archetype (adl_version=1.4) openEHR-EHR-EVALUATION.adverse.v1 concept [at0000] -- Adverse reaction language original_language = <[ISO_639-1::en]> translations = < ["de"] = < language = <[ISO_639-1::de]> author = < ["name"] = <"Jasmin Buck, Sebastian Garde"> ["organisation"] = <"University of Heidelberg, Central Queensland University"> > > > description original_author = < ["name"] = <"Sam Heard"> ["organisation"] = <"Ocean Informatics"> ["date"] = <"23/04/2006"> ["email"] = <"sam.heard@oceaninformatics.biz"> > details = < ["de"] = < language = <[ISO_639-1::de]> purpose = <"Zur Dokumentation von Nebenwirkungen auf einen bestimmten Wirkstoff. Die Art dieses Stoffes kann ebenfalls Dokumentiert werden. Früherer Aufzeichnungen können hinzugefügt werden und auch die Art der Reaktion beim jeweiligen Ereignis."> use = <""> keywords = <"Reaktion", "allergisch", "Allergie", "Intoleranz"> misuse = <"Nicht zur Dokumentation keines Verlaufs einer Reaktion auf eine Substanz. Für diesen Zweck openEHR-EVALUATION.excluded-adverse benutzen. Für unbekannte Reaktionen auf beliebige Wirkstoffe openEHR-EVALUATION.excluded benutzen."> > ["en"] = < language = <[ISO_639-1::en]> purpose = <"For recording adverse reaction(s) to a particular 'Agent' the type of which may be recorded also. Historical recordings may be added and the type of reaction on each occasion."> use = <""> keywords = <"reaction", "allergic", "allergy", "intolerance"> misuse = <"Do not use for recording no history of a reaction to a substance. Use openEHR-EVALUATION.excluded-adverse for this purpose. No known reactions to any agents, use openEHR-EVALUATION.excluded."> > > lifecycle_state = <"AuthorDraft"> other_contributors = <"NEHTA data groups (Australia)", "General Practice Computing Group (Australia)"> definition EVALUATION[at0000] matches { -- Adverse reaction data matches { ITEM_TREE[at0002] matches { -- structure items cardinality matches {0..*; unordered} matches { ELEMENT[at0003] matches { -- Agent value matches { DV_TEXT matches {*} } } ELEMENT[at0010] occurrences matches {0..1} matches { -- Agent category value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0011, -- Food at0012, -- Animal at0013, -- Medication at0014, -- Other chemical or substance at0031, -- Non-active ingredient of medication at0033, -- Imaging dye or media at0034] -- Environmental } } } } CLUSTER[at0019] occurrences matches {0..*} matches { -- Exposure and reaction detail items cardinality matches {1..*; unordered} matches { ELEMENT[at0032] occurrences matches {0..1} matches { -- Specific substance value matches { DV_TEXT matches {*} } } ELEMENT[at0015] occurrences matches {0..1} matches { -- Reaction category value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0016, -- Intolerance at0017, -- Sensitivity at0018, -- Allergy at0030] -- No reaction } } } } ELEMENT[at0004] occurrences matches {0..1} matches { -- Probability of causation value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0005, -- Certain/Highly likely at0006, -- Probable at0007] -- Possible } } } } ELEMENT[at0020] occurrences matches {0..1} matches { -- Date of exposure value matches { DV_DATE_TIME matches { value matches {yyyy-??-??T??:??:??} } } } ELEMENT[at0021] occurrences matches {0..1} matches { -- Duration of the exposure value matches { DV_DURATION matches { value matches {PYMWDTHMS} } } } ELEMENT[at0023] occurrences matches {0..1} matches { -- Reaction severity value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0024, -- Mild at0025, -- Disabling at0026] -- Life threatening } } } } ELEMENT[at0022] matches { -- Reaction description value matches { DV_TEXT matches {*} } } ELEMENT[at0027] occurrences matches {0..1} matches { -- Date of onset of reaction value matches { DV_DATE_TIME matches { value matches {yyyy-??-??T??:??:??