A_Recommend - tabular view

No Current Link To VocabularyCoded With Extensions
UKCT_RM140100UK04
RecommendationChoice
A choice of the kinds of recommendation statement available for medication.
Used by:
[0..1] performer

Refers to the person or organization which the author of the recommendation is recommending  perform the recommended task. 

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

Indicates the role of 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.

  • Fixed value: "OP" - Overriding and propagating

"O" (Overriding) - the association replaces any context of the same or more specific type that has been conducted from the parent act.

"P" (Propagating) - the association is conducted to all child acts where the ActRelationship.contextConductionInd is set to "true"

[1..1] time (IVL<TS>)

The time the performer is recommended to perform the recommendation.

The recommendation may be recommended to be carried out within a specific date range.

A date range shall be carried as follows:

If both a start date and an end date are present the Date or Time Interval Complete datatype shall be used:

  • The low attribute shall contain the start date
  • The high attribute shall contain the end date.

The recommendation may be recommended to be carried out any time after a specific date.

If only a start date is present the Date or Time Interval After datatype shall be used:

  • The low attribute shall contain the start date.

The recommendation may be recommended to be carried out by a specific date.

If only an end date is present the Date or Time Interval Before datatype shall be used:

  • The high attribute shall contain the end date.
[1..1] role (PerformerChoice)

A link to a choice of performer roles.

[0..1] author

The  agent or device who / which is making the recommendation.

Constraint - Author with time shall be used if no author time is inherited or the author is different to the author inherited via context conduction.

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

Indicates that the role is the author

  • 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.

  • Fixed value: "OP" - Overriding and propagating


"O" (Overriding) - the association replaces any context of the same or more specific type that has been conducted from the parent act.

"P" (Propagating) - the association is conducted to all child acts where the ActRelationship.contextConductionInd is set to "true"

[1..1] time (TS)

The date and time the recommendation was made.

[0..1] modeCode (CS {CNE:ParticipationMode} )

The mode in which the author made the recommendation. For example - "PHONE" , "ELECTRONIC" etc.This must match the modeCode of the primaryInformationRecipient.

If the mode is "ELECTRONIC" because the author is making the recommendation via this HL7 message instance, then the primary information recipient in the recommendation CMET shall also be the primaryInformationRecipient in the focalAct of the payload of that message instance.

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

  • The code attribute will contain a value from the list of codes in the ParticipationMode vocabulary.
[1..1] role (AuthorChoice)

A choice of author roles.

[1..1] primaryInformationRecipient
The person or organization that the recommendation is made to.
[1..1] typeCode (CS {CNE:PRCP} ){ Fixed="PRCP " }

Indicates primary information recipient

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

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.

  •  Fixed value: "ON" - Overriding and Non-propagating


"O" (Overriding) - the association replaces any context of the same or more specific type that has been conducted from the parent act.

"N" (NonPropagating) - the association applies only to this act and any context provided by the association will not be conducted to any child acts.

[1..1] time (IVL<TS>)

The validity time of the recommendation.

The recommendation may be valid for a specific date range.

A date range shall be carried as follows:

If both a start date and an end date are present the Date or Time Interval Complete datatype shall be used:

  • The low attribute shall contain the start date
  • The high attribute shall contain the end date.

The recommendation may be valid for any time after a specific date.

If only a start date is present the Date or Time Interval After datatype shall be used:

  • The low attribute shall contain the start date.

The recommendation may be valid until a specific date.

If only an end date is present the Date or Time Interval Before datatype shall be used:

  • The high attribute shall contain the end date.
[0..1] modeCode (CS {CNE:ParticipationMode} )

The mode in which the primaryInformationRecipient received / will receive the recommendation. For example - "PHONE" , "ELECTRONIC" etc.This must match the modeCode of the author of the recommendation.

If the mode is "ELECTRONIC" because the author is making the recommendation via this HL7 message instance, then the primary information recipient in the recommendation CMET shall also be the primary information recipient in the focalAct of the payload of that message instance.

