A_AdministerMedicationSingleDose - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
UKCT_RM140200UK03
MedicationAdministrationDose

A CMET describing the administration of a single dose of medication.  It covers doses that are of an insignificant duration, e.g. taking two pills, and those that last some time, such as intravenous infusions.

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

Indicates that this is a substance administration act.

  • Fixed value: "SBADM"
[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:AdministrationSnCT} )

One or more SnomedCT code identifying the act as describing the administration of a single dose of 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 Planned Substance Administration.

Required if status is aborted or cancelled

 The Coded Only datatype flavour is used to carry this information. The code attribute will contain one of the following values from the list of codes in the Act Status vocabulary: 

  • cancelled  - the  requester (author) has cancelled the request
  • active - the request is active but hasn't been accepted yet by a performer
  • completed - the request has been accepted by a performer.
  • aborted - the request has been aborted.
[1..1] effectiveTime (IVL<TS>)

The time at which, or period during which, the dose was administered.

[0..1] availabilityTime (TS)

The time at which the statement was recorded on the original system.

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

The quantity of substance used for each administration when it is measured as a dosage, e.g. 2 tablets, 10 ml. .  For an infusion, it records the total amount administered.

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 at which the medication is administered.  Only relevant if administration is an infusion.

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

The participation of the agent(s) / person(s) / device(s) performing the administration.  At least one must be supplied if it is not inherited via context conduction..

[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 at / during  which the performer participated in the administration.

[1..1] role (RoleChoice)

The agent / device / person performing this participation.

[0..1] author

The participation of the agent / device / person who authored this medication administration statement.  Author with time shall be  present if it is not 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 time of the author's participation.

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

The mode in which the author authorised the administration. For example - "PHONE" , "ELECTRONIC" etc.

Required if not "ELECTRONIC"

 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 (RoleChoice)

The agent / device / person who / which is the author.

[0..1] location

A participation representing the location at which the dose was administered.

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

Indicates that this a location participation.

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

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

  • 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] role (ActLocationChoice)

The choice of location.

[1..1] consumable

The mandatory participation of the manufactured product that was administered to the patient.

[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 manufactured product (i.e. medication) consumed during this administration.

[0..1] informant

The optional participation of who or what informed the author about this medication administration.

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

Indicates the role of informant.

  • Fixed value: "INF"
[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 at which the informant provided the information.

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

The mode used by the informant to convey this information.

Required if not "ELECTRONIC"

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 (InformantChoice)

The choice of agent / device / person acting as a informant.

[1..1] pertinentInformation1
An relationship to an act carrying  details of the administration.
[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] pertinentAdministrationDetails (AdministrationDetails)

The related Administration Details.

[1..1] pertinentInformation
An  relationship to an Act carrying  details of the administration type.
[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'.

The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.

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

[1..1] pertinentAdministrationType (AdministrationType)

The related administration type.

[0..1] pertinentInformation2

An optional  link to an Act carrying additional details of the administration.  The commonest use for this would be for infusions where the rate of administration is changed during the process.

[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] pertinentAdditionalAdministrationDetails (AdditionalAdministrationDetails)

The related additional administration details.

[0..1] inFulfillmentOf
A relationship to the planned / requested administration that stimulated this medication dose administration.
[1..1] typeCode (CS {CNE:FLFS} ){ Fixed="FLFS " }

Indicates an 'in fulfilment of ' relationship.

  • Fixed value: "FLFS"
[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] priorIntendedMedicationAdministrationRef (IntendedMedicationAdministrationRef)

The plan / request that stimulated this medication dose administration.

[0..*] reason1

A reason(s) in the form of a reference to another clinical statement.

Constraints -

reason1and/or reason2 shall contain at least one reason for non-administration if MedicationAdministrationDose.StatusCode is "cancelled".

In this case MedicationAdministrationDose.code should use the Snomed procedurecontext of  "385660001" - "not done".  

reason1 and/or reason2 shall contain at least one reason for medication administration if medicationAdministrationDose.StatusCode is "completed" and  no reference to a plan or request is provided.

[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] justifyingReasonForRef (ReasonForRef)

Refers to the reason in the form of an actRef to a clinical statement.

[0..*] reason4

A reason(s) in the form of a observation represented by a CMET.

Constraints -

reason3 and/or reason4 shall contain at least one reason for why the medication administration was aborted if MedicationAdministrationDose.StatusCode is "aborted".

In this case MedicationAdministrationDose.code should use the Snomed procedurecontext of  "385657008" - "abandoned".  

reason3 and/or reason4 shall contain at least one reason for why the medication administration was suspended if MedicationAdministrationDose.StatusCode is "suspended".

In this case MedicationAdministrationDose.code should use the Snomed procedurecontext of  "38565500" - "suspended". 

[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 Act Relationship 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]

Refers to the observation which is the reason represented by a CMET.

[0..*] reason3

A reason(s) in the form of a reference to another clinical statement.

Constraints -

reason3 and/or reason4 shall contain at least one reason for why the medication administration was aborted if MedicationAdministrationDose.StatusCode is "aborted".

In this case MedicationAdministrationDose.code should use the Snomed procedurecontext of  "385657008" - "abandoned".  

reason3 and/or reason4 shall contain at least one reason for why the medication administration was suspended if MedicationAdministrationDose.StatusCode is "suspended".

In this case MedicationAdministrationDose.code should use the Snomed procedurecontext of  "38565500" - "suspended". 

