S3.1. Observations that apply to a person other than the patient
The default assumption about any statement is that it applies to the
patient. Where this is not the case an instance of ObservationStatement
must include an instance of ObservationStatement/subject
that refers to the person who is the subject of the observation. The subject
may be a named individual but will often be an unnamed person with a specified
relationship to the patient (e.g. a family member). Therefore, this
construct is used to represent various types of observations such as:
- Family history
- Infection disease contacts
- Observations on a fetus or neonate;
- Information about donors of transplanted organs.
These attributes listed in the table below are used as described for the
following classes.
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ObservationStatement
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... other attributes and associations omitted here ...
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[0..1] subject (ObservationStatement/subject)
This is only used where the
subject of information is not the patient. For example, in the case of
family history this refer to the family member to whom the
observation applies.
Note
- Usually this will not
refer to an individual person but to an unidentified person
in the role of "Family member" or possibly more
specifically "Parent", "Father" etc.
- Whenever an instance of ObservationStatement/subject
is present the presumption of a recipient should be that the
observation does not apply directly to the patient.
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[1..1] typeCode
(CS){
Fixed="SUBJ " }
Indicates that this relates
a person as the subject of the source Observation.
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[1..1] PersonalRelationship
(PersonalRelationship)
Information about
the person (or kind of person) who is the subject of this
information. This is only used where the subject of information is
not the patient. For example, in the case of family history this refer
to the family member to whom the observation applies.
Note
- Usually this will not
refer to an individual person but to an
unidentified person in the role of "Family
member" or possibly more specifically "Parent",
"Father" etc.
- Whenever an instance
of ObservationStatement/subject
is present the presumption of a recipient should be that the
observation does not apply directly to the patient.
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[1..1] classCode
(CS){
Fixed="PRS " }
Indicates that this is
an observation about a subject.
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[0..1] code
(CS) {CWE:EhrPersonalRels}
A code representing the
relationship of the subject to the patient.
Examples include (see EhrPersonalRels
vocabulary for details )
- Family member
- Parent
- Child
- Contact
- Carer
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[0..1] relationshipHolder
(Person)
Details of the
person (other than the patient) who is the subject of an
observation.
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[1..1] classCode
(CS){
Fixed="PSN " }
Indicates
this is a person
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[1..1] determinerCode
(CS){
Fixed="INSTANCE " }
Indicates that this
refers to a specific person.
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[0..1] name
(SET<PN>)
To optionally
provide one or more names of the person.
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[0..1] deceasedInd
(BL)
Indicates whether
or not the subject has died.
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