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

  • The code attribute will contain a value from the list of codes in the ParticipationMode vocabulary.
[1..1] role (RecipientChoice)

A link to the choice of primary information recipient.

[0..*] tracker

Refers to people or organizations who are identified as copy recipients (trackers) of the recommendation. Trackers of recommendations are notified for information only.

There can be zero, one or many copy recipients.

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

Indicates the role of copy recipient (tracker).

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

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.

  •  Fixed value: "ON" - Overriding and  Non-propagating


"O" (Overriding) - the association replaces any context of the same or more specific type that has been conducted from the parent act.

"N" (NonPropagating) - the association applies only to this act and any context provided by the association will not be conducted to any child acts

[0..1] modeCode (CS {CNE:ParticipationMode} )

The mode in which the tracker was notified of the recommendation.

This must match the modeCode of the author of the recommendation.

If the mode is "ELECTRONIC" because the author made the recommendation via a HL7 message instance, then the tracker in the recommendation CMET shall also be either the primaryInformationRecipient or a tracker in the focalAct of the payload of that message instance. 

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

  • The code attribute will contain a value from the list of codes in the ParticipationMode vocabulary.
[1..1] role (RecipientChoice)

A link to the choice of copy recipients.

[0..1] pertinentInformation3
A link to the review date of any recommendation.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates 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 is fixed at "true".

[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'.

In this context the seperatableInd is fixed at "false".

[1..1] pertinentRecommendationReviewdate (RecommendationReviewdate)

Refers to the pertinent review date.

[0..*] reason

A reference to a clinical statement which is the reason for the recommendation being made. 

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

Indicates a 'reason' relationship.

  • Fixed value: "RSON"
[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.

The  inversionInd is fixed at "false" indicating that the meaning of ActRelationship.typeCode is not reversed.

[0..1] sequenceNumber (INT)

An integer specifying the relative ordering of this relationship among other like-types relationships having the same source Act.

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the semantic of the relationship is negated.

In this case the negationInd is fixed at "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'.

In this context the seperatableInd is fixed at "false".

[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] justifyingReasonForRecommendationRef (ReasonForRecommendationRef)

A reference to the target clinical statement that is a reason for the recommendation.

[0..*] reason1

A link to an observation which is the reason for recommendation.

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

Indicates a 'reason' relationship.

  • Fixed value: "RSON"
[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.

The  inversionInd is fixed at "false" indicating that the meaning of ActRelationship.typeCode is not reversed.

[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 is fixed at true.

[0..1] sequenceNumber (INT)

An integer specifying the relative ordering of this relationship among other like-types relationships having the same source Act.

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the semantic of the relationship is negated.

In this case the negationInd is fixed at "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'.

In this context the seperatableInd is fixed at "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 template ID "CSAB_RM-NPfITUK10.sourceOf2".
[1..1] justifyingObservation      [CMET: UKCT_MT141101UK01]

A link to the observation represented by a CMET which is the reason for the recommendation. 

[0..*] sourceOf

A relationship to another clinical statement by reference.  The clinical statement may be in the message instance carrying the reference, or on PSIS.

This relationship is to provide kinds of links to clinical statements not catered for elsewhere in this CMET.  

[1..1] typeCode (CS {CNE:ActRelationshipType} )

A code specifying the nature of the link.

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 ActRelationshipType vocabulary
[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.

The default for inversionInd is "false" indicating that the meaning of ActRelationship.typeCode is not reversed.

[0..1] sequenceNumber (INT)

An integer specifying the relative ordering of this relationship among other like-types relationships having the same source Act.

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the semantic of the relationship is negated.

In this case 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'.

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 template ID "CSAB_RM-NPfITUK10.sourceOf1".
[1..1] target (ActRef)

The clinical statement being referred to.

[1..1] either : RecommendAvoidMedication

A recommendation that a medication should not be administered (or supplied)

             ... or ... : RecommendDiscontinueMedicationAdministration

A recommendation that a medication administration should be discontinued.

