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UKCT_RM144007UK01 |
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CareEvent |
A clinical statement describing an
intended care event. |
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Used by: |
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[1..1] classCode (CS {CNE:ENC} ){ Fixed="ENC" } |
Indicates that the care event is an encounter.
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[1..1] moodCode (CS {CNE:INT} ){ Fixed="INT" } |
Indicates this is an intended care event
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[1..2] id (LIST<II>) |
A list of unique identifiers for this instance of a care event.
The first is mandatory and is a unique identifier for this instance of a specific clinical statement. The second is optional and allows a care event to be identified by a local identifier.
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.
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[1..1] code (CD {CNE:EncounterSnCT} ) |
A SnomedCT code identifying the encounter type.
The Concept Descriptor (CD) dataype 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.
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[0..1] statusCode (CS {CNE:ActStatus} ) |
The (optional) status of the CareEvent, e.g. active, suspended, completed.
Shall be present if status is aborted or cancelled.
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 Act Status vocabulary.
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[1..1] effectiveTime (IVL<TS>) |
The effective date carries the start and end date/time of the care event. The start date/time is required and the end date/time is optional.
The 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.
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.
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[0..1] availabilityTime (TS) |
The date and time that the care event was recorded on the source system. |
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[0..1] pertinentInformation4 |
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[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" } |
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[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". |
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[1..1] seperatableInd (BL) |
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[1..1] pertinentSupportingInfo (SupportingInfo) |
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[0..*] reason |
A link to a reason for the intended care event |
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[1..1] typeCode (CS {CNE:RSON} ){ Fixed="RSON" } |
Indicates this is a reason
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[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. |
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[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". |
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[0..1] sequenceNumber (INT) |
An integer specifying the relative ordering of this relationship among other like-types relationships having the same source Act. |
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[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" |
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[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 fixed at "true". |
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[1..1] templateId (II) |
An identifier of the Act Relationship that categorises clinical data by its role within the message instance.
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".
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[1..1] target (ReasonChoice) |
A link to a choice of reason for the intended encounter. |
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[0..*] reason1 |
A reference to a clinical statement that is the reason for intended
encounter. |
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[1..1] typeCode (CS {CNE:RSON} ){ Fixed="RSON" } |
Indicates a 'reason' relationship.
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[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. |
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[0..1] sequenceNumber (INT) |
An integer specifying the relative ordering of this relationship among other
like-types relationships having the same source Act. |
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[1..1] negationInd (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". |
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[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". |
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[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"
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[1..1] justifyingActRef (ActRef) |
A reference to the target clinical statement which is a reason for the
intended encounter. |
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SupportingInfo |
An Act holding overflow information from the Act acting as the root of the clinical statement. Supporting information shall not contradict the content of the source act, only add to it or explain it. |
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Used by: CareEvent |
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[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" } |
Indicates that this is an observation.
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[1..1] moodCode (CS {CNE:EVN} ){ Fixed="EVN" } |
Indicates that this is an event.
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[0..1] code (CV {CNE:SnomedCT} ) |
A SnomedCT code indicating the nature of the supporting 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 value from the list of codes in the vocabulary
- The code System attribute shall contain the OID for SnomedCT
- The display text attribute will carry a description for the code from the coding system .
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[0..1] effectiveTime (IVL<TS>) |
A clinically relevant date and time that forms supporting information.
The 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.
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.
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.
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[0..1] value (ANY) |
The value of the observation. |
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ReasonChoice |
A choice CMETs which are the reason for the intended care event |
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Used by: CareEvent |
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[1..1] either : UKCT_MT140701UK03 |
A CMET
that represents an administration of a course of medication |
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... or ... : UKCT_MT140201UK03 |
A CMET that represents an administration of a single dose of medication. |
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... or ... :
UKCT_MT144003UK01 |
A CMET that represents a diagnosis |
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... or ... : UKCT_MT141101UK01 |
A CMET that represents an observation |
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... or ... : UKCT_MT144010UK01 |
A CMET that represents a procedure |
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ActRef |
Refers to a related clinical statement using a unique identifier. |
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Used by: CareEvent |
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[1..1] classCode (CS {CNE:ACT} ) |
"ACT" is the highest level of classCode.
For this ActRef to be ultised properly by the relationships identified within the model, this classCode MUST be changed to the code of the item being referenced.
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[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. |
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[1..1] id (II) |
The unique identifier of the target clinical statement. |
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