A_RequestMedicationAdministration - tabular view

Indicates that this is a substance administration act.

• Fixed value: "SBADM"

The mood code of the  substance administration act. It indicates that the administration is in progress or ended.

• Fixed value: "EVN"

The first identifier is mandatory and is the unique national identifier for this instance of a specific clinical statement. The second identifier carries a local identifier allocated by the source system.

The Identifier Global datatype flavour is used to carry the first identifier as follows:

• The root attribute shall contain a DCE UUID

The Identifier External datatype flavour is used to carry the second identifier as follows:

• The root carries an OID for the local identifier scheme
• The extension carries a human-readable identifier from that scheme

One or more SnomedCT code identifying the act as describing the administration of a course of medication. 

The Concept Descriptor (CD) dataype shall be used to carry this information as follows:

• The code attribute shall contain a code from the relevant vocabulary
• The code System attribute shall contain the OID for SnomedCT
• The display text shall carry a description associated with the code in SnomedCT
• the original text attribute may be used if required
• qualifier(s) may be used if required.

The mandatory status of the Substance Administration Request,.

 The Coded Only datatype flavour is used to carry this information. The code attribute will contain one of thefollowing values from the list of codes in the Act Status vocabulary: 

• cancelled  - the  requester (author) has cancelled the request
• active - the request is active but hasn't been accepted yet by a performer
• completed - the request has been accepted by a performer.

Optional - not for use in P1R2.  The time when the supply is to be supplied..

Optional - the time at which the request was made.

Optional. The date and time that the activity was recorded on the original system.

Optional - the unit dose size, including units of administration

Optional - the rate at which medication is to be administered. Only required as for infusions.

The participation of the agent / device / person who authored this request to abort supply request statement.  It SHALL be present if it is not inherited via context conduction.

An optional link to the review date for this request.

An optional link to any additional dosage instructions.

An optional link to a textual representation of the reason for planning this medication administration.

A link to zero or more references to clinical statements / clinical statements that justify this requested medication administration.

An optional link to a reference to another clinical statement.  The clinical statement may be in the message instance carrying the reference, or on PSIS.

The agent / device / person performing this participation.

A CMET describing a device participant known to NPfIT SDS.

A CMET describing a healthcare professional participant known to NPfIT SDS

The location at which this administration was performed..

A location which is not related to an organisation known to NPfIT SDS

A CMET describing an organisation known to NPfIT SDS.

The role that plays the manufactured product.

Indicates a role scoped by a manufacturer.

• Fixed value: "MANU"

Information about the manufactured material that is the medication being administered

The agent / device / person performing this participation.

The agent / device / person performing this participation.

A CMET describing a device participant known to NPfIT SDS.

A CMET describing a healthcare professional participant known to NPfIT SDS

The date at which the PlannedMedicationAdministration should be reviewed.

Indicates that is class describes an observation.

• Fixed value:= "OBS"

Mood code indicating that this observation has been made.

• Fixed value:="EVN"

A prescriptionAnnotation indicating that this act describes a medication review date.

The Coded Plain flavour of the CV dataype shall be used to carry this information as follows:

• The code attribute shall contain the fixed code "RD"
• The code System attribute shall contain the OID for SnomedCT

Optional: reserved for use after P1R2..

The review date & optionally time  represented in a string.

The dosage instructions for this medication administration.

Indicates that is class describes an observation.

• Fixed value:= "OBS"

Mood code indicating that this observation has been made.

• Fixed value:= "EVN"

A code taken from the PrescriptionAnnotation vocabulary indicating that this act contains the dosage instructions.

The Concept Value (CV) dataype shall be used to carry this information as follows:

• The code attribute shall contain a fixed value of "DI"
• The code System attribute shall contain the OID for the vocabulary concerned. 

The dosage instructions in text form.

Additional instructions for the patient in human readable form.

Indicates that is class describes an observation.

• Fixed value:= "OBS"

Mood code indicating that this observation has been made.

