PA Notification With Claim Information - tabular view

No Current Link To VocabularyCoded With Extensions
PORX_RM114001UK06
PANotificationWithClaim

This message is used by the prescribing system to notify the ETP Component of details of a personal administration event, so that the patient's clinical record can be updated, and to send information for a reimbursement claim for that completed personal administration event, such that the ETP Component an forward a claim for reimbursement to the appropriate payment authority. 

Reference: W5-13.4.5.1

Used by:
[1..1] classCode (CS {CNE:INFO} ){ Fixed="INFO " }

A code indicating that the PANotificationWith Claim focal act is for information purposes only

  • Fixed value: "INFO"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

A code to indicate this is an event.

  • Fixed value: "EVN"
[1..1] id (II)

UUID identifying this instance of a service request. This identifier is universally unique across all records. It is in the form of a UUID.

This is the unique number of the event that identifies the payload of the message.

[1..1] code (CD {CNE:SnomedCT} )

A fixed code (163551000000105) from the SnomedCT UK subset that describes this as a Personally Administered Medication event.

The 'Coded with Original Text' datatype flavour should be used.

[1..1] effectiveTime (TS)

Date and time stamp for the PA Notification With Claim Information message.

[1..1] recordTarget

A link between the PANotificationWithClaim focal act and the patient who receives the medication treatment.

[1..1] typeCode (CS {CNE:RCT} ){ Fixed="RCT " }

A code indicating that the patient's records will hold the information relating to this Dispense

  • Fixed value: "RCT"
[1..1] patient      [CMET: COCT_MT050012UK04]

A link to identify a person fulfilling the specific role for a patient  receiving the medical treatment.

This information is mandatory.

The following CMET data elements are required and must be provided:

Patient.id                                        (NHS Number)
Patient.addr                                    (address)
Person.name                                   (Name)
Person.administrative GenderCode (Gender)
Person.birthTime                            (Birth date - YYYYMMDD)
GPRegisteredWith.id                      (GP SDS identfier)

[1..1] location

A link between the Personal Administration and the geographic location at which it took place.

[1..1] typeCode (CS {CNE:LOC} ){ Fixed="LOC " }

Indicates that this is a location.

  • Fixed value: "LOC"
[1..1] contextControlCode (CS {CNE:OP} ){ Fixed="OP " }

A code that specifies how this Participation contributes to the context of the current Act, and whether it may be propagated to descendent Acts whose association allows such propagation.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this location propagates through to the clinical statements as the geographic location unless specifically overriden for individual acts.

[1..1] participant      [CMET: UKCT_MT120401UK02]

NPfIT CMET fulfilling the specific role of an organisation, in this instance the location at which the Personal Administration event took place. Full details of the organisation and role profile are available from SDS.

This information is mandatory.

The following CMET data elements are required and must be provided:

Organization.id           (Organisation SDS identifier)
Organization.name      (Name of organisation)

[1..1] primaryInformationRecipient

This participation provides a link to the (payor) organisation to whom the reimbursement claim for the dispense will be presented.

[1..1] typeCode (CS {CNE:PRCP} ){ Fixed="PRCP " }

A code indicating that the receiving organisation is the primary recipient

  • Fixed value: "PRCP"
[1..1] participant (UKCT_MT120401UK02)

NPfIT CMET fulfilling the specific role of an organisation, in this instance the payor organisation (which may be the PPA) to whom the claim is presented. Full details of the organisation and role profile are available from SDS.

This information is mandatory

The following CMET data elements are required and must be provided:

Organization.id           (Organisation SDS identifier)
Organization.name      (Name of organisation)

[1..1] pertinentInformation2

An identifier of the Act Relationship that relates clinical statements directly to the focal act.

[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value
[1..1] templateId (II)

An identifier of the Act Relationship that categorises clinical data by the Care Record Element classification used by PSIS.

