A_Encounter - tabular view

No Current Link To VocabularyCoded With Extensions
UKCT_RM144014UK01
Encounter
Details of an Encounter.
Used by:
[1..1] classCode (CS {CNE:ENC} ){ Fixed="ENC" }

Indicates that this is a encountert.

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

Indicates the mood code of the encounter.

The allowed values are:

  • "INT for an intended encounters
  • "APT" for appointment
  • "ARQ" for requested appointment
  • "PRMS" for promised encounters
  • "PRP" for proposed encounters
  • "RQO" for requested encounters
  • "EVN" for encounters that have occurred
  • "SLOT" for resource slots
[1..2] id (LIST<II>)

A set of unique identifiers for this instance of a encounter.

The first is mandatory and is a unique identifier for this instance of a specific clinical statement. The second is optional and allows an observation 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:EncounterSnCT} )

A SnomedCT code identifying the type of encounter.

 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 encounter, 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 effective date carries the start and end date/time of the encounter.

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.
[0..1] availabilityTime (TS)

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

[1..1] subject

Refers to the  subject where the subject is the patient who is also the record target.

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

Indicates that this is a subject.

  • Fixed value : "SBJ"
[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 during / at which the patient was the subject.

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

The mode in which the patient was the subject.

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] patient (Patient)

The patient who is the subject. Only new permanent NHS numbers can be used to identify patients.

[1..1] location

Refers to the location relevant to the encounter.

[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] serviceDeliveryLocation (ServiceDeliveryLocation)

A link to service delivery location which is the the care setting.

[0..*] attender

Refers to an attender of the encounter.

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

Indicates that this is an attender.

  • Fixed value: "ATND"
[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 during / at which the attender participated in the encounter.

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

The mode in which the attender participated in the encounter.

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.

The tabular view for this CMETs describes its usage.

[0..*] notificationContact
An urgent notification contact is a type of information recipient that represents a party to be notified about urgent matters related to the encounter.

Example

  • A consultant to contact during an inpatient stay encounter if the patient's condition deteriorated.
 
[1..1] typeCode (CS {CNE:NOT} ){ Fixed="NOT" }

Indicates that this is a notification.

  • Fixed value: "NOT"
[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 notification contact was the notification contact.

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

The mode in which the notification contact did or would participant in the encounter.

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.

The tabular view for this CMETs describes its usage.

[0..1] responsibleParty
Details of the responsible party for the Encounter.
[1..1] typeCode (CS {CNE:RESP} ){ Fixed="RESP" }

Indicates that this is a responsible party.

  • Fixed value: "RESP"
[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 during / at which the responsible party was responsible for the encounter .

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

The mode in which the responsible party participated in the encounter.

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 (ResponsiblePartyChoice)

A link to a choice of person or organisation.

Patient

Refers to the patient who is the subject of the encounter.

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

Indicates that the role is that of a patient.

  • Fixed value: "PAT"
[1..1] id (II)

To provide the nationally recognised identifier for the patient, the NHS number.

The Identifier External datatype flavour is used to carry this information as follows:-

An NHS number is carried in the following way:

  • The root attribute will contain an OID with the value "2.16.840.1.113883.2.1.4.1"
  • The extension attribute will contain the NHS number.

Only new permanent NHS numbers can be used to identify patients.

ServiceDeliveryLocation
Details the Service Delivery Location where the encounter took place or will take place
Used by: Encounter
[1..1] classCode (CS {CNE:SDLOC} ){ Fixed="SDLOC" }

Indicates that the role is that of a Service Delivery Location.

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

A SnomedCT code specifying the care setting..

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 .
ResponsiblePartyChoice
A choice of person or organisation as the responsible party.
Used by: Encounter
[1..1] either : UKCT_MT142001UK01

NPfIT CMET to identify the organization which is responsible for the encounter.

The tabular view for this CMET describes its usage.

             ... or ... : UKCT_MT142101UK01

NPfIT CMET to identify the person who is responsible for the encounter.

The tabular view for this CMET describes its usage.