             ... or ... : RecommendInitiateMedicationAdministration

A recommendation that a medication administration should be initiated.

             ... or ... : RecommendMaintainMedication

A recommendation that a medication administration should be maintained.

             ... or ... : RecommendReviewMedication

A recommendation that a medication administration should be reviewed.

             ... or ... : RecommendationOrganizer

An organizer of recommendations.

RecommendAvoidMedication

A recommendation that a medication should not be administered (or supplied)

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

Indicates the act is dealing with substance administration.

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

Indicates the act is in the mood of recommend.

  • Fixed value: "RMD"
[1..2] id (LIST<II>)

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

A  SnomedCT code identifying the act as describing avoiding a medication.. 

The Concept Descriptor (CD) datatype 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.
[0..1] statusCode (CS {CNE:ActStatus} )

The status of the recommendation.. It shall consist of a value taken from the HL7 ActStatus vocabulary that is one of the following:

  • aborted  - the recommendation has been withdrawn
  • active - the recommendation is active but hasn't been accepted yet by the primary recipient 
  • completed - the recommendation has been accepted by the primary recipient.

Shall be present if status is aborted.

[0..1] effectiveTime (GTS)

The time the avoid administer medication is recommended for.

This will be constrained to IVL < TS > in this release.

[0..1] availabilityTime (TS)

The date / time the recommendation was recorded on the source system.

[1..1] consumable
A link to the medication which is connected with the recommendation.
[1..1] typeCode (CS {CNE:CSM} ){ Fixed="CSM " }

Indicates that the role is that of a consumable

  • Fixed value: "CSM"
[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.

  • Fixed value: "OP" - Overriding and propagating

"O" (Overriding) - the association replaces any context of the same or more specific type that has been conducted from the parent act.

"P" (Propagating) - the association is conducted to all child acts where the ActRelationship.contextConductionInd is set to "true"

[1..1] manufacturedProduct (ManufacturedProduct)

The medication to be avoided.

[1..1] pertinentInformation2
A link to the dosage instructions connected with the recommendation.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates pertinent information.

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

If true, associations in the parent act are conducted across the Act Relationship to the child act.

In this context the contextConductionInd is fixed at "true".

[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'.

In this context the seperatableInd is fixed at "false".

[1..1] pertinentDosageInstructions (DosageInstructions)

The dosage instructions being recommended.

[0..1] pertinentInformation1
A link to any additional dosage instructions connected with the recommendation.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates pertinent information.

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

If true, associations in the parent act are conducted across the Act Relationship to the child act.

In this context the contextConductionInd is fixed at "true".

[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'.

In this context the seperatableInd is fixed at "false".

[1..1] pertinentAdditionalInstructions (AdditionalInstructions)

The additional dosage instructions being recommended.

RecommendDiscontinueMedicationAdministration
A  recommendation that a medication administration should be discontinued.
Used by: RecommendationChoice, RecommendationOrganizer
[1..1] classCode (CS {CNE:SBADM} ){ Fixed="SBADM " }

Indicates the act is dealing with substance administration.

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

Indicates the act is in the mood of recommend.

  • Fixed value: "RMD"
[1..2] id (LIST<II>)

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

A  SnomedCT code identifying the act as describing discontinuing a medication.. 

The Concept Descriptor (CD) datatype 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.
[0..1] statusCode (CS {CNE:ActStatus} )

The status of the recommendation.  It shall consist of a value taken from the HL7 ActStatus vocabulary that is one of the following:

  • aborted  - the recommendation has been withdrawn
  • active - the recommendation is active but hasn't been accepted yet by a primary recipient 
  • completed - the recommendation has been accepted by a primary recipient.

Shall be present if status is aborted.

[0..1] effectiveTime (GTS)

The date / time the discontinue administer medication is recommended for.

This will be constrained to IVL < TS > in this release.

[0..1] availabilityTime (TS)

The date / time the recommendation was recorded on the source system.

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

The dose quantity that is being recommended to discontinue.