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

  • The root attribute shall contain  the OID 2.16.840.1.113883.2.1.3.2.4.18.2
  • The extension shall contain the fixed template ID
    "CSAB_RM-NPfITUK10.pertinentInformation1"
[1..1] pertinentCareRecordElementCategory (CareRecordElementCategory)

The CareRecordElementCategory is pertinent to the DispenseNotificationWithClaim and is used to categorise the clinical statement acts according to CRE types.

This information is mandatory.

[1..1] pertinentInformation1
An act relationship that associates the PANotificationWithClaim focal act with SupplyHeader - the primary act of the PSIS clinical message.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value: "PERT" 
[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that relates clinical statements directly to the focal act.

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

  • The root attribute shall contain  the OID 2.16.840.1.113883.2.1.3.2.4.18.2
  • The extension shall contain the fixed template ID
    "CSAB_RM-NPfITUK10.pertinentInformation"
[1..1] pertinentSupplyHeader (SupplyHeader)

The SupplyHeader is pertinent to the PANotificationWithClaimInfo.

This information is mandatory.

CareRecordElementCategory

An act used to categorise clinical statements within the message into care record element categories. The CareRecordElementCategory act can reference multiple ActRef acts to 'group' multiple clinical statements under a single category.

Used by: PANotificationWithClaim
[1..1] classCode (CS {CNE:CATEGORY} ){ Fixed="CATEGORY " }

Indicates that this act is a category act.

  • Fixed value : "CATEGORY"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

A code to indicate this is an event.

  • Fixed value: "EVN"
[1..1] code (CV {CNE:CREType} )

Coding system used to categorise the clinical statement messages:

In this instances, all clinical statements for this message will be categorised under CREType Medication.

[1..*] component

An act relationship used to convey that the ActRef act forms a component of the acts within the CareRecordElementCategory.

[1..1] typeCode (CS {CNE:COMP} ){ Fixed="COMP " }

Indicates that this act relationship is a component act relationship.

  • Fixed value : "COMP"

The typeCode is carried as an attribute of component.

[1..1] actRef (ActRef)

A link to information about an act (clinical statement defined elsewhere within this message) that is a component of this care record element category.

SupplyHeader

A container for the collection of clinical statements that constitute PA Notification With Claim information to be available on PSIS.

Used by: PANotificationWithClaim
[1..1] classCode (CS {CNE:SBADM} ){ Fixed="SBADM " }

A code to indicate introducing or applying a substance to a subject.

  • Fixed value: "SBADM"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

A code to indicate this is an event.

  • Fixed value: "EVN"
[2..2] id (LIST<II>)

UUID identifying this instance of a service request. This identifier is universally unique across all records. It is in the form of a list.  This Id consists of:

  • globally unique number to identify the individual prescription (DCE UUID)
  • a check digit for UUID verification
[1..1] code (CD {CNE:SnomedCT-Administration} )

A code from the SnomedCT-Administration UK subset that describes personal administrations.

[1..1] effectiveTime (TS)

Date and time stamp for the Personal Administration event.

[1..1] author

A participation used to provide a link from an act to a role in this case used to convey that the role(participant) is the author for the act.

[1..1] typeCode (CS {CNE:AUT} ){ Fixed="AUT " }

Indicates that the role is the author of the request.

  • Fixed value: "AUT"
[1..1] contextControlCode (CS {CNE:OP} ){ Fixed="OP " }

A code that specifies how this Participation contributes to the context of the current Act, and whether it may be propagated to descendent Acts whose association allows such propagation.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this professional propagates through to the clinical statements as the care professional unless specifically overriden for individual acts.

[1..1] time (TS)

The date and local time that the prescriber has signed the prescription details.

If the Legal Authenticator has been identified then this time is to be substituted by legalAuthenticator.time.

[1..1] signatureText (ED)

The electronic signature of the contents to be signed as "legal and true" by the prescriber.

The following information is to be included in the digital signature:

  • Prescription
  • Prescriber
  • Patient
  • Prescribed Medication
[1..1] participant      [CMET: UKCT_MT120201UK03]

NPfIT CMET to identify a person fulfilling the specific role for a person (prescriber) that authored this prescription.

This information is mandatory.

