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NPfIT Message Vocabulary |
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Programme |
NPFIT |
DOCUMENT NUMBER |
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Sub-Prog/Project |
Comms & Messaging |
National Prog |
Org |
Prog/Proj |
Doc Type |
Seq |
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Prog. Director |
Tim Jones |
NPFIT |
NDA |
COM |
TZ |
0161 |
|
Sub-Prog/Proj Mgr |
Margaret Baldock |
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Author |
Core Technical Team |
Version No. |
3.10 |
||||
NPO/PSO Contact |
Sarah King |
Status |
Issued |
In the table below, external vocabularies have their name in italics if they are so large / complex that they cannot be enumerated in the relevant Vocabulary File in the Implementation Manual.
A cross-index showing the usage of each vocabulary in HL7 v3 clinical messages appears in the VocabReferences.htm file. The usage of each vocabulary no longer appears in each vocabulary file as it did in MIM 3.0.
Vocabulary Name |
Description |
Reason why the data is being accessed |
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The severity of issues carried in an acknowledgement. |
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AcknowledgementExceptionCode |
The messaging error which has caused the message to be rejected by the receiver. |
The action taken by the receiver on receipt of the message. |
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Generic vocab listing individual error/issue code systems |
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The uncertainty associated with an act |
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Places on the body where a medicine can enter it |
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AdministrationSnCT |
Codes representing the administration of a single dose, cycle or complete course of medication to a patient, and its status. |
AdministrationType |
Whether medication administration is of a dose / cycle / course. |
Flags whether an Alert exists for a Legitimate Relationship |
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Status of the CPA assessment |
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Attitude of person of a care issue (e.g. diagnosis) |
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Codes taken from the UK subset of SnomedCT representing that a medication should NOT be administered to a patient. If required, it may indicate the routes (e.g. intravenous) and/or the site(s) of administration (e.g. left arm) to be avoided. If route and site information is absent, then medication administration is to be avoided via all routes & sites. |
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Awareness of a person of a care issue (e.g. a diagnosis) |
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Whether a person consents to being called back or not |
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Why a prescription or prescription item was cancelled |
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Possible responses to prescription /item cancellation request |
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The setting in which a care event occurs, such as home, GMP surgery |
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The physical forms of clinical products |
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The Clinical Terms (Read Codes) Version 3 |
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The kinds of data being retrieved by a PSIS Query |
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The types of response required |
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A patient’s consent to their clinical details’ use by the NHS |
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Consent status (for organ donation only here) |
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The type of event of the NHS Direct / OOHrs encounter |
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Flags whether correspondence to be copied to person |
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Flags whether correspondence should be suppressed or not. |
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A categorisation of patient Care Record Elements |
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A categorisation of Care Record Elements using SnomedCT |
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The sources of a death notification relating to a patient |
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Types of personal demographic data |
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Types of response required |
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DetectedIssueQualifier |
Qualifiers classifying the severity of the issue or error carried in the Detected Issue Event |
Whether an entity is a kind of, quantified kind of or instance |
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The type of a Diagnostic Imaging Procedure |
|
A DI Procedure or subtype that has numeric results. |
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How a patient was discharged |
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DischargeTypeSnCT |
A categorisation of a patient discharge event |
DiscontinueMedicationTypeSnCT |
Codes taken from the UK subset of SnomedCT representing that a medication being administered to a patient should be discontinued. |
The status of a medication item on a prescription |
|
Why a prescription was returned rather than dispensed |
|
The Dispensing Endorsement types a dispenser may use |
|
The roles played by a pharmacy when supplying medication |
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A code indicating the Dissent Override. |
|
Codes taken from the UK subset of SnomedCT representing that the dosage of an ongoing medication should be changed, e.g. from '1 tablet 3 times a day with food' to '2 tablets 3 times a day with food. |
