arran, United Kingdom Leo Fogarty, GP2GP project, NHS England Gurminder Khamba, NHS CFH, United Kingdom Heather Leslie, Ocean Informatics, Australia Dawn MacDermid, United Kingdom Ian McNicoll, Ocean Informatics, United Kingdom (Editor) Barry Melia, NHS Lothian, United Kingdom Paul Miller, SCIMP, United Kingdom (Editor) Sam Patel, NHS Lanarkshire, United Kingdom Mike Robinson, INPS, United Kingdom Laura Sato, Health and Social Care Information Centre, United Kingdom Ian Thompson, SCIMP, United Kingdom (Editor) John Thomson, NHS Grampian, United Kingdom John Williams, GP2GP, United Kingdom (Editor), originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[], content=[], capabilities=[], relationships=[], activities=[], events=[], contacts=[], description=[], target=[], context=[], identities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0023]/items[at0024], code=at0024, itemType=SLOT, level=2, text=Record provenance, description=Details of the provenance of the record e.g. source, name and role of author, care setting., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.record_
Clinical Finding [Any SNOMED-CT term in the Clinical Finding hierarchy.] Constraint binding:
openEHR-EHR-CLUSTER.record_ |