The following CMET data elements are required and must be provided for PlayingEntityChoice:

AgentPerson.id          (SDS role profile code)
AgentPerson.code     (Role descriptor)
AgentPerson.telecom (Telephone number)
Person.id                   (SDS identifier)
Person.name              (Name)
Organization.id           (Organisation SDS identifier)
Organization.code      (Type of organisation)
Organization.name      (Name of organisation)
Organization.telecom  (Telephone number of organisation)
Organization.addr       (Address of organisation)

[0..1] legalAuthenticator
Details about the person making the PA Reimbursement Claim.
[1..1] typeCode (CS {CNE:LA} ){ Fixed="LA " }

A code to indicate legal authenticator

  • Fixed value: "LA"
[1..1] contextControlCode (CS {CNE:OP} ){ Fixed="OP " }

A code that specifies how this Participation contributes to the context of the current Act, and whether it may be propagated to descendent Acts whose association allows such propagation.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this professional propagates through to the clinical statements as the claimant unless specifically overriden for individual acts.

[1..1] time (TS)

The date and local time that the reimbursement claim is made.

[1..1] signatureText (ED)

The electronic signature of the contents to be signed as "legal and true" by the claimant.

The following information is to be included in the digital signature:

  • Reimbursement Organisation Information
  • Administered Medication Claim Information
[1..1] participant (UKCT_MT120201UK03)

NPfIT CMET to identify a person fulfilling the specific role for a person (legal authenticator) that making the Dispense Reimbursement Claim. This can be the same person as the dispenser but could be a manager.

This information is mandatory.

The following CMET data elements are required and must be provided for PlayingEntityChoice:

AgentPerson.id          (SDS role profile code)
Person.id                   (SDS identifier)
Person.name              (Name)
Organization.id           (Organisation SDS identifier)
Organization.name      (Name of organisation)
Organization.telecom  (Telephone number of organisation)
Organization.addr       (Address of organisation)

[1..1] responsibleParty
A participation used to provide information on the principal Healthcare professional. This participation is applicable when the treatment is authored by an individual not directly responsible for the patient (e.g. practice nurse reporting to a GP principal).
[1..1] typeCode (CS {CNE:RESP} ){ Fixed="RESP " }

Indicates that the Consultant has primary responsibility for the patient.

  •  Fixed value : "RESP"
[1..1] contextControlCode (CS {CNE:OP} ){ Fixed="OP " }

A code that specifies how this Participation contributes to the context of the current Act, and whether it may be propagated to descendent Acts whose association allows such propagation.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this professional propagates through to the clinical statements as the care professional unless specifically overriden for individual acts.

[1..1] participant (UKCT_MT120201UK03)

NPfIT CMET to identify a person fulfilling the specific role for a person who authors the prescription but does not have direct responsibility for the patient, e.g. practice nurse.

This information is mandatory.

The following CMET data elements are required and must be provided for PlayingEntityChoice:

AgentPerson.id          (SDS role profile code)
AgentPerson.code     (Role descriptor)
AgentPerson.telecom (Telephone number)
Person.id                   (SDS identifier)
Person.name              (Name)

[0..1] pertinentInformation2

An act relationship to provide a link to the POC care event that resulted in the personal administration.

[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "false".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Reference" mechanism.

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

  • The root attribute shall contain  the OID 2.16.840.1.113883.2.1.3.2.4.18.2
  • The extension shall contain the fixed template ID
    "CSAB_RM-NPfITUK10.sourceOf1"
[1..1] pertinentCareEventRef (CareEventRef)

Indicates that CareEventRef is pertinent to the PANotification. In this instance the POC event that triggered the administration event.

[1..*] pertinentInformation1
An act relationship that provides information about the actual supplied Line Item (medication).
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "false".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Direct Relationship" mechanism.

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

  • The root attribute shall contain  the OID 2.16.840.1.113883.2.1.3.2.4.18.2
  • The extension shall contain the fixed template ID
    "CSAB_RM-NPfITUK10.sourceOf2"
[1..1] pertinentSuppliedLineItem (SuppliedLineItem)

Indicates that the SuppliedLineItem is pertinent to the SupplyHeader. Provides information on the actual medication items supplied.