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DrugCategorySnCT |
Codes representing a category of pharmaceutical product, e.g. non-steroidal anti-inflammatory agent. |
EBSResponseCodes |
A consolidated list of error/issue codes for EBS messages. |
Clinical codes for GPs developed by EMIS Ltd |
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The truth states of an Act in a GP2GP message |
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The types of an agent (person, organisation or device) |
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The content types of attachments to a GP record |
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Composition name set based on a superset of used types |
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A category for the associated clinical statement |
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The granularity of the associated clinical statement |
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Device types (e.g. ECG machine) |
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Reasons for discontinuing a medication |
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The types of GP record transfer that may be requested |
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The types of subjects being described by a compound statement |
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An interpretation of an observation by the originator |
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Types of a link set |
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Types of place involved in an Act |
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The priority associated with a medication statement. |
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Indicates if an action is pending against a medication order |
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Identifies a virtual or actual medicinal product or pack. |
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Types of clinical finding, eg observation, measurement or diagnosis |
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Type of observed information |
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Qualifier types for an observation statement |
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Types of organisation |
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Whether an EHR component has been ‘signed’ or not |
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Roles of a person in relation to the patient |
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The nature of a planned action or observation |
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Priority types associated with an observation or other statement |
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Why a service request / referral was made |
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The priority or urgency of a referral or investigation request |
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Types of GP-patient registration |
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A consolidated list of error/issue codes for GP2GP messages. |
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Modes by which a service request was sent |
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Indicates if an action is pending against a prescription |
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Indicates the legal/contractual nature of a prescription |
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Drug information codes for GPs developed by EMIS Ltd |
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Any code from the SnomedCT UK subset that describes an encounter. |
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Ethnic categories of people |
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Very general reasons why a message may be rejected |
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EventTypeSnCT |
Snomed codes for the Event Type of the Focal Act of the message |
The types of Exemption date that an observation can describe |
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Business categorisation for message elements |
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Types of healthcare professional |
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Possible statuses of a person’s Health Space registration |
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Levels of personal hearing ability |
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Flags whether historic data should be returned |
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Valid UK versions of HL7 v3 |
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Languages people may use |
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The degree and reason regarding sensitive information |
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An interaction method, e.g.- telephone, email , face to face |
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Event types triggering an Out of Hrs/NHS Direct encounter |
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Roles of the requester in the initial OoHrs/NHSD event |
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A person’s interpretations of the normality of a finding |
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Whether an interpreter is required during encounters with the patient |
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The status of a prescribed item |
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A categorization of a location |
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LRResponseCodes |
A consolidated list of error/issue codes for LR messages. |
Legitimate Relationship types |
|
Codes taken from the UK subset of SnomedCT representing that administration of a medication should be continued (typically following a medication review). |
|
Type of drug or personal medical device |
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Subtypes of the medication act, e.g. prescribe, administer |