THIS ATTRIBUTE IS RESERVED FOR FUTURE USE AND SHOULD NOT BE USED IN THIS VERSION OF THE MESSAGE.
[0..1] rateQuantity (IVL<PQ>)

The rate quantity that is being recommended to discontinue.

THIS ATTRIBUTE IS RESERVED FOR FUTURE USE AND SHOULD NOT BE USED IN THIS VERSION OF THE MESSAGE.
[0..1] consumable

A link to the medication to be discontinued.

Constraint - If not present then a reference to a prior medication administration request which the recommendation to discontinue shall be present. Not required if a reference to a prior medication administration request is supplied.

[0..1] pertinentInformation2

A link to the dosage instructions being discontinued.

Constraint - shall be present only if consumable is present.

[0..1] pertinentInformation1

A link to the additional instructions being discontinued.

Constraint - shall optionally be present only if consumable present.

[0..1] pertinentInformation
A link to a textual description of when to stop administering the medication, e.g. at once / when current stock exhausted / when all authorised supply exhausted .  It may also include a text form of a recommended stop date such as in 3 days time / end of the week.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT " }

Indicates that this is a pertinent information relationship.

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

If true, associations in the parent act are conducted across the Act Relationship to the child act.

In this context the contextConductionInd is fixed at "true".

[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'.

In this context the seperatableInd is fixed as  "true".

[1..1] pertinentWhenToDiscontinue (WhenToDiscontinue)

The textual description of when to stop taking the medication.

[0..1] sequelTo

A reference to a prior medication administration request which the recommendation is concerned with. 

Constraint - If not present then consumable, dosage instructions and optionally additional instructions shall be present. Not required if consumable present.

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

Indicates that this is a "sequel" relationship.

  • Fixed value : "SEQL"
[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.

The inversionInd is fixed at "false" indicating that the meaning of ActRelationship.typeCode is not reversed.

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the semantic of the relationship is negated

In this case the negationInd is fixed at "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".

In this context the seperatableInd is fixed at "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] priorRequestMedicationAdministrationRef (RequestMedicationAdministrationRef)

A link to a previous medication administration request.

RecommendInitiateMedicationAdministration
A recommendation that a medication administration should be initiated.
Used by: RecommendationChoice, RecommendationOrganizer
[1..1] classCode (CS {CNE:SBADM} ){ Fixed="SBADM " }

Indicates the act is dealing with substance administration.

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

Indicates the act is in the mood of recommend.

  • Fixed value: "RMD"
[1..2] id (LIST<II>)

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

A  SnomedCT code identifying the act as describing medication administration. 

The Concept Descriptor (CD) datatype 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.
[0..1] statusCode (CS {CNE:ActStatus} )

The status of the recommendation..  It shall consist of a value taken from the HL7 ActStatus vocabulary that is one of the following:

  • aborted  - the recommendation has been withdrawn
  • active - the recommendation is active but hasn't been accepted yet by the primary recipient 
  • completed - the recommendation has been accepted by a primary recipient

Shall be present if status is aborted.

[0..1] effectiveTime (GTS)

The date / time  the initiate administer medication is recommended for.

This will be constrained to IVL < TS > in this release.

[0..1] availabilityTime (TS)

The date / time the recommendation was recorded on the source system.

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

The dose quantity that is recommended to be initiated.

THIS ATTRIBUTE IS RESERVED FOR FUTURE USE AND SHOULD NOT BE USED IN THIS VERSION OF THE MESSAGE.
[0..1] rateQuantity (IVL<PQ>)

The rate quantity that is recommended to be initiated.

THIS ATTRIBUTE IS RESERVED FOR FUTURE USE AND SHOULD NOT BE USED IN THIS VERSION OF THE MESSAGE.
[1..1] consumable

A link to the medication to be initiated.

[1..1] pertinentInformation2
A link to the dosage instructions being initiated.
[0..1] pertinentInformation1
A link to the additional instructions being initiated.
RecommendMaintainMedication

A recommendation that the administration of a medication should continue.

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

Indicates the act is dealing with substance administration.