This information is mandatory.

ActRef

Refers to a component using a unique identifier.

Used by: CareRecordElementCategory
[1..1] classCode (CS {CNE:ACT} ){ Fixed="ACT " }

The classCode shall take the value of the target act.

[1..1] moodCode (CS {CNE:ActMood} )

The moodCode shall take the value of the target act.

[1..1] id (II)

The unique identifier of the target act being referred to.  This shall be a DCE UUID carried in the root attribute of the id element.

In this instance, this is a link to one of the clinical acts in this message.

CareEventRef

Refers to the original Provision of Care event

Used by: SupplyHeader
[1..1] classCode (CS {CNE:ActClass} )

The classCode shall take the value of the target act.

[1..1] moodCode (CS {CNE:ActMood} )

The moodCode shall take the value of the target act.

[1..1] id (II)

This is a unique reference to the original Provision of Care event .  This shall be a DCE UUID carried in the root attribute of the id element.

SuppliedLineItem
Details about the medication Line Items supplied to satisfy the requirements of the personal administration.
Used by: SupplyHeader
[1..1] classCode (CS {CNE:SBADM} ){ Fixed="SBADM " }

A code to indicate introducing or applying a substance to a subject.

  • Fixed value: "SBADM"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] id (II)

UUID identifying this instance of a service request. This identifier is universally unique across all records. It is in the form of a UUID.  

In this instance, this is the globally unique identifier for each Medication Line Item administered to the patient.

[1..1] code (CD {CNE:SnomedCT-Administration} )

A code from the SnomedCT-Administration UK subset that describes the medication to be administered to the patient. This is post-cordinated with SnomedCT-RouteOfAdministraton and SnomedCT-AdministrationSite.

The Coded with Code System datatype flavour is used to carry this information as follows:

  • The code attribute will contain a value from the list of codes in the RouteOfAdministrationSnCT vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the RouteOfAdministrationSnCT vocabulary.
  • The code attribute will contain a value from the list of codes in the AdministrationSiteSnCT vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the AdministrationSiteSnCT vocabulary
[0..1] effectiveTime (GTS)

The "dosage instructions" - details of how the healthcare professional should administer the medication, e.g. 50mg in 1ml solution.

[0..1] doseQuantity (IVL<PQ>)

The amount of medication treatment that is to be administered to the patient. Units of measure are SNOMED ID (SCTID) from dm+d.

[0..1] rateQuantity (IVL<PQ>)

The frequency at which the medication treatment is administered over the administration time interval (for example 100 mL/h).

[1..1] consumable

Provides information about the originally prescribed Line Item against which this medication is being dispensed. In this instance, the original prescription Line Item is not automatically cross-referenced to reduce overhead on PSIS, so the data may be derived from alternative sources.

[1..1] typeCode (CS {CNE:CSM} ){ Fixed="CSM " }

Indicates that this is a consumable.

  • Fixed value: "CSM"
[1..1] contextControlCode (CS {CNE:ContextControl} )

A code that specifies how this Participation contributes to the context of the current Act, and whether it may be propagated to descendent Acts whose association allows such propagation.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this product propagates through to the clinical statements as the medication unless specifically overriden for individual acts.

[1..1] requestedManufacturedProduct (RequestedManufacturedProduct)

Indicates that RequestedManufacturedProduct is consumed by the SuppliedLineItem. RequestedManufacturedProduct represents the required medication and this information in the message is manually provided by the Dispenser.

This information is mandatory.

[0..1] pertinentInformation3
An act relationship designed to accomodate additional instructions to support the personal administration event.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this context the negationInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] pertinentAdditionalInstructions (AdditionalInstructions)

Indicates that AdditionalInstructions are pertinent to SuppliedLineItemQuantity.

This information is optional and may be omitted.

[1..1] pertinentInformation1
An act relationship to allow the specification of dosage instructions in human readable form.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this context the negationInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "false".