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Codes taken from the UK subset of SnomedCT representing that a medication should be administered to a patient. If required, it may indicate the routes (e.g. intravenous) and/or the site(s) of administration (e.g. left arm) to be used. |
|
Values in ETP message codes table 14 |
|
Codes taken from the UK subset of SnomedCT representing that a different medication should be substituted for an existing medication. |
|
MHResponseCodes |
A consolidated list of error/issue codes for Mental Health messages. |
Possible new statuses of the Legitimate Relationships |
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Indicates that the patient has no current NHAIS posting |
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Flags whether the person is next of kin or not |
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Why a prescription item was not dispensed |
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NotificationImportance |
An indicator classifying the importance of a notification message |
NPfITActCode |
The kind of Act that carries the Code |
Types of clinical observation |
|
An observation about a person expressed in SnomedCT |
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The role of a person in Out of Practice events |
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A type of compound clinical statement |
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Types of organization |
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Reasons for refusing the return of the prescription |
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Types of participations of agents in an activity |
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Types of patient care provision |
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PDSResponseCodes |
A consolidated list of error/issue codes for PDS messages. |
Relationships between one person and another |
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POCResponseCodes |
A consolidated list of error/issue codes for POC messages. |
Preferred methods of contacting people |
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A person’s preferred written communication format |
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Endorsement types a prescriber may apply to a prescription |
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The type of health care professional who authorised the prescription |
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Annotation & observation types relevant to a prescription |
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Why someone need not pay prescription charges |
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Statuses of a prescription or an item on a prescription |
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The management reasons for a prescription being issued |
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A classification of a prescription |
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Flag for previous NHS contact made or not. |
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The priority of a service request / referral |
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Types of clinical procedure |
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A clinical procedure expressed in SnomedCT |
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Types of environments messages must be used in |
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Modes message can be sent in |
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The protocol under which the administration was performed. |
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The value set that can be used to describe the PSISMetaDataType of '2 - Status'. |
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A classification of the types of metadata that can be used to describe provenance etc. of the components of a PSIS Query response. |
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A consolidated list of error/issue codes for PSIS messages. |
|
Qualification of Detected Issue |
This vocabulary formally specifies how two code systems shall use qualifiers from the DetectedIssueQualifier code system. |
The UK 4-byte version (version 1) of the Read Codes |
|
The UK 5-byte (version 2) of the Read Codes |
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Reason for medication act state change |
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Reason why an appointment was cancelled |
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Reasons why a provider can reject a referral |
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Reasons why a person did not attend an appointment |
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Codes representing a recommendation that a medication should NOT be administered to a patient. |
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Codes representing a recommendation that administration of a medication should be stopped. |
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Codes representing a recommendation that the dosage of an ongoing medication should be changed. |
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Codes representing a recommendation that administration of a medication should be continued (typically following a medication review). |
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Codes representing a recommendation that a medication should be administered to a patient. |
|
Codes representing a recommendation that one medication type should be substituted for an existing planned medication. |
|
Headings used in a referral message |
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Types of registering authority |
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Reasons for rejecting reimbursement claims |
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Why a request for an appointment has been rejected by EBS |
