A_LinkAssertion - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
UKCT_RM144039UK02
LinkAssertionChoice
A choice of the type of link assertion.
Used by:
[1..1] either : LinkAssertion
An assertion between two clinical statements which are not specifically modelled elsewhere.
             ... or ... : ProblemMemberAssertion
Asserts a clinical statement as a member of a problem.
             ... or ... : ProblemLinkAssertion
Asserting a link between two problems.
[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 made the link assertion.
[1..1] role      [CMET: UKCT_MT160018UK01]
A CMET to identify a person on SDS or provides detailed information for a person not registered on SDS.
LinkAssertion

This is used to assert a linkage between 2 acts.
NB these are unlikely to be used in GP Summary messages

  • Problem link assertion - used to link one problem to another
  • Problem member assertion - used to identify acts as being members of problems. This is used to group together acts which are all relevant to the particular Problem and Issue.
Used by: LinkAssertionChoice
[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:LinkAssertionSnCT } )

A SNOMED CT code taken from the vocabulary shown.

The Concept Descriptor (CD) data type 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 vocabulary must always be used.

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

The time/duration that the LinkAssertion 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 the Link Assertion.

The Identifier Global datatype flavour is used to carry the identifier as follows:

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

The status of the act.

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:
    • completed
    • nullified.
[1..1] [M] pertinentInformation1
Indicates the source clinical statement to link.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="PERT" }
Indicates that this is pertinent information.
[1..1] [M] inversionInd (BL) { Fixed="true" }
Indicates that the meaning of the ActRelationship is reversed.
[1..1] [M] negationInd (BL) { Fixed="false" }
Indicates if the ActRelationship cannot be negated or not.
[1..1] [M] seperatableInd (BL) { Fixed="false" }
Indicates if the source Act is to be interpreted independently of the target Act.
[1..1] [M] templateId (II) { Fixed="CSAB_RM-NPfITUK10.sourceOf" }

This form of linkage is supported by the "StatementRelationship" Clinical Statement type and two associations with references pointing to the Clinical Statements that are to be related. The Identifier External data type 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] [M] pertinentSourceClinicalStatement (SourceClinicalStatement)
An reference to the source clinical statement being referenced by the assertion.
[1..1] [M] pertinentInformation2
Indicates the target clinical statement to link.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="PERT" }

Indicates that this is pertinent information.

[1..1] [M] inversionInd (BL) { Fixed="false" }
Indicates that the meaning of the ActRelationship is not reversed.
[1..1] [M] negationInd (BL) { Fixed="false" }
Indicates if the ActRelationship cannot be negated or not.
[1..1] [M] seperatableInd (BL) { Fixed="false" }
Indicates if the source Act is to be interpreted independently of the target Act.
[1..1] [M] templateId (II) { Fixed="CSAB_RM-NPfITUK10.sourceOf" }

This form of linkage is supported by the "StatementRelationship" Clinical Statement type and two associations with reference pointing to the Clinical Statements that are to be related. The Identifier External data type 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] [M] pertinentTargetClinicalStatement (TargetClinicalStatement)
An reference to the target clinical statement being referenced by the assertion.
SourceClinicalStatement
The source clinical statement.
Used by: LinkAssertion
[1..1] either : PersonalPreference

Reference to PersonalPreference

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

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

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[1..1] [M] id ( II )

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             ... or ... : Finding

Reference to Finding

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

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

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[1..1] [M] id ( II )

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             ... or ... : SocialContext

Reference to SocialContext

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

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

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[1..1] [M] id ( II )

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             ... or ... : FamilyHistory

Reference to FamilyHistory

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

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

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[1..1] [M] id ( II )

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             ... or ... : Diagnosis

Reference to Diagnosis

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

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

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[1..1] [M] id ( II )

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             ... or ... : Medication

Reference to Medication

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

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

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[1..1] [M] id ( II )

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             ... or ... : MedicationAdministration

Reference to MedicationAdministration

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

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

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[1..1] [M] id ( II )

TemplateText

             ... or ... : AllergiesAndAdverseReactionsDE

Reference to AllergiesAndAdverseReactionsDE

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

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

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[1..1] [M] id ( II )

TemplateText

             ... or ... : AllergiesAndAdverseReactionsIdent

Reference to AllergiesAndAdverseReactionsIdent

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

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

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[1..1] [M] id ( II )

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             ... or ... : RiskToPerson

Reference to RiskToPerson

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

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

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[1..1] [M] id ( II )

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             ... or ... : RiskToPatient

Reference to RiskToPatient

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

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

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[1..1] [M] id ( II )

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             ... or ... : Investigation

Reference to Investigation

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

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

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[1..1] [M] id ( II )

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             ... or ... : Service

Reference to Service

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

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

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[1..1] [M] id ( II )

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             ... or ... : ProvisionOfAdviceAndInformation