[1..1] pertinentDosageInstructions (DosageInstructions)

Indicates that the DosageInstructions are pertinent to the prescription LineItem.

This information is mandatory as coded forms of dosage instructions may not always be available and reference will be made to the human readable form.

[1..1] pertinentInformation2
An act relationship to provide information on the actual quantity of medication administered to the patient in this event.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this context the negationInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "false".

[1..1] pertinentSuppliedLineItemQuantity (SuppliedLineItemQuantity)

Indicates that SuppliedLineItemQuantity is pertinent to SuppliedLineItem.

This information is mandatory.

RequestedManufacturedProduct
Details of the treatment ordered on the prescription Line Item. May not be queried from PSIS but sourced from elsewhere.
Used by: SuppliedLineItem
[1..1] classCode (CS {CNE:MANU} ){ Fixed="MANU " }

Indicates that this act is a manufactured product

  • Fixed value: "MANU"
[1..1] manufacturedRequestedMaterial (RequestedMaterial)

A link to an entity providing more information on the physical characteristics of the treatment ordered.

AdditionalInstructions
Supplementary instructions provided in addition to the dosage instructions for the administration of the medication.
Used by: SuppliedLineItem
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionAnnotation} )

Indicates that this are additional instructions.

  • Fixed value: "AI"
[1..1] value (ST)

Textual (human readable) form of representation providing the additional medication instructions

DosageInstructions
The dosage and administration instructions in human readable form.
Used by: SuppliedLineItem
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionAnnotation} )

Indicates that this is representation of the dosage instructions.

  • Fixed value: "DI"
[1..1] value (ST)

Human readable representation of the dosage instructions (for example: 5mg in 1ml water, intramuscularly).

SuppliedLineItemQuantity
Details of the actual medication treatment supplied and administered in this personal administration event.
Used by: SuppliedLineItem
[1..1] classCode (CS {CNE:SPLY} ){ Fixed="SPLY " }

A code to indicate supply.

  • Fixed value: "SPLY"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CD {CNE:SnomedCT-Supply} )

A code from the SnomedCT-Supply UK subset that describes the prescribed quantity of medication to be supplied. Refer to vocabulary SupplyActSnCT.

[1..1] quantity (PQ)

A quantification of the actual amount of medication treatment dispensed for this SuppliedLineItem.

Units of measure follow SNOMED ID (SCTID) from dm+d, e.g. 1 x 5mg in 1ml

[1..1] performer

A participation used to provide a link between the administration and the person who performed it. This may not necessarily be the author but could be a Practice Nurse, a Community Nurse or a Medical Student.

[1..1] typeCode (CS {CNE:PRF} ){ Fixed="PRF " }

Indicates that this is a performer.

  • Fixed value: "PRF"
[1..1] contextControlCode (CS {CNE:OP} ){ Fixed="OP " }

A code that specifies how this Participation contributes to the context of the current Act, and whether it may be propagated to descendent Acts whose association allows such propagation.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this professional propagates through to the clinical statements as the care professional unless specifically overriden for individual acts.

[1..1] time (TS)

The date and local time that the performer has signed the administration event details.

[0..1] signatureText (ED)

The electronic signature of the contents to be signed as "legal and true" by the performer.

The following information is to be included in the digital signature:

  • Performer
  • SuppliedLineItem details
[1..1] participant (UKCT_MT120201UK03)

NPfIT CMET to identify a person fulfilling the specific role for a person (dispenser) that requested this prescription release event.

This information is mandatory.

The following CMET data elements are required and must be provided in PlayingEntityChoice:

AgentPerson.id          (SDS role profile code)
AgentPerson.telecom (Telephone number)
Person.id                   (SDS identifier)
Person.name              (Name)
Organization.id           (Organisation SDS identifier)
Organization.name      (Name of organisation)
Organization.telecom  (Telephone number of organisation)
Organization.addr       (Address of organisation)

[1..1] product
An act relationship to describe the actual medication administered to the patient.
[1..1] typeCode (CS {CNE:PRD} ){ Fixed="PRD " }

A code to indicate that this is a supplied product.