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Type of relationship existing between two clinical statements |
|
Types of personal religious affiliations |
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A request to abort an existing medication supply request |
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Routes by which medications are administered |
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Routes of administration for drugs |
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Reasons why a Legitimate Relationship status may change |
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Specifies algorithm to be used when searching for patients in PDS |
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Types of service requested by referrers |
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A category of care service, e.g. GMS, Orthopaedics, Acute care |
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The administrative sex of a person |
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The UK subset of the Snomed-CT codes |
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The type of substance collected for analysis |
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Type of specimen taken from a patient |
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Therapeutic moieties in medications |
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Refinement of the SBADM act class code |
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Refinement of the SUPLY act class code |
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Codes representing a pharmaceutical product supply request. |
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Codes representing a pharmaceutical product supply action. |
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Patient / Carer awareness of diagnosis / problem |
|
Type of transport requested for discharge |
|
Flags whether an update is a correction, a change or new |
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Classes of clinical statements |
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Indicates 1 of 4 levels of containment within a composition |
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Distinguishes a dosage instruction from an actual dose |
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Distinguishes between medication event states |
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Type of agent participations in the context of compositions |
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Types of related person role |
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Distinguishes between action states, e.g. requested & actual |
Change History
In Version |
Author |
Date |
Amendment Details |
0.1 |
Core Technical Team |
27/10/2003 |
First draft version for external Issue. This version references V0.3 (Draft) of the eBooking Manual. The scope of this version is restricted to eBooking. |
0.2 |
Core Technical Team |
25/11/2003 |
Changes to Vocabulary names and content. Final draft for review prior to issue as final for contract |
1.0 |
Core Technical Team |
28/11/2003 |
Resolved format & linkage issues for final release |
2.0 |
Core Technical Team |
02/02/2004 |
Changes to vocabulary names and content as part of PDS development. |
2.0 |
Core technical Team |
04/02/2004 |
All version numbers removed from existing vocabulary file names and names within the files (and hyperlinks to them), and replaced with version nos. and version date as part of the vocabulary files’ content (sited above ‘value’ section of each file). Version number removed from vocab. index file name (and hyperlinks to it), and placed in document header. Column added to vocab list indicating domain which spawned the vocab. item. |
2.0 |
Core Technical Team |
08/02/2004 |
LR vocabs added. HumanLanguage and MedicationAct vocabularies extended.. |
2.0 |
Core Technical Team |
12/12/2004 |
Message ids, vocabulary version dates and format inconsistencies corrected. |
2.1 |
Core Technical Team |
25/03/2004 |
Modifications to: - Confidentiality, Consent, PrivatePatientRole, RequestResponse and UpdateType. See PDS IM Section 10 for details of these changes |
2.2 |
Core Technical Team |
31/03/2004 |
eBooking ReasonForReferralRejection vocabulary added. |
2.2 |
Core Technical Team |
02/04/2004 |
Use of Snomed-CT codes is no longer mandatory in any eBooking ‘code’ attributes, i.e. in ObservationSnct, ProcedureSnct, SubstanceSnct, ClinicalProductForm and EhrCompoundCode. As a result the ‘Snct’ element has been removed from the names of the first three. Descriptions of all five - and EhrLevelCode - amended, and also have hyperlinks in their descriptions to (new) vocabularies describing the coding systems that can be used (see below). Vocabulary index updated accordingly. |
2.2 |
Core Technical Team |
02/04/2004 |
In line with the preceding entry, new vocabularies added for: - the Read Codes 4-byte set - the Read Codes Version 2 - Clinical Terms (Read Codes) V3 - Snomed-CT (UK subset) - Egton Codes - EMIS Drug Codes. Vocabulary index updated accordingly. |
3.0 |
Core Technical Team |
07/05/2004 |
Following vocabularies have been renamed: - SnomedCTUK becomes SnomedCT - MyHealthSpaceRegistration becomes HealthSpaceRegistration
Following vocabularies have been deleted: - GuardianRoleType (PDS) - PersonDisbaility (PDS) - PrivatePatientRole (PDS) - ProxyRoleType (PDS)
