NPfIT Common Message Element Types Implementation Manual
	Programme	NPFIT	DOCUMENT NUMBER
	Sub-Prog/Project	Comms & Messaging	NPFIT-FNT-TO-DPM-0602
	Prog. Director	Paul Jones
	Sub-Prog/Proj Mgr	Ken Lunn
	Author	C&M Development Team	Version No.	4.2.00
	Contact	Richard Kavanagh	Status	Issued

 

 

Contents

 

 

 

Change History

In Version	Author	Date	Amendment Details
1.0	Core Technical Team	10/5/04	First Issue
1.1	Core Technical Team	25/6/04	Updated for new versions of Medication Management CMETs
1.2	Core Technical Team	03/09/04	Updated to enable wrapper audit requirements and to include new SDS OIDs.
1.3	Core Technical Team	17/09/04	Added ETP CMETs to support ETP to PPA messaging. Minor modifications to Agent CMET examples.
1.4	Core Technical Team	24/09/04	Corrected version number for messages, COCT_MT050012UK04 and COCT_MT090120UK04.
1.5	Core Technical Team	29/10/04	Included new OID and included CMET for GP2GP, RCCT_MT120100UK01. Removal of most of COCT type of CMETs used for Medication Management. Added new versions of UKCT_MT120101 and UKCT_MT120201 for Med. Man.
1.6	Core Technical Team	06/12/04	Modified hyperlinks for MM CMET's to point to their respective baseline model's tabular view in MM Tabular Views directory. Added paragraph (3) to clarify reasons for artefact name differences between CMET and associated tabular view.
1.7	Core Technical Team	07/01/05	The artefact identifier for the GP2GP specific R_AgentRole CMET has been reverted back to its original identifier. Included 10 new CMETS (UKCT_MT140101 - UKCT_MT141001) used for POC.
1.8	Core Technical Team	31/03/05	Removed unused versions of CMETs , New version of POC Clinical statement choice CMET.
1.9	Core Technical Team	30/06/05	Includes MIM-CR-0399, MIM-CR-0436 & MIM-CR-0612
1.10	C&M Development Team	30/09/05	Changes to support new version of POC messages. Added new version of ETP R_Patient CMET that conforms to PDS patient structure.
1.11	C&M Development Team	16/12/05	Reinstate MIM-CR-0612. Includes MIM-CR-0660 Changes to recommendation CMET and clinical statement choice CMET organizer mood codes.
1.13	C&M Development Team	15/03/06	Changes to medication CMETS, addition of new CMETS and removal of deprecated CMETs and change to tabular definition in Patient CMET.Minor changes to Clinical statement choice CMET tabular view
4.1.03	C&M development	07/06/2006	First Issue
4.1.04	C&M development	02/08/2006	Changes to following CMETS A_LinkAssertion A_Problem A_AllergyOrAdverseReactionDE A_AllergyOrAdverseReactionIdent A_Finding
4.2.00	C&M development	02/08/2006	Added following CMETS (from CMET IM 1.13) R_AgentNPFITPerson - UKCT_MT120201UK03 R_AgentNPFITPerson - UKCT_MT120201UK04 R_AgentNPFITOrg - UKCT_MT120401UK02 R_AgentNPFITOrg - UKCT_MT120401UK03 R_AgentNPFITOrgSDS - UKCT_MT120501UK02 R_AgentNPFITIdentified - UKCT_MT120801UK01 R_Patient - COCT_MT050012UK04 R_Patient - COCT_MT050012UK05 Descriptions in tabular views for CMETs used by GP summary have been further clarified Descriptions in of CMETs in this file have been further clarified

 

 

1    Overview

A CMET (Common Message Element Type) is a message fragment that is available for use in any number of messages across multiple domains.  They are used within the NPfIT messages to assist consistent implementation of common components.

 

This document acts as a central repository for the definition of all CMETs that are used by NPfIT messages.  Individual messages that utilise CMETs, provide links to the RMIMs and tabular views in the document.

 

 

2    CMET Definitions

 

2.1    R_AgentNPFITPerson - UKCT_MT120201UK03

 

              

2.2    R_AgentNPFITPerson - UKCT_MT120201UK04

 

              

2.3    R_AgentNPFITPersonSDS - UKCT_MT120301UK02

Identifies a person fulfilling an Agent role, when full details of the person and role and organization are available from SDS (Spine Directory Services).

 

              

2.4    R_AgentNPFITOrg - UKCT_MT120401UK02

Identifies or provides detailed information about an organization fulfilling an Agent role when it is not known whether the organization is known to SDS (Spine Directory Services).

 

              

2.5    R_AgentNPFITOrg - UKCT_MT120401UK03

 

              

2.6    R_AgentNPFITOrgSDS - UKCT_MT120501UK02

 

              

2.7    R_AgentNPFITOrgSDS - UKCT_MT120501UK03

Identifies an organization fulfilling an Agent role, when full details of the organization are available from SDS (Spine Directory Services).  This version adds optional location/place information for an organization.

 

              

 

2.9    R_AgentNPFITDeviceSDS - UKCT_MT120701UK02

Identifies a device fulfilling an Agent role, when full details of the device are available from SDS (Spine Directory Services).

