StatementRelationship - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
UKCT_RM144012UK01
StatementRelationship
The Statement Relationship is a clinical statement that establishes a relationship between two other clinical statements.

E.g. Cause/Effect - The Statement Relationship states that clinical statement A is the 'cause' of clinical statement B (and conversely that clinical statement B is 'caused by' clinical statement A).

Statement Relationships are to be used when the relationship being established is a matter of clinical judgement e.g. one statement is the medical cause of another. This is a matter of opinion and two clinicians could validly hold different views. A counter example would be a plain factual assertion, e.g. that a finding was the outcome of procedure. This is a simple matter of fact, and although an error could be made, it is not possible for opposing views to be valid concurrently. (For the latter relationship you would use an ActRelationship with an appropriate typeCode.)

With a Statement Relationship the relationship being asserted is a clinical statement in its own right, and so allow authorship and relevant times that may be distinct from those of the statements referred to. Being clinical statement, these relationships can be revised if necessary in future.
Used by:
[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..2] id (LIST<II>)

A list of unique identifiers for this instance of a relationship statement.

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 statement relationship 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:RelationshipTypeSnCT} )

 A SnomedCT code identifying the type of the relationship between the two clinical statements being related.

 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} )

A SnomedCT code identifying the type of the relationship between the two clinical statements being related.

 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.
[1..1] effectiveTime (IVL<TS>)

The date and time that the relationship statement is clinically relevant.

[0..1] activityTime (IVL<TS>)

An optional date and time that the relationship was established.

[0..1] availabilityTime (TS)

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

[0..1] author

Refers to the person who is the author of the statement relationship.

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 Statement Relationship.

  • 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 Statement Relationship.

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

The mode in which the author authorised the statement relationship.

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] agent      [CMET: UKCT_MT142101UK01]

NPfIT CMET to identify the person who is participating.

The tabular view for this CMET describes its usage.

[1..1] pertinentInformation1

A relationship to the subject (statement) of the StatementRelationship. In the relationship "A is the outcome of B", A is the subject.

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

Indicates pertinent information.

  • Fixed value: "PERT"
[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 "true" indicating that the meaning IS 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 negation 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 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.sourceOf"
[1..1] pertinentActRef (ActRef)

The statement that is the subject of this relationship

[1..1] pertinentInformation2

A relationship to the object of the StatementRelationship. In the relationship "A is the outcome of B", B is the object.

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

Indicates pertinent information.

  • Fixed value: "PERT"
[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 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 negation 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 is fixed as "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.sourceOf"
[1..1] pertinentActRef (ActRef)

The statement that is the object of this relationship

ActRef
Refers to a related clinical statement using a unique identifier.
Used by: StatementRelationship
[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.