The following are new vocabularies: - AccessReasonCode - ActCode - ActContainer - ActMood - ActMoodIntentEvent - ActPriority - ActRelationship - ActSite - ActStatus - AdministrationSite - AdministrativeGender - AdminModeCode - AdmissionMethod - AssessmentStatus - CancellationReason - CancellationResponseReason - CareEventType - ClinicalOpinionType - ClinicalView - CompoundStatement - ConsultationEventType - CPAAssessmentType - CPALevelType - CPAReviewType - CREType - Determiner - DispenseNotificationRejectionReason - DispenseReturnReason - DispenseReturnRejectionReason - Dispensing Endorsement - DispensingSitePreference - DocumentType - DrugEntity - EhrActState - EhrAgentType - EhrAttachmentCode - EhrCompositionName - EhrDeviceType - EhrDiscontinueReason - EhrExtractSpec - EhrGP2GPCompoundCode - EhrInterpret - EhrLinkSetType - EhrLocationType - EhrMedicationPriority - EhrMedicationState - EhrMedicinalProdCode - EhrObservationCode - EhrObservationType - EhrObservationValue - EhrOrgType - EhrParticipationSignature - EhrPersonalRels - EhrPlanCode - EhrPriority - EhrReferralCode - EhrReferralPriority - EhrRegistrationCode - EhrRequestAckCode - EhrRequestMode - EhrSupplyState - EhrSupplyType - EncounterType - ETPSpineRejectionReasons - EntityCode - ExceptionPlanType - ExemptionDateType - InitialEventType - InitialRequesterRoleType - LRType - MeasurementType - MedicationCodeAAR - MHALegalStatus - MHSLegalStatusClassification - MHSSType - NewStatusType - NhaisRegistration - Not Dispensed Reason - NPfIT - NPfITActCode - NPfITActStatus - NPfITDIJustificationReason - NPfITDIPharmaceutical - NPfITDIRequestStatus - NPfITStatusCode - ObservationInterpretationNormality - ObservationType - OOPRoleType - ParentPrescriptionRejectionReason - ParticipationFunction - Participationmode - ParticipationType - PersonalCare - PersonalCareRole - PersonalRelationshipRoleType - PreferredWrittenCommunicationFormat - PrescriberEndorsement - PrescriptionAnnotation - PrescriptionChargeExemption - PrescriptionReleaseRejectionReason - PrescriptionStatus - PrescriptionTreatmentType - ProtocolCondition - ReasonForConTransReq - ReasonForTransferRequest - ReimbursementRejectionReason - RelatedPersonType - RelationshipToPatient - RoleClassAssociative - RoleLinkType - Section117AppliesFlag - ServiceDeliveryLocationRoleType - SnCT - SnomedRouteofAdministration - SupervisedDischargeFlag - TargetAwareness - TransferRequestCategory - TransportType - x_ActMoodIntentEvent - x_ActRelationshipExternalReference - x_DocumentSubject - x_DocumentSubstanceMood - x_InformationRecipient |
3.1 |
Core Technical team |
25/06/2004 |
The following vocabularies have been renamed: - Confidentiality to InformationSensitivity - TargetAwareness to TargetAwarenessSnCT - TransportType to TransportNeed
The following vocabularies have been removed: - ActCode - ActContainer - ActEncounterCode - ActionTypeRequested - ActMood - ActMoodIntentEvent - ActPriority - ActRelationship - ActSite - ActStatus - AdministrationSite - AdministrativeGender - AdminModeCode - AdmissionMethod - CareEventType - CompoundStatement - Confidentiality - CRERelationshipType - DispenserEndorsement - DocumentType - DrugEntity - EntityType - LRReasonCode - MeasurementType - MedicationCodeAAR - MHALegalStatusClassification - NPfIT - NPfITActStatus - ObservationInterpretationNormality - ParticipationFunction - ParticipationModePersonalRelationshipRoleType - ProtocolCondition - ReasonForCanTransReq - ReasonForReferralRejection - RelatedPersonType - RelationshipToPatient - RoleClassAssociative - RoleCode - RoleLinkType - SnCT - SnomedActSite - SnomedRouteOfAdministration - TransferrequestCategory - x_MoodIntentEvent - x_ActRelationshipExternalreference - x_DocumentSubject - x_DocumentSubstanceMood - x_InformationRecipient
The following vocabularies are new: - AttitudeToIssueSnCT - AwarenessOfIssueSnCT - ConsentSnCT - DischargeDestination - DischargeMethod - DissentOverrideIndicator - DissentOverrideReasonCode - EncounterSnCT - FocalActcategory - InterpreterRequiredIndicator - ItemStatus - ManufacturedMaterialSnCT - MedicationChargePayment - ObservationTypeSnCT - OrganizerTypeSnCT - PrescriberRoleType - PrescriptionType - PreviousNHSContact - ProcedureTypeSnCT - PSISDataStatus - PSISMetadataType - relationshipSnCT - SearchParameter - SpecimenTypeSnCT - SubstanceAdministrationSnCT - SupplyActTypeSnCT
The following vocabularies have had their OIDs changed: - LRType - PDSRequestResponseCode |
3.1.01
|
Core Technical team
|
16/07/04 |
The following EBS vocabs have been added & given NPfIT OIDs: - CorrespondenceSuppression - RejectionReason. The following existing EBS vocabs have been allocated NPfIT OIDs: - CallbackConsent - EhrCompoundLevel - HcpType - HearingStatus - MedicationActType - OrganizationType - PriorityType - ReferalCategoryHeading. Version 2 of vocabulary PrescriptionAnnotation created with an additional Value of ‘RD’. ProtocolCondition vocab for MEDM reinstated as version 2 with a value, and allocated an NPfIT OID. Two PDS vocabularies changed and new versions issued: - DemographicObservationType code 18 (interpreter required indicator) has been removed - the values of HealthSpaceRegistration have all been changed to conform with the NHS Data Dictionary, codes 0-2 now being 1-3 |
3.2 |
Core Technical Team |
13/8/2004 |
The following DI vocabularies were deleted: NPfITDIPharmaceutical NPfITDIRequestStatus NPfITDIStatusCode
The following vocabularies were added: CRETypeSnCT DIPharmaceuticalSnCT
The following vocabularies were modified: NPfITDIJustificationReason (code “e” added) AssessmentStatus (redefined value set) MHSSType (redefined value set) |
3.3 |
Core Technical Team |
3/9/2004 |
FocalActcategory renamed to FocalActCategory Assigned OID to AssessmentStatus Added 2 extra values to FocalActCategory
The following vocabularies were deleted: AdmissionMethod EncounterType MHSSType MHALegalStatus PersonalCare NPfITActCode CPAAssessmentType PersonalCareRole CPAReviewType ClinicalOpinionType ExceptionPlanType CPALevelType ObservationType SupervisedDischargeFlag Section117AppliesFlag
Clarified deprecation of CREType. Removed originating domain from index |
3.4 |
Core technical team |
8/9/2004 |
Following vocabs added: - InteractionTypeSnCT - ServiceTypeSnCT
Value ‘PTT’ added to PrescriptionAnnotation vocabulary and its ‘used in’ table removed. |
3.5 |
Core Technical Team |
17/09/2004 |
The following vocabularies were modified: NPfITDIJustificationReason vocab renamed to DIJustificationReason PrescriptionAnnotation.