• Fixed value:= "EVN"

The Concept Value (CV) dataype shall be used to carry this information as follows:

• The code attribute shall contain a fixed value of "AI"
• The code System attribute shall contain the OID for the vocabulary concerned. 

The (additional?) dosage instructions in human-readable form.

The reason why the medication administration was requested.

Indicates that is class describes an observation.

• Fixed value:= "OBS"

Mood code indicating that this observation has been made.

• Fixed value:="EVN"

Fixed value:= "RMAR" (reason for medication administration request)

The reason expressed in string form.

The planned medication administration that this request fulfils.

Indicates that the clinical statement referred to is an HL7 substance administration act.

• Fixed value:= "SBADM"

The mood code of the clinical statement referred to.

Fixed value:= "INT"

A unique identifier for this instance of a planned medication administration statement.

The Identifier Global datatype flavour is used to carry this information as follows:

• The root attribute shall contain a DCE UUID.

A choice of a reason / reference to a reason why this dose administration was not completed.

An observation acting as a reason

A reference to any sort of act acting as the reason.

A reference to any other clnical statement.

The class of the Act being referenced.  It shall contain a value from the HL7 ActClass vocabulary.

The mood code of the Act being referenced. It shall contain a value from the HL7 ActMood vocabulary.

The unique national identifier for this instance of the clinical statement being referred to. 

The Identifier Global datatype flavour is used to carry the identifier as follows:

• The root attribute shall contain a DCE UUID

A location which is not related to an organisation known to NPfIT SDS

Indicates that this is an incidental service deklivery location.

Fixed value:= "ISDLOC"

This indicates the type of the location, represented using a SnomedCT code.

The Coded Plain flavour of the CV dataype shall be used to carry this information as follows:

• The code attribute shall contain a code from the relevant vocabulary
• The code System attribute shall contain the OID for SnomedCT
• The display text shall carry a description associated with the code in SnomedCT

Indicates that this is a manufactured material.

• Fixed value: "MMAT"

The determiner code of the entity.

The value of determinerCode should be set according to the specification of the drug being carried in the entity. 

The CodedOnly datatype flavour is used to carry this information as follows:

• The code attribute will contain a value from the list of codes in the EntityDeterminer vocabulary;

The type of drug being administered in SnomedCT coded form.

The drug can be identified by an actual product description and can describe either a product or a product pack. The coded form shall include the formulation and strength.

The Coded with Equivalents (CE) datatype shall be used to carry this information as follows:

• The code attribute shall contain a value from the list of codes in the vocabulary
• The code System attribute shall contain the OID for SnomedCT
• the displayText shall contain a description for the code from the coding system
• the original text attribute may be used if required
• the translation attribute shall not be used.

NOTE: this attribute was intended to use the CD dataype, but HL7 tooling issues make this impossible. 

A role played by a person who is not an agent  (i.e. a care professional).

Indicates this is a role.

• Fixed value: "ROL"

An optional unique identifier of the role-player.  May be used to convey the NHS number of a patient who is playing a role.  It shall be comprise an OID for the identification scheme and the identifier within that scheme (e.g. for patient NHS number.

A code identifying the relationship of the non-agent person to the patient, e.g. parent  or carer.

The Coded  Plain flavour of the Coded Value (CV) datatype shall be used to carry this information as follows:

• The code attribute shall contain a value from the list of codes in the  vocabulary
• The code System attribute shall contain the OID for the vocabulary
• The display text attribute will carry a description for the code from the vocabulary.

An optional link to the person palying the non-agent role.

An observation acting as a reason for the request for a course administration ending in an abnormal state.

Indicates that is class describes an observation.

• Fixed value:= "OBS"

Mood code indicating that this observation has been made.

• Fixed value:="EVN"

 set of unique identifiers for this instance of an observation.

The first is mandatory and is a unique identifier for this instance of a specific clinical statement. The second is optional and allows an observation to be identified by a local identifier.

The Identifier Global datatype flavour is used to carry the first identifier as follows:

• The root attribute shall contain a DCE UUID

The Identifier External datatype flavour is used to carry the second identifier as follows:

• The root carries an OID for the local identifier scheme
• The extension carries a human-readable identifier from that scheme.