} } } } ELEMENT[at0028] occurrences matches {0..1} matches { -- Duration of the reaction value matches { C_DV_QUANTITY < property = <[openehr::128]> > } } } } } } } } ontology term_definitions = < ["de"] = < items = < ["at0000"] = < description = <"Zur Dokumentation des Vorhandenseins von schädlichen oder unerwünschten Reaktionen auf einen Wirkstoff oder eine Substanz, einschließlich Nahrung, festgestellt von einem Klinikarzt - Vergiftungen und unsachgemäßer Gebrauch ausgeschlossen"> text = <"Nebenwirkung"> > ["at0002"] = < description = <"@ internal @"> text = <"Structure"> > ["at0003"] = < description = <"Der Wirkstoff, die Substanz oder die Klasse, welche die Nebenwirkung ausgelöst hat"> text = <"Wirkstoff"> > ["at0004"] = < description = <"Grad an Sicherheit, dass der Wirkstoff der Auslöser der Reaktion war"> text = <"Wahrscheinlichkeit für kausalen Zusammenhang"> > ["at0005"] = < description = <"Die Reaktion ist laut einem Klinikarzt auf den Wirkstoff zurückzuführen"> text = <"Sicher/ sehr wahrscheinlich"> > ["at0006"] = < description = <"Die Reaktion ist wahrscheinlich auf den Wirkstoff zurückzuführen"> text = <"Wahrscheinlich"> > ["at0007"] = < description = <"Die Reaktion ist möglicherweise auf den Wirkstoff zurückzuführen"> text = <"Möglicherweise"> > ["at0010"] = < description = <"Die Gruppe des Wirkstoffs"> text = <"Wirkstoffgruppe"> > ["at0011"] = < description = <"Eine Substanz, die als Teil der Ernährung zugeführt wurde "> text = <"Nahrungsmittel"> > ["at0012"] = < description = <"Ein lebender Organismus und dessen Gift oder produzierter Stoff"> text = <"Tier"> > ["at0013"] = < description = <"Eine Substanz, die aus medizinischen Gründen eingenommen oder verabreicht wurde"> text = <"Medikament"> > ["at0014"] = < description = <"Nicht-medizinische Chemikalie oder Substanz"> text = <"Andere Chemikalie oder Substanz"> > ["at0015"] = < description = <"Die Art der von der Person erfahrenen Reaktion, von einem Klinikarzt ermittelt"> text = <"Reaktionsart"> > ["at0016"] = < description = <"Führt zu unerfreulichen Symptomen, die ausreichen um einen Gebrauch in der Zukunft zu vermeiden"> text = <"Intoleranz"> > ["at0017"] = < description = <"Führt zu Krankhaftigkeit die eventuell zum Wohle des Patienten behandelt werden muss"> text = <"Empfindlichkeit"> > ["at0018"] = < description = <"Führt zu einer IgE Reaktion"> text = <"Allergie"> > ["at0019"] = < description = <"Einzelheiten der von der Person erfahrenen Reaktion"> text = <"Exposition und Einzelheiten der Reaktion"> > ["at0020"] = < description = <"Das Datum (+/- Zeit) wann die Person gegenüber dem Wirkstoff exponiert wurde"> text = <"Datum der Exposition"> > ["at0021"] = < description = <"Die Dauer der Exposition gegenüber dem Wirkstoff"> text = <"Dauer der Exposition"> > ["at0022"] = < description = <"Eine Beschreibung der von einer Person erfahrenen Reaktion auf einen Wirkstoff"> text = <"Beschreibung der Reaktion"> > ["at0023"] = < description = <"Die Klasse der Reaktion für zukünftige Empfehlungen"> text = <"Schweregrad der Reaktion"> > ["at0024"] = < description = <"Eine Reaktion, die wenig Leiden und keinen Verlust der Arbeitsfähigkeit/ Schulfähigkeit verursacht"> text = <"Gelinde"> > ["at0025"] = < description = <"Eine Reaktion, die Krankheit und/oder den Verlust Funktionen verursacht"> text = <"Unfähig machend"> > ["at0026"] = < description = <"Eine Reaktion die lebensbedrohlich wahr oder sein kann"> text = <"Lebensbedrohlich"> > ["at0027"] = < description = <"Das Datum, an dem die Reaktion eintrat"> text = <"Datum des Beginns der Reaktion"> > ["at0028"] = < description = <"Die Dauer der Reaktion"> text = <"Dauer der Reaktion"> > ["at0030"] = < description = <"Die Person war ohne Reaktion exponiert"> text = <"Keine Reaktion"> > ["at0031"] = < description = <"Ein nicht-medizinischer Bestandteil des Medikaments, wie Farbstoff, Konservierungsstoff, usw. (Untertyp von andere Chemikalien)"> text = <"Inaktiver Bestandteil des Medikaments"> > ["at0032"] = < description = <"Die charakteristische Substanz, die die Reaktion verursacht, falls verschieden vom Wirkstoff (z.B. Marken oder Teile einer Klasse)"> text = <"Charakteristische Substanz"> > ["at0033"] = < description = <"Zur diagnostischen Bildgebung