A_NonMedicationAdminOrSupply Tabular View

Choice of a SubstanceAdministration and a Supply.

[0..1] performer

Refers to a performer of an non medication adminstration or suppy .


[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" The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

[1..1] time (IVL<TS>)		The time during / at which the performer performed the supply or administration.

[0..1] modeCode (CS {CNE:ParticipationMode} )		The mode in which the performer participated in the supply or administration. 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 (RoleChoice)		The person or device performing the supply or administration.

[0..1] author

Refers to the person or device who / which authored the supply or administration.

Only required if author is different to author inherited via context conduction


[1..1] typeCode (CS {CNE:AUT} ){ Fixed="AUT" }		Indicates the role of author of this Non-Medication Supply or Administration. 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)		When the author authorised the information contained in the Non-Medication Supply or Admin..

[0..1] modeCode (CS {CNE:ParticipationMode} )		The mode in which the participant authored the supply or administration. 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 (RoleChoice)		The person or device who/which is the author.

[0..1] location

Refers to the choice of location where the supply or administration was or will be carried out .


[1..1] typeCode (CS {CNE:LOC} ){ Fixed="LOC" }		Indicates that this is a location. 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)		A choice of location.

[0..1] informant

Refers to the person or device acting in the role of informant. The patient may act as an informant.

Only required if informant is different to informant inherited via context conduction


[1..1] typeCode (CS {CNE:INF} ){ Fixed="INF" }		Indicates that the role is that of informant. Fixed value: "INF"

[1..1] contextControlCode (CS {CNE:ContextControl} )		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. Default 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" The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

[1..1] time (IVL<TS>)		The time during / at which the informant gave the information.

[0..1] modeCode (CS {CNE:ParticipationMode} )		The mode in which the informant gave the 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 (RoleChoice)		The person or device who / which is the informant .

[0..1] pertinentInformation4

Refers to supporting information which is pertinent to a clinical statement.


[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] pertinentSupportingInfo (SupportingInfo)	A code and/or effective time and/or text and/or value that is pertinent to the clinical statement

[1..1] either : SubstanceAdministration

The administration of a non medication substance

... or ... : Supply

The supply of a non medication substance

SubstanceAdministration

Information about the administration of substances other than medication.

Used by: NonMedicationChoice

[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_DocumentSubstanceMood} )

The mood code of the substance administration act.

The value of mood code should be set according to the information and context of the clinical statement information being carried in the substance administration class.

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 x_DocumentSubstanceMood vocabulary.

[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:SubstanceAdministrationSnCT} )

A SnomedCT code identifying the act as Non-medication Substance Administration..

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.

[0..1] statusCode (CS {CNE:ActStatus} )

The (optional) status of the Substance Administration, 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.

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

A time at which during which the substance was / will be administered.

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.

[0..1] availabilityTime (TS)

The date and time that the activity was recorded on the source system.

[1..1] consumable

A reference to the non-medication substance being administered.


[1..1] typeCode (CS {CNE:CSM} ){ Fixed="CSM" }		Indicates that the participation is 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" The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

[1..1] manufacturedProduct (ManufacturedProduct)		The role of a manufactured product.

Supply

Information about clinical statements that are non-medication supply acts.

Used by: NonMedicationChoice

[1..1] classCode (CS {CNE:SPLY} ){ Fixed="SPLY" }

Indicates that this is a supply act.

Fixed value: "SPLY"

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

The mood code of the supply act.

The value of mood code should be set according to the information and context of the clinical statement information being carried in the supply class as follows:

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 vocabulary;

[1..2] id (LIST<II>)

Unique identifiers for this instance of a supply act.

The first is mandatory and is the unique national identifier for this instance of a specific clinical statement. The second is optional and allows a supply 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

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

A SnomedCT code identifying the act as non-medication supply

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 (optional) status of the non-medication Supply act, 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.

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

The date and time at which / during which the non medication substance was / will be supplied .

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.

[0..1] availabilityTime (TS)

The date time of recording the information on the source system.

[1..1] product

Refers to the manufactured product.


[1..1] typeCode (CS {CNE:PRD} ){ Fixed="PRD" }		Indicates this is a product Fixed value: "PRD"

[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)		Details of the manufactured product.

RoleChoice

The Person or Device performing this participation.

Used by: NonMedicationChoice

[1..1] either : NonAgentRole

The participating person .

... or ... : UKCT_MT120601UK02

A CMET identifying the participating 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 fof "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 organizaton 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 organizaton 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 vocabualary to identfy 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 person who is participating.

The tabular view for this CMET describes its usage.

ActLocationChoice

A choice of location relevant to the supply or administration

Used by: NonMedicationChoice

[1..1] either : IncidentalLocation

A place which is not an organization that is a location

... or ... : UKCT_MT142001UK01

NPfIT CMET to identify the organization which is a location for the root care event.

The tabular view for this CMET describes its usage.

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.

Used by: NonMedicationChoice

[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" }

Indictes that this is an event.

Fixed value: "EVN"

[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 .

[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.

[0..1] value (ANY)

The value of the observation.

NonAgentRole

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

Used by: NonMedicationChoice, RoleChoice

[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 role played by a location that is not an organizational site.

Used by: NonMedicationChoice, ActLocationChoice

[1..1] classCode (CS {CNE:ISDLOC} ){ Fixed="ISDLOC" }

Indicates that the role is a incidental location

Fixed value: "ISDLOC"

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

A SnomedCT code identifying the kind of location being described (e.g. normal residence, ambulance, public place)

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 .

[0..1] location (Place)

Details of the individual place playing the role of the IncidentialLocation

ManufacturedProduct

The role that plays the non-medication manufactured product.

The role is used both by SubstanceAdministration and Supply

Used by: SubstanceAdministration, Supply

[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.

NonAgentPerson

Details of the non-agent person.

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..*] name (SET<PN>)

The name(s) 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.

ManufacturedMaterial

The type of non-medication being administered or supplied.

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 non-medication being administered or supplied in SnomedCT coded form.

The material can be identified by a virtual or real 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 datatype must be constrainted to CD and used as indicated below.

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.

[0..1] lotNumberText (ST)

An optional batch number of the material.

This attribute may only be used if the determinerCode is "INSTANCE"

A_NonMedicationAdminOrSupply - tabular view