A_MedicationRecordMinimal - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
UKCT_RM144040UK01
MedicationChoice

This CMET is used to record medication information.

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

A repeat medication that the patient has a repeat prescription for.
             ... or ... : AcuteMedication

A single administration.
             ... or ... : DiscontinuedRepeatMedication
A repeat medication that the patient no longer has a repeat prescription for.
             ... or ... : MedicationAdministration
Administration of medication.
[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] [M] time (TS)
The time at which the author participated.
[1..1] role (UKCT_MT160018UK01)

A CMET to identify a person on SDS or provides detailed information for a person not registered on SDS.
[0..1] component

A relationship linking the child as a component of the parent.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="COMP" }

Indicates that this is a component.
[1..1] [M] seperatableInd (BL) { Fixed="false" }

Indicates if the source Act is to be interpreted independently of the target Act.

[1..1] medicationQuantity (MedicationQuantity)
[1..1] [M] consumable
The participation of the kind of medication to be consumed.
[1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="CSM" }

Indicates that the role is that of a consumable.
[0..1] 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] [M] manufacturedProduct (ManufacturedProduct)

The role played by the kind of manufactured product.
[0..1] pertinentInformation
Indicates pertinent information - supporting information to the Medication Choice.
[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)

Refers to supporting textual information which is pertinent to a clinical statement.

[0..1] pertinentInformation3

Information which is pertinent to the Clinical Statement.

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

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

When "true" the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed.

[1..1] [M] negationInd (BL) { Fixed="false" }

When "true" allows the sender to specifically state that the semantic of the relationship is negated.

[1..1] [M] seperatableInd (BL) { Fixed="false" }

When "true" the source Act is intended to be interpreted independently of the target Act.
[1..1] [M] templateId (II) { Fixed="CSAB_RM-NPfITUK10.sourceOf2" }

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Direct Relationship" mechanism.
[1..1] pertinentDaysSupply (DaysSupply)

Details of the days supply for the act.
[0..*] reason
A reason for the Medication Request.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="RSON" }

Indicates a Reason relationship.
[1..1] [M] inversionInd (BL) { Fixed="false" }

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed.

[1..1] [M] negationInd (BL) { Fixed="false" }

When "true" allows the sender to specifically state that the semantic of the relationship is negated.

[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.sourceOf1" }

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 template ID "CSAB_RM-NPfITUK10.sourceOf1".
[1..1] justifyingReasonForMedication (ReasonForMedication)
A reason why the medication is / was requested in the form of a reference.
CurrentRepeatMedication

A repeat medication that the patient has a repeat prescription for.
Used by: MedicationChoice
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="SBADM" }

Indicates that this is a substance administration act.
[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="RQO" }

Indicates that this is a request
[1..1] [M] code (CV {CNE:SnomedCT } ) { Fixed="222681000000101" }

A SnomedCT code identifying the act as describing current repeated medication.

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

The start date of the repeat medication.

The Date or Time Interval After data type shall be used:

  • The low attribute shall contain the start date.
[1..1] [M] id (II)

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

The Identifier Global data type flavour is used to carry the identifiers follows:

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

The status of the Current Repeated Medication.

The Coded Only datatype flavour is used to carry this information. The code attribute will contain one of the following values from the list of codes in the Act Status vocabulary:

  • normal;
  • active;
  • nullified.
[1..1] [M] pertinentInformation1

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] [M] pertinentDosageInstructions (DosageInstructions)
The requested dosage instructions for this medication administration.
DosageInstructions

The requested dosage instructions for this medication administration.

Used by: CurrentRepeatMedication
[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:PrescriptionAnnotation } ) { Fixed="DI" }

A code taken from the PrescriptionAnnotation vocabulary indicating that this act contains the dosage instructions.

The Coded Plain flavour of the Coded Value (CV) data type 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.


[1..1] [M] value (ST)

The dosage instructions in text form.
AcuteMedication

A single administration.
Used by: MedicationChoice
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="SBADM" }

Indicates that this is a substance administration act.
[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="RQO" }

Indicates that this is a request.
[1..1] [M] code (CV {CNE:SnomedCT } ) { Fixed="222671000000103" }

A SnomedCT code identifying the act as describing actue medication.

The Coded Plain Flavour of Code Value (CV) 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
[1..1] [M] effectiveTime (TS)
The time at which the acute medication was administered.
[1..1] [M] id (II)

This is a unique identifier for this instance of an Acute Medication.

The Identifier Global data type flavour is used to carry the identifiers follows:

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

The status of the Acute Medication.

The Coded Only datatype flavour is used to carry this information. The code attribute will contain one of the following values from the list of codes in the Act Status vocabulary:

  • normal
  • active
  • nullified
  • completed
  • aborted.
[1..1] [M] pertinentInformation1 (PertinentInformation6)
DiscontinuedRepeatMedication

A repeat medication that the patient no longer has a repeat prescription for.

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

Indicates that this is a substance administration act.
[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="RQO" }
Indicates that this is a request.
[1..1] [M] code (CV {CNE:SnomedCT } ) { Fixed="222691000000104" }

A SnomedCT code identifying the act as describing discontinued repeat medication.

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

The start and end dates of the requested medication administration. The start is when it is was requested to start administering medication and the end date is when it was requested to stop administering medication.

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

This is a unique identifier for this instance of an Discontinued Repeat Medication.

The Identifier Global data type flavour is used to carry the identifiers follows:

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

The status of the Discontinued Repeat Medication.

