A_SocialContext - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
UKCT_RM144036UK01
SocialContextChoice

The choice of Social Context observation.

Used by:
[1..1] either : LifeStyle

The lifestyle choices made by the Patient which are pertinent to his or her health or social care.
             ... or ... : Smoking

Smoking habits of the patient.
             ... or ... : AlcoholIntake
Data relating to alcohol intake of the Patient.
             ... or ... : SocialOrPersonalCircumstance

A description of a patient's social background, network and personal circumstances including occupational history.
[0..1] author

Refers to the person who is the author of the act.

Constraint: This author is only required if the author or author time is different from the inherited author.


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

Indicates that this is an author.

[1..1] [M] contextControlCode (CS {CNE:ContextControl } ) { Fixed="OP" }

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.

"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] [R] time (TS)

The time at which the author participated.

[1..1] participant (RoleChoice)

The person who participates in the role of author.

[0..1] informant

Information about the person acting in the role of informant to the author.

Note: This is only required if the Informant or Informant time is different from the inherited Informant.

[1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="INF" }

Indicates that this is an informant.

[1..1] [M] contextControlCode (CS {CNE:ContextControl } ) { Fixed="OP" }

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.

"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] [R] time (TS)

The time at which the informant informed the author.

[1..1] participant (RoleChoice)

The person who participates in the role of informant.

[0..1] pertinentInformation

Information which is pertinent to the Clinical Statement

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

Indicates pertinent information..
[1..1] [M] contextConductionInd (BL) { Fixed="true" }

If true, associations in the parent act are conducted across the ActRelationship to the child act.

[1..1] [M] seperatableInd (BL) { Fixed="false" }
Indicates if the source Act is to be interpreted independently of the target Act.
[1..1] pertinentSupportingInfo (SupportingInfo)

An Act holding overflow information from the Act acting as the root of the clinical statement.
LifeStyle

The lifestyle choices made by the Patient which are pertinent to his or her health or social care.

This act should be used when representing Lifestyle information which is not smoking consumption or alcohol consumption.
Used by: SocialContextChoice
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="OBS" }

Indicates that this is an observation.

[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }

Indicates that this is an event.

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


A SnomedCT code taken from the subset LifestyleSnCT.

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 displaytext 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.
The use of the SNOMED CT terms in this subset are for guidance purposes only. Codes outside this subset may be used at clinical discretion. There will be codes in the subset which are unsuitable
[1..1] [R] effectiveTime (IVL<TS>)

Where ever possible this should be populated with the date the lifestyle observation started (low attribute) and the date it finished (high attribute) if that is the case.

For example that a patient was using amphetamines from 1999 until Feb 2005.

A single low attribute should be used for lifestyle observation which is still current with the patient.

For example that a patient started taking regular exercise in Feb 2005 and continues to do so.

A single central data point should be used when it is unknown when the lifestyle observation started or finished but it was known to be true at that particular date.

The date range shall be carried as follows:

If a single point in time is to be carried the Date or Time Point data type shall be used:

  • The center attribute shall contain the date.

If both a start date and an end date are present the Date or Time Interval Complete data type 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 data type shall be used:

  • The low attribute shall contain the start date.

If only an end date is present the Date or Time Interval Before data type shall be used:

  • The high attribute shall contain the end date.
[1..1] [M] id (II)
This is a unique identifier for this instance of a Smoking observation.

The Identifier Global datatype flavour is used to carry the first identifiers follows:

  • The root attribute shall contain a DCE UUID.
[1..1] [M] statusCode (CS {CNE:ActStatus } ) { Default="normal" }

The status of the Lifestyle observation.

The Coded Only data type flavour is used to carry this information as follows:

  • The code attribute will contain a one of the following codes from the Act Status vocabulary:
    • normal
    • nullified
    • active
    • completed.
[0..1] value (ANY)

The value of the observation.

Smoking

This observation Act should only be used to represent the patient's current tobacco consumption.

Used by: SocialContextChoice
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="OBS" }

Indicates that this is an observation.

[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }

Indicates that this is an event.

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

A SnomedCT code taken from the vocabulary SmokingSnCT.

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 displaytext 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.

This members of this subset must be used for this observation.

N.B. if other descriptions of smoking are to be used (e.g. recording of pack years) then the lifestyle observation act should be used.

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

Where ever possible this should be populated with the date the smoking observation started (low attribute) and the date it finished (high attribute) if that is the case.

For example that a patient was smoking 20 cigarettes per day from 1999 until Feb 2005.

A single low attribute should be used for smoking observation which is still current with the patient.

For example that a patient started smoking 10 cigarettes per day in Feb 2005 and continues to do so.

A single central data point should be used when it is unknown when the smoking observation started or finished but it was known to be true at that particular date.

The date range shall be carried as follows:

If a single point in time is to be carried the Date or Time Point data type shall be used:

  • The center attribute shall contain the date.

If both a start date and an end date are present the Date or Time Interval Complete data type 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 data type shall be used:

  • The low attribute shall contain the start date.

If only an end date is present the Date or Time Interval Before data type shall be used:

  • The high attribute shall contain the end date.
[1..1] [M] id (II)
This is a unique identifier for this instance of a Smoking observation.

The Identifier Global datatype flavour is used to carry the first identifiers follows:

  • The root attribute shall contain a DCE UUID.
[1..1] [M] statusCode (CS {CNE:ActStatus } ) { Default="normal" }

The status of the smoking observation.