[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] justifyingReasonForRef (ReasonForRef)

Refers to the reason in the form of an actRef to a clinical statement.

[0..*] reason2

A reason(s) in the form of an observation represented by a CMET.

Constraints -

reason1and/or reason2 shall contain at least one reason for non-administration if MedicationAdministrationDose.StatusCode is "cancelled".

In this case MedicationAdministrationDose.code should use the Snomed procedurecontext of  "385660001" - "not done".  

reason1 and/or reason2 shall contain at least one reason for medication administration if medicationAdministrationDose.StatusCode is "completed" and  no reference to a plan or request is provided.

[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 Act Relationship to the child act.

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

[0..1] sequenceNumber (INT)

An optional integer to allow 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]

Refers to the observation which is the reason represented by a CMET.

[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'.

The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.

In this context the seperatableInd is 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 referenced.

RoleChoice

The agent / device / person performing this participation.

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

The agent / device / person performing this participation.

             ... or ... : UKCT_MT120601UK02

A CMET identifying the participating device.

AgentDevcie.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 desc 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 desc 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 performing this participation.

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

RoleChoice
Used by: MedicationAdministrationDose, MedicationAdministrationDose
ActLocationChoice

The location at which this administration was performed.

Used by: MedicationAdministrationDose
[1..1] either : IncidentalLocation

A location which is not related to an organization known to NPfIT SDS

             ... or ... : UKCT_MT142001UK01

NPfIT CMET to identify the organization which is a location for the administration.

The tabular view for this CMET describes it's usage

ManufacturedProduct

The role that plays the manufactured product.

Used by: MedicationAdministrationDose
[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

InformantChoice

The agent or non agent person who is informing.

Used by: MedicationAdministrationDose
[1..1] either : NonAgentRole

The non agent person who is the informant.

             ... or ... : UKCT_MT142101UK01

NPfIT CMET to identify the agent person who is the informant.

The tabular view for this CMET describes it's usage

AdministrationDetails

Timing & other information about the administration of the medication

Used by: MedicationAdministrationDose
[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 is an event.

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

A code from the Prescription Annotation vocabulary indicating that this is administration detail information. 

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

  • The code attribute shall contain a fixed value of "AD"
  • The code System attribute shall contain the OID for the vocabulary concerned. 
[1..1] value (ST)

Timing and other information about the administration, in textual form.

AdministrationType

Indicates whether the administration being described is a dose or course of medication.

Note - a dose may consist of more than one tablet or capsule. 

Used by: MedicationAdministrationDose
[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 from the Prescription Annotation vocabulary indicating that this is administration type details.

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

  • The code attribute shall contain a fixed value of "AT"
  • The code System attribute shall contain the OID for the vocabulary concerned. 
[1..1] value (CV {CWE:AdministrationType} )

The administration type in coded form, indicating that this is about the administration of a single dose of medication.

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

  • The code attribute shall contain a fixed value of "DO"
  • The code System attribute shall contain the OID for the vocabulary concerned. 
AdditionalAdministrationDetails

Details about any additional administration details.

Used by: MedicationAdministrationDose
[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 from the Prescription Annotation vocabulary indicating that these are additional administration details. 

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

  • The code attribute shall contain a fixed value of "AI"
  • The code System attribute shall contain the OID for the vocabulary concerned. 
[1..1] value (ST)

The additional administration details in a textual form.

IntendedMedicationAdministrationRef

The RequestMedicationAdministration / PlanMedicationAdministration that this dose administration is fulfilling.

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

Indicates that this is a substance administration act.

  • 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
ReasonForRef
A reference to a clinical statement which is the reason.
Used by: MedicationAdministrationDose, MedicationAdministrationDose
[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 national identifier for this instance of the clinical statement being referred to. 

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 any other clinical statement.

Used by: MedicationAdministrationDose
[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 national identifier for this instance of the clinical statement being referred to. 

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. not a care professional).

Used by: MedicationAdministrationDose, RoleChoice, MedicationAdministrationDose, MedicationAdministrationDose, InformantChoice
[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 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.

IncidentalLocation

A location which is not related to an organization known to NPfIT SDS

Used by: MedicationAdministrationDose, ActLocationChoice
[1..1] classCode (CS {CNE:ISDLOC} ){ Fixed="ISDLOC " }

Indicates that this is an incidental location.

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

This indicates the type of the location, represented using a SnomedCT code.

The Coded value (CV) 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
[0..1] location (Place)

A relationship to the place playing the role of location.

ManufacturedMaterial
The type of medication being administered
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 
[0..1] lotNumberText (ST)

The optional batch number of the material administered.

Can only be used if determiner code value is "INSTANCE".

[0..1] expirationTime (TS)

A optional expiration date of the medication.

Can only be used if determiner code value is "INSTANCE".

NonAgentPerson

Someone who is not known to the NPfIT SDS.

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

Place

An entity describing a place that is not an organization recognised by SDS.  If Place is used, at least one of the non-structural attributes SHALL be used. 

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

Indicates that the entity is a place

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

Indicates that the entity is a single identifiable place

  • Fixed value: "INSTANCE"
[0..1] name (TN)

The optional name of the place

[0..1] telecom (TEL)

An optional telecom contact for the place

[0..1] addr (AD)

An optional address of the place

[0..1] positionText (ED)

An optional grid reference. It may be as precise as required.

[0..1] gpsText (ST)

An optional GPS reference.  It may be as precise as required.