The Coded Only datatype flavour is used to carry this information. The code attribute will contain one of the following values from the list of codes in the Act Status vocabulary:

  • normal
  • active
  • nullified
  • completed
  • aborted.
[1..1] [M] pertinentInformation1 (PertinentInformation6)
[0..*] reason1

A reason for discontinuing the medication.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="RSON" }

Indicates a reason relationship.
[1..1] [M] inversionInd (BL) { Fixed="false" }

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed.

[1..1] [M] negationInd (BL) { Fixed="false" }

When "true" allows the sender to specifically state that the semantic of the relationship is negated.

[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.sourceOf1" }

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.sourceOf1"
[1..1] justifyingReasonForDiscontinuation (ReasonForDiscontinuation)

he reason for the discontinuation.
ReasonForDiscontinuation

The reason for the discontinuation.

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

Reference to PersonalPreference
[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 ... : Finding

Reference to Finding
[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 ... : FamilyHistory

Reference to FamilyHistory
[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 ... : Diagnosis

Reference to Diagnosis
[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 ... : 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 )

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})

TemplateText
[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})

TemplateText
[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})

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

TemplateText
MedicationAdministration
Administration of medication.
Used by: MedicationChoice
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="SBADM" }

Indicates that this is a substance administration act.
[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }

Indicates that this is an Event.

[1..1] [M] code (CD {CNE:AdministrationSnCT } ) { Fixed="18629005" }

One or more SnomedCT code identifying the act as describing requesting of the administration of medication.

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 codeSystem attribute shall contain the OID for SnomedCT
  • The displayName shall carry a description associated with the code in SnomedCT
  • the originalText attribute may be used if required
  • qualifier(s) may be used if required.
[1..1] [M] effectiveTime (IVL<TS>)

The start and end dates OR time-stamp of the medication administration.

If a duration:

The start is when it is was started and the end date is when it was stopped.

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.
If a time-stamp:
  • The time recorded should be as precise as possible and in one of the formats listed below:

    YYYY
    YYYYMM
    YYYYMMDD
    YYYYMMDDhh
    YYYYMMDDhhmm.
[1..1] [M] id (II)

This is a unique identifier for this instance of an Medication Administration.

The Identifier Global data type flavour is used to carry the identifiers follows:

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

The status of the Medication Administration.

The Coded Only datatype flavour is used to carry this information. The code attribute will contain one of the following values from the list of codes in the Act Status vocabulary:

  • normal
  • active
  • nullified
  • completed
  • aborted.
[0..1] performer

Refers to a performer of the act.

Where performer participation is used, then all performers must be stated, even if they authored the act.

Where the author did not perform the act then the performer(s) should be explicitly stated.
[1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="PRF" }

Indicates that this is a performer.

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

The mode in which the performer participated.

The Coded Only data type 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] [M] time (IVL<TS>)

The time at/during which the performer participated.

[1..1] participant (PerformerChoice)
The choice of performers.
[1..1] [R] pertinentInformation2

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] [R] pertinentAdministrationDetails (AdministrationDetails)

Timing other information about the administration of the medication.
PerformerChoice

The choice of performers.
Used by: MedicationAdministration
[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: MedicationAdministration,PerformerChoice
[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) data type 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)

A 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 of the person.
AdministrationDetails

Timing & other information about the administration of the medication.
Used by: MedicationAdministration
[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:PrescriptionAnnotation } ) { Fixed="AD" }
A code taken from the PrescriptionAnnotation vocabulary indicating that this act contains Medication Administration Instructions.
[1..1] [M] value (ST)

The Medication Administration Intructions text.
MedicationQuantity

The quantity of medication.
Used by: MedicationChoice
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="SPLY" }

Indicates that this is a supply act.
[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="RQO" }

Indicates that this is a request or order for a service.
[1..1] [M] code (CV {CNE:SnomedCT } ) { Fixed="246205007" }

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] [M] quantity (PQ)

The quantity of medication.
ManufacturedProduct

The role that plays the manufactured product.

Used by: MedicationChoice
[1..1] [M] classCode (CS {CNE:RoleClass } ) { Fixed="MANU" }

Indicates a role scoped by a manufacturer.
[1..1] [M] manufacturedManufacturedMaterial (ManufacturedMaterial)
The type of medication being administered.
ManufacturedMaterial

The type of medication being administered.

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

Indicates that this is a manufactured material.
[1..1] [M] determinerCode (CS {CNE:EntityDeterminer } )

The determiner code of the entity.

The value of determinerCode should be set according to the specification of the drug 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] [M] code (CE {CNE:ManufacturedMaterialSnCT } )

The type of drug being administered in SnomedCT coded form.

The drug can be identified by an actual 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 Coded Plain datatype shall be used to carry this information as follows:

  • the code attribute will contain the dm+d codification associated with the product or device
  • the codeSystem attribute will contain the OID for SnomedCT
  • the displayText attribute will contain the textual (human readable) description associated with the code.
SupportingInfo

An Act holding supporting information which shall not contradict the content of the source act, only add to or explain it.

Used by: MedicationChoice
[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 supporting text.

DaysSupply
Details of the days supply for the act.
Used by: MedicationChoice
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="SPLY" }

Indicates that this is a supply act.
[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="RQO" }

Indicates that this is a request or order for a service.
[1..1] [M] code (CV {CNE:SnomedCT } ) { Fixed="228864003" }

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] [M] expectedUseTime (IVL<TS>)

The duration for the for the requested supply.

Both a start date and an end date and 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.
[1..1] [M] id (II)

The UUID of the referenced days supply.
ReasonForMedication

A reason why the medication is / was requested in the form of a reference.

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

Reference to PersonalPreference
[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 ... : Finding

Reference to Finding
[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 ... : 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 ... : 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 )

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             ... 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 ... : 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 ... : 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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