The Coded Only data type flavour is used to carry this information as follows:

  • The code attribute will contain a one of the following codes from the Act Status vocabulary:
    • normal
    • nullified
    • active
    • completed.
[0..1] value (PQ)

The value associated is dependant upon the particular observation

Code

Display text

Value

8392000

Non-smoker

None required

230056004

Cigarette consumption

Cigarettes per day

230057008

Cigar consumption

Cigars per day

230058003

Pipe tobacco consumption

Grams per day

266919005

Never smoked tobacco

None Required

266920004

Trivial cigarette smoker (less than one cigarette/day)

None Required

AlcoholIntake

This should be used to represent the patient's alcohol consumption

Used by: SocialContextChoice
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="OBS" }

Indicates that this is an observation.

[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }

Indicates that this is an event.

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

A fixed SnomedCT code taken from the subset AlcoholSnCT.

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 displaytext 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.

160573003

Alcohol intake

.

This code must always be used in this observation act.

If other coded descriptions of alcohol intake are required then the lifestyle observation act should be used.
[1..1] [R] effectiveTime (IVL<TS>)

Where ever possible this should be populated with the date the alcohol observation started (low attribute) and the date it finished (high attribute) if that is the case.

For example that a patient was drinking 10 units of alcohol per week from 1999 until Feb 2005.

A single low attribute should be used for alcohol observations which are still current with the patient.

For example that a patient started drinking 10 units per week in Feb 2005 and continues to do so.

A single central data point should be used when it is unknown when the alcohol observation started or finished but it was known to be true at that particular date.

The date range shall be carried as follows:

If a single point in time is to be carried the Date or Time Point data type shall be used:

  • The center attribute shall contain the date.

If both a start date and an end date are present the Date or Time Interval Complete data type 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 data type shall be used:

  • The low attribute shall contain the start date.

If only an end date is present the Date or Time Interval Before data type shall be used:

  • The high attribute shall contain the end date.
[1..1] [M] id (II)
This is a unique identifier for this instance of a AlcoholIntake observation.

The Identifier Global datatype flavour is used to carry the first identifiers follows:

  • The root attribute shall contain a DCE UUID.
[1..1] [M] statusCode (CS {CNE:ActStatus } ) { Default="normal" }

The status of the Alcohol Intake observation.

The Coded Only data type flavour is used to carry this information as follows:

  • The code attribute will contain a one of the following codes from the Act Status vocabulary:
    • normal
    • nullified
    • active
    • completed.
[0..1] value (PQ)

The associated quantity of alcohol.

The value should always be made in units per week.
SocialOrPersonalCircumstance

A description of a patient's social background, network and personal circumstances including occupational history.

Used by: SocialContextChoice
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="OBS" }

Indicates that this is an observation.

[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }

Indicates that this is an event.

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

A SnomedCT code taken from the SocialOrPersonalCircumstanceSnCT.

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 displaytext 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] [R] effectiveTime (IVL<TS>)

The time or duration that the Social or Personal Circumstance observation was relevant.

The date range shall be carried as follows:

If a single point in time is to be carried the Date or Time Point data type shall be used:

  • The center attribute shall contain the date.

If both a start date and an end date are present the Date or Time Interval Complete data type 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 data type shall be used:

  • The low attribute shall contain the start date.

If only an end date is present the Date or Time Interval Before data type shall be used:

  • The high attribute shall contain the end date.
[1..1] [M] id (II)
This is a unique identifier for this instance of a Smoking observation.

The Identifier Global datatype flavour is used to carry the first identifiers follows:

  • The root attribute shall contain a DCE UUID.
[1..1] [M] statusCode (CS {CNE:ActStatus } ) { Default="normal" }

The status of the observation.

The Coded Only data type flavour is used to carry this information as follows:

  • The code attribute will contain a one of the following codes from the Act Status vocabulary:
    • normal
    • nullified
    • active
    • completed.
[0..1] value (ANY)

The value associated with the Social and Personal Circumstance.

RoleChoice

The person performing this participation.

Used by: SocialContextChoice
[1..1] either : UKCT_MT160018UK01

A CMET to identify a person on SDS or provides detailed information for a person not registered on SDS.
             ... or ... : NonAgentRole
The participating person.
NonAgentRole

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

Used by: SocialContextChoice,RoleChoice
[1..1] [M] classCode (CS {CNE:RoleClass } ) { Fixed="ROL" }
Indicates this is a role.
[1..1] [M] 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] 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).

[0..1] playingNonAgentPerson (NonAgentPerson)

An optional link to the person playing the non-agent role.

NonAgentPerson

Details of the non-agent person (i.e. not a care professional).

Used by: NonAgentRole
[1..1] [M] classCode (CS {CNE:EntityClass } ) { Fixed="PSN" }

Indicates this is a person.

[1..1] [M] determinerCode (CS {CNE:EntityDeterminer } ) { Fixed="INSTANCE" }

Indicates that the entity is a single identifiable person.

[1..1] [M] name (SET<PN>)

The name(s) of the person.

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: SocialContextChoice
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="OBS" }

Indicates that this is an observation.

[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }

Indicates that this is an event.

[1..1] [M] code (CV {CNE:TextType } ) { Fixed="SupportingText" }

A code from the vocabulary shown indicating type of text.

The Coded Plain flavour of the Coded Value (CV) data type shall be used to carry this information.
[1..1] [M] value (ST)

The value of the observation.