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

Indicates the act is in the mood of recommend.

  • Fixed value: "RMD"
[1..2] id (LIST<II>)

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

A  SnomedCT code identifying the act as describing maintaining medication administration. 

The Concept Descriptor (CD) datatype 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.
[0..1] statusCode (CS {CNE:ActStatus} )

The status of the recommendation..  It shall consist of a value taken from the HL7 ActStatus vocabulary that is one of the following:

  • aborted  - the recommendation has been withdrawn
  • active - the recommendation is active but hasn't been accepted yet by the primary recipient 
  • completed - the recommendation has been accepted by a primary recipient.

Shall be present if status is aborted.

[0..1] effectiveTime (GTS)

The date / time  the maintain administer medication is recommended for.

This will be constrained to IVL < TS > in this release.

[0..1] availabilityTime (TS)

The date / time the recommendation was recorded on the source system.

[0..1] consumable

A link to the medication to be maintained.

Constraint - If not present then a reference to a prior medication administration request which the recommendation to maintain shall be present. 

[0..1] pertinentInformation2
A link to the dosage instructions being maintained.

Constraint - shall be present only if consumable is present.

[0..1] pertinentInformation1

A link to the additional instructions being maintained.

Constraint - shall optionally be present only if consumable present.

[0..1] sequelTo

A reference to a prior medication administration request which the recommendation to maintain. 

Constraint - If not present then consumable, dosage instructions and optionally additional instructions shall be present.

RecommendReviewMedication
A recommendation to review the medication.
Used by: RecommendationChoice
[1..1] classCode (CS {CNE:SBADM} ){ Fixed="SBADM " }

Indicates the act is dealing with substance administration.

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

Indicates the act is in the mood of recommend.

  • Fixed value: "RMD"
[1..2] id (LIST<II>)

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

A  SnomedCT code identifying the act as describing reviewing medication administration. 

The Concept Descriptor (CD) datatype 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.
[0..1] statusCode (CS {CNE:ActStatus} )

The status of the recommendation..  It shall consist of a value taken from the HL7 ActStatus vocabulary that is one of the following:

  • aborted  - the recommendation has been withdrawn
  • active - the recommendation is active but hasn't been accepted yet by the primary recipient 
  • completed - the recommendation has been accepted by a primary recipient.

Shall be present if status is aborted.

[0..1] effectiveTime (GTS)

The date / time  the review administer medication is recommended for.

This will be constrained to IVL < TS > in this release.

[0..1] availabilityTime (TS)

The date / time the recommendation was recorded on the source system.

[0..1] consumable

A link to the medication to be reviewed.

Constraint - If not present then a reference to a prior medication administration request which the recommendation to discontinue shall be present. Not required if a reference to a prior medication administration request is supplied.

[0..1] pertinentInformation2
A link to the dosage instructions being reviewed.

Constraint - shall be present only if consumable is present.

[0..1] pertinentInformation1

A reference to a prior medication administration request which the recommendation to review. 

Constraint - If not present then consumable, dosage instructions and optionally additional instructions shall be present. Not required if consumable is present.

[0..1] subject
Refers to the plan or request that is the subject of the recommendation to review medication.
[1..1] typeCode (CS {CNE:SUBJ} ){ Fixed="SUBJ " }

Indicates that this is a subject.

  • Fixed value : "SBJ"
[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.

The  inversionInd is fixed at "false" indicating that the meaning of ActRelationship.typeCode is not reversed.

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the semantic of the relationship is negated

In this case the negationInd is fixed at "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".

In this context the seperatableInd is fixed at "false".

[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] substanceAdministration (SubstanceAdministration)

The substance administration ( planned or requested ) which it is being recommended to review.

RecommendationOrganizer

An organizer of recommendations.

Only used for medication changes or substitutions by using the discontinue and initiate acts. Note constraints for discontinuation and initiation of medication must be followed.

The organizer is used in the following way.

For dosage changes or substitutions of medications the old medication is discontinued and the new medication initiated.