Reference to ProvisionOfAdviceAndInformation

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

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

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[1..1] [M] id ( II )

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             ... or ... : AdministrativeProcedure

Reference to AdministrativeProcedure

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

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

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[1..1] [M] id ( II )

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             ... or ... : Treatment

Reference to Treatment

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

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

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[1..1] [M] id ( II )

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             ... or ... : CareEvent

Reference to CareEvent

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

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

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[1..1] [M] id ( II )

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TargetClinicalStatement

The target Clinical Statement

Used by: LinkAssertion
[1..1] either : PersonalPreference

Reference to PersonalPreference

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

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

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[1..1] [M] id ( II )

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             ... or ... : Finding

Reference to Finding

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

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

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[1..1] [M] id ( II )

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             ... or ... : SocialContext

Reference to SocialContext

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

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

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[1..1] [M] id ( II )

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             ... or ... : FamilyHistory

Reference to FamilyHistory

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

TemplateText

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

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[1..1] [M] id ( II )

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             ... or ... : Diagnosis

Reference to Diagnosis

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

TemplateText

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

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[1..1] [M] id ( II )

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             ... or ... : Medication

Reference to Medication

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

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

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[1..1] [M] id ( II )

TemplateText

             ... or ... : MedicationAdministration

Reference to MedicationAdministration

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

TemplateText

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

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[1..1] [M] id ( II )

TemplateText

             ... or ... : AllergiesAndAdverseReactionsDE

Reference to AllergiesAndAdverseReactionsDE

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

TemplateText

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

TemplateText

[1..1] [M] id ( II )

TemplateText

             ... or ... : AllergiesAndAdverseReactionsIdent

Reference to AllergiesAndAdverseReactionsIdent

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

TemplateText

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

TemplateText

[1..1] [M] id ( II )

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             ... or ... : RiskToPerson

Reference to RiskToPerson

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

TemplateText

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

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[1..1] [M] id ( II )

TemplateText

             ... or ... : RiskToPatient

Reference to RiskToPatient

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

TemplateText

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

TemplateText

[1..1] [M] id ( II )

TemplateText

             ... or ... : Investigation

Reference to Investigation

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

TemplateText

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

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[1..1] [M] id ( II )

TemplateText

             ... or ... : Service

Reference to Service

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

TemplateText

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

TemplateText

[1..1] [M] id ( II )

TemplateText

             ... or ... : ProvisionOfAdviceAndInformation

Reference to ProvisionOfAdviceAndInformation

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

TemplateText

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

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[1..1] [M] id ( II )

TemplateText

             ... or ... : AdministrativeProcedure

Reference to AdministrativeProcedure

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

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

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[1..1] [M] id ( II )

TemplateText

             ... or ... : Treatment

Reference to Treatment

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

TemplateText

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

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[1..1] [M] id ( II )

TemplateText

             ... or ... : CareEvent

Reference to CareEvent

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

TemplateText

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

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[1..1] [M] id ( II )

TemplateText

ProblemMemberAssertion
Asserts a clinical statement as a member of a problem.
Used by: LinkAssertionChoice
[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:SnomedCT } ) { Fixed="416271009" }

A SNOMED CT code taken from the vocabulary shown.

The Coded Plain Flavour of Code Value (CV) data type 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
[1..1] [R] effectiveTime (IVL<TS>)

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 the Link Assertion.

The Identifier Global datatype flavour is used to carry the identifier as follows:

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

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:
    • completed
    • nullified.
[1..1] [M] pertinentInformation3
Indicates the problem which has a ProblemMember.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="PERT" }
Indicates pertinent information.
[1..1] [M] inversionInd (BL) { Fixed="true" }
Indicates that the meaning of the ActRelationship is reversed.
[1..1] [M] negationInd (BL) { Fixed="false" }
Indicates if the ActRelationship cannot be negated or not.
[1..1] [M] seperatableInd (BL) { Fixed="false" }
Indicates if the source Act is to be interpreted independently of the target Act.
[1..1] [M] templateId (II) { Fixed="CSAB_RM-NPfITUK10.sourceOf" }

This form of linkage is supported by the "StatementRelationship" Clinical Statement type and two associations with references pointing to the Clinical Statements that are to be related. The Identifier External data type 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] [M] pertinentProblem (Problem)
A reference to the problem.
[1..1] [M] pertinentInformation4
Indicates a clinical statement which is a member of a problem.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="PERT" }
Indicates pertinent information.
[1..1] [M] inversionInd (BL) { Fixed="false" }
Indicates that the meaning of the ActRelationship is not reversed.
[1..1] [M] negationInd (BL) { Fixed="false" }
Indicates if the ActRelationship cannot be negated or not.
[1..1] [M] seperatableInd (BL) { Fixed="false" }
Indicates if the source Act is to be interpreted independently of the target Act.
[1..1] [M] templateId (II) { Fixed="CSAB_RM-NPfITUK10.sourceOf" }

This form of linkage is supported by the "StatementRelationship" Clinical Statement type and two associations with references pointing to the Clinical Statements that are to be related. The Identifier External data type 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] [M] pertinentProblemMember (ProblemMember)
The clinical statement being referenced by the assertion.
Problem
A reference to the abstract problem.
Used by: ProblemMemberAssertion,ProblemLinkAssertion
[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] id (II)

This is a unique identifier for this instance of an Problem.