One or more SnomedCT code identifying the kind of observation made about the patient.

The Concept Descriptor (CD) dataype shall be used to carry this information as follows:

• The code attribute shall contain a code from the relevant vocabulary
• The code System attribute shall contain the OID for SnomedCT
• The display text shall carry a description associated with the code in SnomedCT
• the original text attribute may be used if required
• qualifier(s) may be used if required.
• For each clinical statement that is an observation the usage of Observation.code is described below:
• Patient Legal Status - the informal or Mental Health Act Section current at the time the message is created.
• Living Will - The description of a living will in coded format.
• Preferred Written Communication Requirements -  the patient's special requirements for written communication. 
• Religious/Culturally Dependent Needs - a  patient's religious/cultural needs. 
• Health & Social Issue as described by HCP - a type of issue, it's severity and status as identified by an HCP.
• Health & Social Issue as described by patient - a type of issue, it's severity and status as identified by the patient.
• Attitude of carer to issue - the carer's attitude to the issue.
• Patient awareness of issue - the patient's awareness of the issue.
• Carer awareness of issue - the carer's awareness of the issue.
• Diagnosis - a diagnosis including certainty of diagnosis and negation.
• Prognosis - a prognosis associated with a diagnosis.
• Finding - a finding including any additional descriptions that can be coded.
• Outcome - an outcome.
• Goal - a goal identified for the future.
• Family History - family history item, including description of relationship of person with family history to patient.
• Risk Statement - an identified risk to others from the patient.
• Risk Incident - the actual risk in a risk incident.
• Smoking - the current status of the smoking habits of the patient including smoking consumption.
• Smoking future intentions - the patient's future intentions to change smoking habits.
• Alcohol - the alcohol status of the patient at the time of recording, includes alcohol consumption.
• Alcohol future intentions - the patient's future intentions with regard to alcohol consumption.
• Substance misuse - a known drug habit.
• Exercise - the exercise habits of the patient.
• Occupation - the patient's occupation .
• Employment - information on the employment status of a patient Housing - information on the housing situation of the patient in coded form.
• Social Network - the nature of the social network of the patient. Religion - information about the patient's religion.
• Ethnic Category - information about the patient's ethnic category . 
• Services - a type of service being provided by other agents to the patient.
• Care provided by Carer - the nature of care provided by the carer to the patient.
• Functioning and wellbeing - the functioning and wellbeing of the patient.

The status of the observation.  It shall be a value taken from the HL7ActStatus vocabulary.

Optional - not to be used in P1R2.

The date and time the observation was made.

For each observation which has a requirement to carry the activity date and time the usage of Observation.activityTime is described below:

• Health & Social Issue as described by HCP - The date and time that the problem was identified by the HCP - optional.
• Prognosis - The date and time that the HCP made a diagnosis associated prognosis.
• Family History - The date of stating the family history finding.

The time at which this observation was first recorded on a computer system.

A value associated with this observation, including any units involved.

A reference to an Act which is a reason why this medication administration request was not completed.

The class of the Act being referenced.  It shall contain a value from the HL7 ActClass vocabulary.

The mood code of the Act being referenced. It shall contain a value from the HL7 ActMood vocabulary.

The unique national identifier for this instance of the clinical statement being referred to. 

The Identifier Global datatype flavour is used to carry the identifier as follows:

• The root attribute shall contain a DCE UUID

An entity describing a place that is not an organisation recognised by SDS.  If Place is used, at least one of the non-structural attributes SHALL be used. 

Indicates that the entity is a place

• Fixed value: "PLC"

Indicates that the entity is a single identifiable place

• Fixed value: "INSTANCE"

The optional name of the place

An optional telecom contact for the place

An optional address of the place

An optional grid reference. It may be as precise as required.

An optional GPS reference.  It may be as precise as required.

Someone who is not known to the NPfIT SDS.

Indicates that the entity is a person

• Fixed value: "PSN"

Indicates that the entity is a single identifiable person.

• Fixed value: "INSTANCE"

The name of the person