For dosage changes and substitutions all the medication detail must be stated for the old medication to be discontinued and the new medication to be initiated.

Several old medications can be replaced by only one new medication and vice versa.

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

Indicates this is a cluster.

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

Indicates that this is an event.

  • Fixed value: "EVN"
[1..2] id (LIST<II>)

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

A  SnomedCT code identifying the act as describing changing medication administration. 

The Concept Descriptor (CD) datatype 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.
[0..1] statusCode (CS {CNE:ActStatus} )

The status of the organizer.  It shall consist of a value taken from the HL7 ActStatus vocabulary that is one of the following:

  • aborted  - the organizer of the recommendations is longer valid 
  • active - the organizer of the recommendations is active but hasn't been accepted yet by the primary recipient 
  • completed - the organizer of the recommendations has been accepted by a primary recipient.

Shall be present if status is aborted.

[1..1] effectiveTime (IVL<TS>)

The date / time  the recommendations were organized.

[0..1] availabilityTime (TS)

The date / time the organizer was recorded on the source system.

[1..*] component2

Refers to the recommendation to discontinue medication administration which is a component of the organizer. 

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

Indicates a component

  • Fixed value: "COMP"
[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 is fixed at "true".

[0..1] sequenceNumber (INT)

An integer specifying the relative ordering of this relationship among other like-type relationships having the same source Act.

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.

In this context the seperatableInd is fixed at "false".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Containment" 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 template ID "CSAB_RM-NPfITUK10.component".
[1..1] recommendDiscontinueMedicationAdministration (RecommendDiscontinueMedicationAdministration)

Refers to the organized discontinue medication administration recommendations.

[1..*] component1
Refers to the recommendation to initiate medication administration which is a component of the organizer.
[1..1] typeCode (CS {CNE:COMP} ){ Fixed="COMP " }

Indicates a component

  • Fixed value: "COMP"
[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 is fixed at "true".

[0..1] sequenceNumber (INT)

An integer specifying the relative ordering of this relationship among other like-type relationships having the same source Act.

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.

In this context the seperatableInd is fixed at "false".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Containment" 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 template ID "CSAB_RM-NPfITUK10.component".
[1..1] recommendInitiateMedicationAdministration (RecommendInitiateMedicationAdministration)

Refers to the organized initiate medication administration recommendations.

PerformerChoice

The person or organization that is recommended to perform the  recommendation.

Used by: RecommendationChoice
[1..1] either : UKCT_MT142001UK01

NPfIT CMET to identify the agent organization recommended to perform the  recommendation..

The tabular view for this CMET describes it's usage.

             ... or ... : UKCT_MT142101UK01

NPfIT CMET to identify the agent person recommended to perform the  recommendation..

The tabular view for this CMET describes it's usage.

AuthorChoice

The agent or device  that is the author ( making ) the recommendation.

Used by: RecommendationChoice
[1..1] either : UKCT_MT120601UK02

A CMET identifying the recommending device.

AgentDevice.classCode shall carry a fixed value of  "AGNT"

AgentDevice. id  shall carry a nationally agreed identifier for the role being played.  This shall be a code from a national coding scheme.

A national code is carried in the following way:

  • The root attribute shall contain the OID that identifies the coding scheme
  • The extension attribute shall contain the code

If the device can be identified by reference to SDS then

DeviceSDS.classcode shall carry a fixed value of "DEV" to indicates that this is a Device. In this context the device can be hardware or software.

DeviceSDS.determinerCode shall carry a fixed value of "INSTANCE"

DeviceSDS.id shall carry an SDS identifier that uniquely identifies the Device.

This is carried in the following way.

  • The root attribute shall contain an OID with the appropriate value 
  • The extension attribute shall contain the SDS Device ID

If the device cannot be identified by reference to SDS then

Device.classCode shall carry a fixed value of  "DEV"

Device.determinerCode shall carry a fixed value of "INSTANCE"

Device.id  shall carry an optional identifier that uniquely identifies the Device.   This shall be a code from a national scheme.

