Integrated Urgent Care
Domain Message Specification

Version: 3.0; Status: RC1

ClinicalDiscriminator Tabular View

COCD_TP146092GB01
ClinicalDiscriminator
Used by:
[1..1] [M] classCode (CS { CNE: ActClass } )
{ Fixed="OBS" }

Model Attribute Description

The HL7 attribute classCode describes this class as a observation.

Implementation in XML Instance

The XML attribute classCode is fixed to " OBS".
[1..1] [M] moodCode (CS { CNE: ActMood } )
{ Fixed="EVN" }

Model Attribute Description

The HL7 attribute moodCode describes this class as an event.

Implementation in XML Instance

The XML attribute moodCode is fixed to " EVN".
[1..1] [M] code (CV { CNE:ClinicalDiscriminatorType } )
{ Fixed="CD" }

Model Attribute Description

The HL7 attribute code uses a code from the ClinicalDiscriminatorType vocabulary to describe the clinical discriminator class.

Implementation in XML Instance

The XML element code is populated in the following way:

  • The code attribute is fixed to "CD"
  • The codeSystem attribute is fixed to "2.16.840.1.113883.2.1.3.2.4.17.540" .
[1..1] [M] templateId (II)
{ Fixed="COCD_TP146092GB01#ClinicalDiscriminator" }
Model Attribute Description

The HL7 attribute templateId provides a unique identifier for the template and the class name within that template. This is used to identify how the CDA standard has been constrained for NHS use.

Implementation in XML Instance

The Identifier External data type flavour is used to carry this information in the XML element templateId as follows:
  • The XML attribute root is fixed to the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The XML attribute extension is fixed to "COCD_TP146092GB01#ClinicalDiscriminator"
[1..1] [M] value (CV { CNE:ClinicalDiscriminators } )

Model Attribute Description

The HL7 attribute value uses a concept from the NHS Pathways codes, or a text representation, to describe the clinical discriminator.

Implementation in XML Instance

The Coded Value (CV) data type shall be used to carry this information in the XML element value as follows:

If using a concept from the NHS Pathways codeset:

  • The XML attribute xsi:type shall contain the value "CV".
  • The XML attribute code shall contain the code from the codeset. The code will be composed of the Symptom Group and the Symptom Discriminator separated by a pipe ("|") character.
  • The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.24".
  • The XML attribute displayName shall carry the description associated with the code in the form of the Symptom Group and the Symptom Discriminator separated by a ("|") character.

If using an SNOMED CT terminology:

  • The XML attribute xsi:type shall contain the value "CV".
  • The XML attribute code shall contain the code from the terminology.
  • The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.15".
  • The XML attribute displayName shall carry the description associated with the code.

If using another codeset/terminology:

  • The XML attribute xsi:type shall contain the value "CV".
  • The XML attribute code shall contain the code from the terminology.
  • The XML attribute codeSystem shall contain the OID "2.16.840.1.113883.2.1.3.2.4.25".
  • The XML attribute displayName shall carry the description associated with the code.