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

  • The root attribute shall contain a DCE UUID.
ProblemMember
Used by: ProblemMemberAssertion
[1..1] either : PersonalPreference

Reference to PersonalPreference

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

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

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[1..1] [M] id ( II )

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             ... or ... : Finding

Reference to Finding

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

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

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[1..1] [M] id ( II )

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             ... or ... : SocialContext

Reference to SocialContext

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

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

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[1..1] [M] id ( II )

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             ... or ... : FamilyHistory

Reference to FamilyHistory

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

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

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[1..1] [M] id ( II )

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             ... or ... : Diagnosis

Reference to Diagnosis

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

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

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[1..1] [M] id ( II )

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             ... or ... : Medication

Reference to Medication

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

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

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[1..1] [M] id ( II )

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             ... or ... : MedicationAdministration

Reference to MedicationAdministration

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

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

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[1..1] [M] id ( II )

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             ... or ... : AllergiesAndAdverseReactionsDE

Reference to AllergiesAndAdverseReactionsDE

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

TemplateText

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

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[1..1] [M] id ( II )

TemplateText

             ... or ... : AllergiesAndAdverseReactionsIdent

Reference to AllergiesAndAdverseReactionsIdent

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

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

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[1..1] [M] id ( II )

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             ... or ... : RiskToPerson

Reference to RiskToPerson

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

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

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[1..1] [M] id ( II )

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             ... or ... : RiskToPatient

Reference to RiskToPatient

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

TemplateText

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

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[1..1] [M] id ( II )

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             ... or ... : Investigation

Reference to Investigation

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

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

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[1..1] [M] id ( II )

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             ... or ... : Service

Reference to Service

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

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

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[1..1] [M] id ( II )

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             ... or ... : ProvisionOfAdviceAndInformation

Reference to ProvisionOfAdviceAndInformation

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

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

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[1..1] [M] id ( II )

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             ... or ... : AdministrativeProcedure

Reference to AdministrativeProcedure

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

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

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[1..1] [M] id ( II )

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             ... or ... : Treatment

Reference to Treatment

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

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

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[1..1] [M] id ( II )

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             ... or ... : CareEvent

Reference to CareEvent

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

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

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[1..1] [M] id ( II )

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ProblemLinkAssertion

States a link between two problem statements.

Used by: LinkAssertionChoice
[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:SnomedCT } ) { Fixed="181311000000101" }

A SNOMED CT code taken from the vocabulary shown indicating that this is a Problem Link - Assertion.

The Coded Plain Flavour of Code Value (CV) data type 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
[1..1] [R] effectiveTime (IVL<TS>)

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 an act.

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="completed" }

The status of the act.

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:
    • completed
    • nullified.
[1..1] [M] pertinentInformation5

Indicates the source problem to be linked.

[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="PERT" }
Indicates pertinent information.
[1..1] [M] inversionInd (BL) { Fixed="true" }
Indicates that the meaning of the ActRelationship is reversed.
[1..1] [M] negationInd (BL) { Fixed="false" }
Indicates if the ActRelationship cannot be negated or not.
[1..1] [M] seperatableInd (BL) { Fixed="false" }
This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
[1..1] [M] templateId (II) { Fixed="CSAB_RM-NPfITUK10.sourceOf" }

This form of linkage is supported by the "StatementRelationship" Clinical Statement type and two associations with references pointing to the Clinical Statements that are to be related. The Identifier External data type 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] [M] pertinentProblem (Problem)
A reference to a problem.
[1..1] [M] pertinentInformation6

Indicates the target problem to be linked.

[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="PERT" }
Indicates pertinent information.
[1..1] [M] inversionInd (BL) { Fixed="false" }
Indicates that the meaning of the ActRelationship is not reversed.
[1..1] [M] negationInd (BL) { Fixed="false" }
Indicates if the ActRelationship cannot be negated or not.
[1..1] [M] seperatableInd (BL) { Fixed="false" }
Indicates if the source Act is to be interpreted independently of the target Act.
[1..1] [M] templateId (II) { Fixed="CSAB_RM-NPfITUK10.sourceOf" }

This form of linkage is supported by the "StatementRelationship" Clinical Statement type and two associations with references pointing to the Clinical Statements that are to be related. The Identifier External data type 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] [M] pertinentProblem (Problem)
A reference to a problem.