benutzter Farbstoff oder Medium (Untertyp von anderen Chemikalien)"> text = <"Abbildender Farbstoff oder Medium"> > ["at0034"] = < description = <"Ein in der Umwelt vorhandener Wirkstoff"> text = <"Umgebend"> > > > ["en"] = < items = < ["at0000"] = < description = <"Recording the presence of a harmful or undesirable response to an agent or substance including food, as determined by the clinician - excluding poisoning and abnormal use"> text = <"Adverse reaction"> > ["at0002"] = < description = <"@ internal @"> text = <"structure"> > ["at0003"] = < description = <"The agent or substance or class that caused the adverse reaction"> text = <"Agent"> > ["at0004"] = < description = <"Degree of certainty that the agent was the cause of the reaction"> text = <"Probability of causation"> > ["at0005"] = < description = <"A reaction to the agent is deemed to be or have been present by the clinician"> text = <"Certain/Highly likely"> > ["at0006"] = < description = <"The reaction is deemed to be the probable cause of the reaction"> text = <"Probable"> > ["at0007"] = < description = <"The agent is deemed to be a possible cause of the reaction"> text = <"Possible"> > ["at0010"] = < description = <"The category of the agent"> text = <"Agent category"> > ["at0011"] = < description = <"A substance taken as part of the diet"> text = <"Food"> > ["at0012"] = < description = <"A living organism or its venom or produce"> text = <"Animal"> > ["at0013"] = < description = <"A substance taken or applied for medicinal purposes"> text = <"Medication"> > ["at0014"] = < description = <"Non-medicinal chemicals or substances"> text = <"Other chemical or substance"> > ["at0015"] = < description = <"The type of reaction experience by the person as determined by the clinician"> text = <"Reaction category"> > ["at0016"] = < description = <"Leads to unpleasant symptoms which are sufficient to avoid use in the future"> text = <"Intolerance"> > ["at0017"] = < description = <"Leads to morbidity which is potentially threatening to the wellbeing of the person"> text = <"Sensitivity"> > ["at0018"] = < description = <"Leads to an IgE mediated reaction"> text = <"Allergy"> > ["at0019"] = < description = <"Details of the reaction experienced by the person"> text = <"Exposure and reaction detail"> > ["at0020"] = < description = <"The date (+/- time) when the person became exposed to the agent"> text = <"Date of exposure"> > ["at0021"] = < description = <"The duration of the exposure to the agent"> text = <"Duration of the exposure"> > ["at0022"] = < description = <"A description of the reaction to this agent as experienced by the person"> text = <"Reaction description"> > ["at0023"] = < description = <"The category of the reaction for future reference"> text = <"Reaction severity"> > ["at0024"] = < description = <"A reaction which causes little distress and no loss of work/school"> text = <"Mild"> > ["at0025"] = < description = <"A reaction which causes morbidity and/or loss of function"> text = <"Disabling"> > ["at0026"] = < description = <"A reaction which was or could be lifethreatening"> text = <"Life threatening"> > ["at0027"] = < description = <"The date the reaction began"> text = <"Date of onset of reaction"> > ["at0028"] = < description = <"The duration of the reaction"> text = <"Duration of the reaction"> > ["at0030"] = < description = <"Person has been exposed with no reaction"> text = <"No reaction"> > ["at0031"] = < description = <"A non-medicinal ingredient of medication such as colouring, preservative, etc (subtype of other chemical)"> text = <"Non-active ingredient of medication"> > ["at0032"] = < description = <"The specific substance that caused the reaction if different from the agent (e.g. brands or members of a class)"> text = <"Specific substance"> > ["at0033"] = < description = <"A dye or media used in diagnostic imaging (subtype of other chemical)"> text = <"Imaging dye or media"> > ["at0034"] = < description = <"An agent present in the environment"> text = <"Environmental"> > > > >