 

               

2.10    R_AgentNPFITIdentified - UKCT_MT120801UK01

Identifies a specific role, full details of which are available from elsewhere in this message.

 

              

2.11    R_Patient - COCT_MT050012UK04

 

              

2.12    R_Patient - COCT_MT050012UK05

Identifies a specific role, full details of which are available from elsewhere in this message.

 

              

2.13    R_AgentNPFITPersonSDSWithRoleId - UKCT_MT120901UK01

Identifies a person fulfilling a specific role. SDS User Id, Role Profile Id and Role Id are mandatory. Full details of the person and role profile are available from SDS.

 

               

2.14    R_AgentNPFITSystemSDSMandated - UKCT_MT121001UK01

Identifies a mandatory system which could be software or hardware. Full details of the system are available from SDS.

 

              

2.15    R_AgentNPFITOrgGeneral - UKCT_MT160017UK01

Identifies an organization fulfilling an Agent role when

• The playing organization details maybe or may not be held on SDS

• The scoping organization details maybe or may not be not held on SDS

 

If there is a record of the organization on SDS in either instance then the SDS choice MUST be used.

 

                 

2.16    R_AgentNPFITPersonGeneral - UKCT_MT160018UK01

Identifies a person fulfilling an Agent role when

• the role being played maybe or may not be held on SDS
• the person playing the role may or may not be held on SDS
• the organization in which the role is being played maybe or may not be held on SDS

If there is a record of the role , person or organization on SDS in any  instance then the SDS choice MUST be used.

 

              

2.17    A_Documentation - UKCT_MT144035UK01

CMET for

• Care professional documentation    

• Third party correspondence              

• Patient or carer correspondence     

 

        

 

Used when any of the above CREs (Care Record Element) are being represented.

 

 

2.18    A_SocialContext - UKCT_MT144036UK01

CMET for observations that relate to

• Lifestyle                                               

• Smoking                                              

• Alcohol intake                                     

• Social or Personal circumstance     

      

This CMET should be used for the recording of information under the Care Record Elements Social or Personal circumstances and Lifestyle.

This CMET has a choice of 4 Act which should be used in particular circumstances each will be described in turn.

 

2.19    A_CareEvent - UKCT_MT144037UK01

CMET for recording of care events including but not limited to those which are

• Intended

• Requested

• Promised

• Proposed

• Booked

            

2.20    A_Problem - UKCT_MT144038UK02

CMET for highlighting a clinical statement as a problem.

• Problem                                               

• Problem                                               

                   

2.21    A_LinkAssertion - UKCT144039UK02

CMET for link assertion relationships such as but not limited to

 

• Problem link assertion                        

• Problem member assertion                                      

• Has reason assertion                         

      

2.22    A_MedicationRecordMinimal - UKCT_MT144040UK01

CMET to represent a minimal medication record  including

• Current repeat medication                  

• Acute medication                                 

• Discontinued medication                    

• Administered medication                    

       

2.23    A_RiskToPerson - UKCT_MT144041UK01

CMET to highlight a clinical statement as a risk to persons other than the patient.

 

           

2.24    A_Diagnosis - UKCT_MT144042UK01

CMET to represent diagnoses.

• Diagnosis                                                    

• Diagnosis with linked finding           

• Diagnosis                                                    

 

 

           

2.25    A_Finding - UKCT_MT144043UK02

CMET to represent findings such as by not limited to

• Blood pressure                                   

• Height                                                                                                

• Weight                                                 

• Temperature                                       

• Clinical findings                                  

• Clinical finding                                    

 

        

2.26    A_FamilyHistory - UKCT_MT144044UK01

CMET to represent observations related to family history.

         

2.27    A_Investigation - UKCT_MT144045UK01

CMET to represent investigative procedures

         

2.28    A_PersonalPreference - UKCT_MT144046UK01

CMET to represent personal preferences of the patient

         

2.29    A_Service - UKCT_MT144047UK01

CMET to represent services and providers of the service to the patient

         

2.30    A_AllergyOrAdverseReactionDE - UKCT_MT144048UK02

CMET to represent an occurrence of a known allergy or adverse reaction event.

 

           

2.31    A_ProvisionOfAdviceAndInformation - UKCT_MT144049UK01

CMET to represent advice or information given to a patient or the patient's representive

 

         

2.32    A_AdministrativeProcedure - UKCT_MT144050UK01

CMET to represent an administrative procedure.

 

         

2.33    A_PresentationText - UKCT_MT144051UK01

CMET to represent the presentation text act and its CRE type organizer.

 

           

2.34    A_AllergyOrAdverseReactionIdent - UKCT_MT144053UK02

CMET to represent an identified allergy or adverse reaction.

 

         

2.35    A_RiskToPatient - UKCT_MT144054UK01

CMET to represent an identified risk to a patient.

 

           

2.36    A_Treatment - UKCT_MT144055UK01

CMET to represent treatment given to the patient.

 

           

2.37    A_Refusal - UKCT_MT144056UK01

CMET to represent the patients refusal to share information.

 

           

3    CRE type to CMET class mapping

For messages that make use of CRE type the mapping of CRE types to CMET and CMET classes is given in this table.

Note this can be tested using this schematron

4    Changes for version 4.2.00

4.1    The following CMETS have been added