A national code is carried in the following way:

  • The root attribute shall carry the OID that identifies the coding scheme
  • The extension attribute shall contain the code

If an id is not present, then a name shall be included .

Device.code shall carry an optional code to describe the type of device.

If a code is not present, then a description shall be included.

Device.name shall carry an optional  name of the device.

This shall be included if an id is not present.

Device.desc shall carry an optional description of the type of device.

This shall be included if a code is not present.

Device.manufacturerModelName shall optionally carry the model name as allocated by the Device manufacturer.

Device.softwareName shall optionally carry the name of the software used by the Device.

If the device is scoped by an organization then and the organization can be identified by reference to SDS then

OrganizationSDS.classCode shall carry a fixed value of  "ORG"

OrganizationSDS.determinerCode shall carry a fixed value of "INSTANCE".

OrganizationSDS.id shall carry an SDS identifier that uniquely identifies the Organization. This is carried in the following way:

  • The root attribute shall contain an OID with the value 1.2.826.0.1285.0.1.10
  • The extension attribute shall contain the SDS Organization ID

If the device is scoped by an organization then and the organization cannot be identified by reference to SDS then

Organization.classCode shall carry a fixed value of  "ORG"

Organization.determinerCode shall carry a fixed value of "INSTANCE"

Organization.id shall carry an optional identifier that uniquely identifies the Organization. This shall be a code from a national scheme.

A national code is carried in the following way:

  • the root attribute shall contain the OID that identifies the coding scheme
  • the extension attribute shall contain the code

If an id is not present, then a name shall be included.

Organization.code shall optionally carry a value from the OrganizationType vocabulary  to identify the type of Organization.

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

  • The code attribute shall contain a value from the list of codes in the OrganizationType vocabulary.

If a code is not present, then a description shall be included.

Organization.name shall optionally contain the name of the Organization. This shall be included if an id is not present.

Organization.desc shall contain a optional description of the type of Organization. This shall be included if a code is not present.

Organization.telecom shall contain optional  telephone contact details for the Organization.

Organization.addr shall contain an optional address of the Organization.

             ... or ... : UKCT_MT142101UK01

NPfIT CMET to identify the agent person who is making the recommendation..

The tabular view for this CMET describes it's usage.

RecipientChoice

The agent / person / organization who is a recipient of the recommendation.

Used by: RecommendationChoice, RecommendationChoice
[1..1] either : NonAgentRole

The non agent person who is a recipient.

             ... or ... : UKCT_MT142001UK01

NPfIT CMET to identify the agent organization which is a recipient.

The tabular view for this CMET describes it's usage.

             ... or ... : UKCT_MT142101UK01

NPfIT CMET to identify the agent person who is a recipient.

The tabular view for this CMET describes it's usage.

RecommendationReviewdate

The review date of the recommendation.

Constraint required if validity interval open -  (primaryInformationRecipient.effectiveTime has no high attribute).

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

Indicates this is an observation.

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

Indicating that this is an event.

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

A value from the PrescriptionAnnotation vocabulary identifying that this is a recommendation review date.

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

  • The code attribute shall contain a fixed value of "RD"
  • The code System attribute shall contain the OID for the vocabulary concerned. 
[0..1] effectiveTime (GTS)

The review date of the recommendation.

This will be constrained to IVL < TS > in this release.

[1..1] value (ST)

The review date in a textual form.

For example - "In four weeks time" or "At the end of July"

ReasonForRecommendationRef

A reference to a clinical statement in the message or on PSIS which is the reason for the recommendation.

Used by: RecommendationChoice
[1..1] classCode (CS {CNE:ACT} )

"ACT" is the highest level of classCode.

For this ActRef to be utilised properly by the relationships identified within the model, this classCode MUST be changed to the code of the item being referenced.

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

"ActMood" is the highest level of moodCode.

For this ActRef to be utilised properly by the relationships identified within the model, this moodCode MUST be changed to the code of the item being referenced.

[1..1] id (II)

The unique identifier of the target clinical statement.

