A_NonMedicationRecommendation - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
UKCT_RM144015UK01
RecommendationChoice
A choice of recommended care event, recommendation for administration of a non -medication substance or recommendation to avoid administration of a non-medication substance.
Used by:
[0..1] performer
Refers to the person or organization which the author of the recommendation is recommending  perform the recommended task.
[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 the performer is recommended to perform the recommendation.

The recommendation may be recommended to be carried out within a specific date range.

A 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.

The recommendation may be recommended to be carried out any time after a specific 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.

The recommendation may be recommended to be carried out by a specific 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.
[1..1] role (RecipientChoice)

The person or organisation who  \ which is the performer.

[0..1] author

The  agent or organisation who / which is making the recommendation.

Constraint - Author with time shall be used if no author time is inherited or the author is different to the author inherited via context conduction.

 

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

Indicates the role of author of this Recommendation.

  • 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 date and time the recommendation was made.

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

The mode in which the author made the recommendation. For example - "PHONE" , "ELECTRONIC" etc.This must match the modeCode of the primaryInformationRecipient.

If the mode is "ELECTRONIC" because the author is making the recommendation via this HL7 message instance, then the primary information recipient in the recommendation CMET shall also be the primaryInformationRecipient in the focalAct of the payload of that message instance.

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 (RecipientChoice)

The person or organisation who / which is the author.

[1..1] primaryInformationRecipient
The person or organization that the recommendation is made to.
[1..1] typeCode (CS {CNE:PRCP} ){ Fixed="PRCP" }

Indicates the role of primary recipient.

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

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: "ON" - Overidding and Non-propagating


"O" (Overriding) - the association replaces any context of the same or more specific type that has been conducted from the parent act.

"N" (NonPropagating) - the association applies only to this act and any context provided by the association will not be conducted to any child acts.

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

The validity time of the recommendation.

The recommendation may be valid for a specific date range.

A 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.

The recommendation may be valid for any time after a specific 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.

The recommendation may be valid until a specific 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] modeCode (CS {CNE:ParticipationMode} )

The mode in which the primaryInformationRecipient received / will receive the recommendation. For example - "PHONE" , "ELECTRONIC" etc.This must match the modeCode of the author of the recommendation.

If the mode is "ELECTRONIC" because the author is making the recommendation via this HL7 message instance, then the primary information recipient in the recommendation CMET shall also be the primary information recipient in the focalAct of the payload of that message instance.

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 (RecipientChoice)

The person or organisation who is the primary information recipient.

[0..1] pertinentInformation1
A link to any additional dosage instructions connected with the recommendation.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates pertinent information.

  • Fixed value: "PERT"
[1..1] contextConductionInd (BL)

IIf 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] pertinentAdditionalInstructions (AdditionalInstructions)

A link to additional instructions which are pertinent to the recommendation.

[1..1] either : CareEvent

A care event statement present in the recommendation.

             ... or ... : RecommendAdministration

A recommend administration statement present in the recommendation.

             ... or ... : RecommendAvoidAdministration

A recommend avoid administration statement present in the recommendation.

CareEvent
The recommended care event..
Used by: RecommendationChoice
[1..1] classCode (CS {CNE:ENC} ){ Fixed="ENC" }

Indicates that the care event is an encounter.

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

Indicates the act is in the mood of recommend.

  • Fixed value: "RMD"
[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.
[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.
[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.
[0..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.
[0..1] availabilityTime (TS)

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

[1..1] location

Location where the recommended care event should take place.

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

Indicates that this is a location.

  • Fixed value: "LOC"
[0..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] dedicatedServiceDeliveryLocation (DedicatedServiceDeliveryLocation)

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

RecommendAdministration

Information about the administration of substances other than medication.

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

Indicates that this is a substance administration act.

  • Fixed value: "SBADM"
[1..1] moodCode (CS {CNE:RMD} ){ Fixed="RMD" }

Indicates the act is in the mood of recommend.

  • Fixed value: "RMD"
[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:NonMedicationAdministrationTypeSnCT} )

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

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 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.
[0..1] effectiveTime (GTS)

The time the administration is recommended for.

This will be constrained to IVL < TS > in this release.

[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 recommended to be 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"

[1..1] manufacturedProduct (ManufacturedProduct)

The role of a manufactured product.

RecommendAvoidAdministration

recommendation to avoid administration of substances other than medication.

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

Indicates that this is a substance administration act.

  • Fixed value: "SBADM"
[1..1] moodCode (CS {CNE:RMD} ){ Fixed="RMD" }

Indicates the act is in the mood of recommend.

  • Fixed value: "RMD"

 

[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:AvoidNonMedicationTypeSnCT} )

A SnomedCT code identifying the act as avoidance of a 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.
[0..1] effectiveTime (GTS)

The time the avoid administer medication is recommended for.

This will be constrained to IVL < TS > in this release.

 

[0..1] availabilityTime (TS)

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

[0..*] consumable

A reference to the non-medication substance being recommended to be avoided.

RecipientChoice
Used by: RecommendationChoice
[1..1] either : NonAgentRole

The participating person .

             ... or ... : UKCT_MT142001UK01

NPfIT CMET to identify the organisation which is participating.

The tabular view for this CMET describes its usage.

             ... or ... : UKCT_MT142101UK01

NPfIT CMET to identify the person who is participating.

The tabular view for this CMET describes its usage.

AdditionalInstructions

 Additional instructions which are pertinent to the recommendation.

Used by: RecommendationChoice
[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 value from the PrescriptionAnnotation vocabulary identifying that this is additional instructions.

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 instructions in a textual form.

NonAgentRole

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

Used by: RecommendationChoice, RecipientChoice
[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.

DedicatedServiceDeliveryLocation
The dedicated service delivery location which is the care setting.
Used by: CareEvent
[1..1] classCode (CS {CNE:DSDLOC} ){ Fixed="DSDLOC" }

Indicates this is a dedicated service delivery location.

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

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 .
ManufacturedProduct
The role that plays the manufactured product.
Used by: RecommendAdministration
[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..1] name (PN)

The name of the person

ManufacturedMaterial

The type of non-medication recommended to be administered or avoided.

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 substance 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 recommended to be administered or avoided   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 constrained to CD and used as indicated below.

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.