HL7StandardVersionCode populated to include all MIM versions.
|
3.6 |
Core Technical Team |
22/09/2004 |
HL7StandardVersionCode updated. |
3.7 | Core Technical Team | 22/10/2004 |
The following vocabularies were modified:
LRType - Reverted to Mim2.3 LRReasonCode values. SCReasonCode - Incorporates Mim2.3 values. QueryResponse - Code 'OK' description changed to 'Data Returned'. Medication Management vocabs changed as required by NPFIT-ETP-GEN-PZ-0159-v1.0 and CR0098: HL7StandardVersionCode.htm AcknowledgementDetailType ActDetectedIssueCode
The following vocabularies were added: DissentOverride - a combination of DissentOverrideReasonCode and DissentOverrideIndicator AcknowledgementExceptionCode QueryIssueCode
The following vocabularies were deleted: DissentOverrideReasonCode DissentOverrideIndicator AcknowledgementDetailCode |
3.8 | Core Technical team | 10/11/2004 |
The following vocabularies have been modified: AcknowledgementDetailCode renamed AcknowledgementExceptionCode AcknowledgementDetailType & AcknowledgementType - amended main description & code descriptions ActDetectedIssueCode EhrRequestAckCode - OID added PrescriptionAnnotation - references to ETPSpineRejectionReasons vocab added PrescriptionReleaseRejectionReason, ETPSpineRejectionReasons & CancellationResponseReasons - modified to indicate maintained externally EhrRequestAckCode - OID added.
The following vocabularies were added DischargeTypeSnCT LocationTypeSnCT RelationshipTypeSnCT PSISQueryResponseCodes LRResponseCodes PDSResponseCodes EBSResponseCodes POCResponseCodes MHResponseCodes DetectedIssueQualifier Qualification of Detected Issue The following vocabularies were deleted: RelationshipSnCT DischargeDestination AcknowledgementCondition FailureReasonCode QueryIssueCode RequestResponse ParentPrescriptionRejectionReason DispenseReturnRejectionReason DispenseNotificationRejectionReason
|
3.9 | Core Technical team | 6/12/2004 |
The following vocabularies have been modified: ConsentSnCT - SnomedCT codes added CRETypeSNCT - SnomedCT codes added InteractionTypeSnCT - SnomedCT codes added LocationTypeSnCT - SnomedCT codes added ObservationTypeSnCT - SnomedCT codes added OrganizerTypeSnCT - SnomedCT codes added PersonRelationshipType - 'self' & 'carer' added ProcedureTypeSnCT - SnomedCT codes added ServiceTypeSnCT - SnomedCT codes added SnomedCT-Administration SnomedCT codes added SubstanceAdministrationSnCT - SnomedCT codes added
The following vocabularies were added CareSettingSnCT SpecimenMaterialTypeSnCT
The following vocabularies were deleted:
|
3.10 |
Core Technical Team |
7/01/05 |
The following vocabularies have been added:
AdministrationType ReasonFor RecommendAvoidMedicationTypeSnCT RecommendMedicationSubstitutionTypeSnCT RecommendMedicationAdministrationTypeSnCT RecommendDosageChangeTypeSnCT RecommendDiscontinueMedicationTypeSnCT RecommendMaintainMedicationTypeSnCT RequestMedicationSupplyAbortSnCT DrugCategorySnCT SupplyRequestSnCT AdministrationSnCT SupplySnCT NotificationImportance (no link yet - tba MiMv4.0.00)
The following vocabularies have been amended to indicate that they are not relevant to medication: SubstanceAdministrationSnCT SupplyActSnCT
The following vocabularies have been amended: Prescription Annotation - removed 'RD' Review Data Code (duplicate), added ''AD'' administration details, "AT" administration type, WTD when to discontinue medication. EhrDeviceType - where SNOMED coding not used, requirement to include a mapping to SNOMED has been removed EhrDiscontinueReason - where SNOMED coding not used, requirement to include a mapping to SNOMED has been removed EhrGP2GPCompoundCode - where SNOMED coding not used, requirement to include a mapping to SNOMED has been removed EhrMedicinalProdCode - where SNOMED coding not used, requirement to include a mapping to SNOMED has been removed EhrObservationCode - where SNOMED coding not used, requirement to include a mapping to SNOMED has been removed EhrObservationValue - where SNOMED coding not used, requirement to include a mapping to SNOMED has been removed EhrPlanCode - where SNOMED coding not used, requirement to include a mapping to SNOMED has been removed EhrReferralCode - where SNOMED coding not used, requirement to include a mapping to SNOMED has been removed ActDetectedIssueCode - amended PSISResponseCodes and PDSResponseCodes 'maintained by' and 'description'. |