  • Fixed value: "PRD"
[1..1] contextControlCode (CS {CNE:ContextControl} )

A code that specifies how this Participation contributes to the context of the current Act, and whether it may be propagated to descendent Acts whose association allows such propagation.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this product propogates through to the clinical statements as the medication unless specifically overriden for individual acts.

[1..1] suppliedManufacturedProduct (SuppliedManufacturedProduct)

A link to the entity that describes the physical characteristics of the suppliedManufacturedProduct.

[0..*] pertinentInformation
An act relationship for dispensing endorsements required in support of the reimbursement claim for a personal administration event.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is pertinent information.

  • Fixed value : "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed. In this context the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "false".

[1..1] pertinentDispensingEndorsement (DispensingEndorsement)

Indicates that DispensingEndorsement is pertinent to SuppliedLineItemQuantity.

This information is mandatory.

RequestedMaterial
Description of the physical characteristics of the prescribed medication material.
Used by: RequestedManufacturedProduct
[1..1] classCode (CS {CNE:MMAT} ){ Fixed="MMAT " }

Indicates that this is a manufactured material

  • Fixed value: "MMAT"
[1..1] determinerCode (CS {CNE:KIND} ){ Fixed="KIND " }

Indicates that this is a generic representation of the kind of material

  • Fixed value: "KIND" (general description)
[1..1] code (CE {CNE:ManufacturedMaterialSnCT} )

A code from the Snomed ManufacturedMaterialSnCT UK subset that describes a manufactured material (e.g. a pharmaceutical product or personal medical device).

This information  comprises of

  • ID = SNOMED ID (SCTID) from the NHS dm+d
  • TEXT = human readable representation of the medication treatment
SuppliedManufacturedProduct
Description of the physical characteristics of the administered medication material.
Used by: SuppliedLineItemQuantity
[1..1] classCode (CS {CNE:MANU} ){ Fixed="MANU " }

Indicates that this is a manufactured material.

  • Fixed value "MANU"
[1..1] manufacturedSuppliedMaterial (SuppliedMaterial)

A link to the details of the Supplied Material

DispensingEndorsement

Details about the endorsement(s) to support the claim for this medication item. Reference: NPFIT-ETP-PZ-0159-v1.2 Table 4.

Used by: SuppliedLineItemQuantity
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS " }

Indicates that this act is an observation

  • Fixed value: "OBS"
[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN " }

Indicates that this is an event

  • Fixed value: "EVN"
[1..1] code (CV {CNE:PrescriptionAnnotation} )

Indicates that this is represents a dispensing endorsement.

  • Fixed value: "DE"
[0..1] text (ST)

Textual (human readable) representation required in support of the reimbursement claim for the medication item.

[1..1] value (CV {CWE:DispensingEndorsement} )

Coded representation of the dispensing endorsement.

The Coded with Code System datatype flavour is used to carry this information as follows:

  • The code attribute will contain a value from the list of codes in the DispensingEndorsement vocabulary;
  • The codeSystem attribute will contain the OID value referenced in the DispensingEndorsement vocabulary.
SuppliedMaterial
Details of the physical characteristics of the medication material that was actually administered to the patient.
Used by: SuppliedManufacturedProduct
[1..1] classCode (CS {CNE:MMAT} ){ Fixed="MMAT " }

Indicates that this is a manufactured material

  • Fixed value: "MMAT"
[1..1] determinerCode (CS {CNE:INSTANCE} ){ Fixed="INSTANCE " }

Indicates that this is an instance of material entity.

  • Fixed value "INSTANCE"

The determinerCode is carried as an attribute of the SuppliedMaterial element.

[1..1] code (CE {CNE:ManufacturedMaterialSnCT} )

A code from the Snomed ManufacturedMaterialSnCT UK subset that describes a manufactured material (e.g. a pharmaceutical product or personal medical device).

This information  comprises of

  • ID = SNOMED ID (SCTID) from the NHS dm+d
  • TEXT = human readable representation of the medication treatment