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

  • The root attribute shall contain a DCE UUID
ActRef

A reference to a clinical statement in the message or on PSIS

Used by: RecommendationChoice
[1..1] classCode (CS {CNE:ACT} )

"ACT" is the highest level of classCode.

For this ActRef to be utilised properly by the relationships identified within the model, this classCode MUST be changed to the code of the item being referenced.

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

"ActMood" is the highest level of moodCode.

For this ActRef to be utilised properly by the relationships identified within the model, this moodCode MUST be changed to the code of the item being referenced.

[1..1] id (II)

The unique identifier of the target clinical statement.

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

  • The root attribute shall contain a DCE UUID
NonAgentRole

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

Used by: RecommendationChoice, RecipientChoice, RecommendationChoice
[1..1] classCode (CS {CNE:ROL} ){ Fixed="ROL " }

Indicates this is a role.

  • Fixed value: "ROL"
[0..1] id (II)

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 either an OID for the identification scheme and the identifier within that scheme (e.g. for patient NHS number).

[1..1] code (CV {CNE:PersonRelationshipType} )

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.
[0..1] playingNonAgentPerson (NonAgentPerson)

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

ManufacturedProduct

The role that plays the manufactured product.

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

Indicates a role scoped by a manufacturer.

  • Fixed value: "MANU"
[1..1] manufacturedManufacturedMaterial (ManufacturedMaterial)

Information about the manufactured material that is the medication being administered

DosageInstructions

The recommended dosage instructions for this medication administration.

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

Indicates that this 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} )

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

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 fixed value "DI"
  • 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.
[1..1] value (ST)

The dosage instructions in text form.

AdditionalInstructions

Additional instructions for the patient in human readable form.

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

Indicates that is class describes an observation.

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

Mood code indicating that this observation has been made.

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

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

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 fixed value "AI"
  • 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.
[1..1] value (ST)

The additional instructions in human-readable form.

WhenToDiscontinue

Details of when to discontinue medication.

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

Indicates that this 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} )

A code taken from the PrescriptionAnnotation vocabulary indicating that this act contains the when to discontinue information.

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 fixed value "WTD"
  • 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.
[1..1] value (ST)

The when to discontinue date in a textual form.

For example - "In four weeks time" or "At the end of July"

RequestMedicationAdministrationRef

A reference to the request for a medication administration that this recommendation to discontinue will discontinue.

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

Indicates that this is a substance administration.

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

Indicates that this is a request.

  • Fixed value: "RQO"
[1..1] id (II)

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

The unique identifier of the target clinical statement.

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

  • The root attribute shall contain a DCE UUID
SubstanceAdministration

The substance administration being referred to.

This maybe a plan or a request.

Constraint - If a plan or request is not present then consumable , dosage instructions and optionally additional instructions shall be present to indicate the medication that is associated with the recommendation.

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

Indicates that this is a substance administration.

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

The moodCode shall contain a value from the HL7 x_ActMoodIntentRequest x domain.

The value shall be only one of the following

  • "RQO" if a request for medication administration is being referred to. 
  • "INT" if a plan for medication administration  is being referred to. 
[1..1] id (II)

The unique identifier of the target plan or request to administer.

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

  • The root attribute shall contain a DCE UUID
NonAgentPerson

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

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

Indicates that the entity is a person

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

Indicates that the entity is a single identifiable person.

  • Fixed value: "INSTANCE"
[1..1] name (PN)

The name of the person

ManufacturedMaterial
The medication associated with the recommendation.
Used by: ManufacturedProduct
[1..1] classCode (CS {CNE:MMAT} ){ Fixed="MMAT " }

Indicates that this is a manufactured material.

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

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

The type of drug being administered in SnomedCT coded form.

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

The  Coded Plain datatype shall be used to carry this information as follows:

  • the code attribute will contain the dm+d codification associated with the product or device
  • the codeSystem attribute will contain the OID for SnomedCT
  • the displayText attribute will contain the textual (human readable) description associated with the code