A_Finding - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
UKCT_RM144043UK02
FindingChoice

The choice of finding.
Used by:
[1..1] either : Finding

Information about a clinical statement that is a finding.
             ... or ... : BloodPressure

Information relating to Blood Pressure observations.
             ... or ... : Weight

Information relating to a weight observation.
             ... or ... : Height

Information relating to a height observation.
             ... or ... : Temperature
Information relating to a temperature observation.
             ... or ... : FindingOrganizer
[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/during which the author participated in the finding.

[1..1] participant (AuthorChoice)

The person who participates in the role of author for this finding.

[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 (InformantChoice)

The person who participates in the role of informant.

[0..*] 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 participant participated in the finding.

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] [R] time (TS)

The time at/during which the performer participated in the finding.

[1..1] role (UKCT_MT160018UK01)

The person who participates in the role of performer for this finding.

[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)

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

Finding

Information about a clinical statement that is a finding.

To be used to represent a finding which is not a blood pressure, height or weight.
Used by: FindingOrganizer
[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:FindingTypeSnCT } )


A SNOMED CT code taken from the subset shown.

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.

64572001% + 404684003% +363787002% + procedure codes with an associated value exclude 365858006% and 277775005%

% Indicates that the code or any descendants or the code can be used.

Codes as above must be used.
[1..1] [R] effectiveTime (IVL<TS>)

The clinically relevant date and time.

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 only a start date is present the Date or Time Interval After datatype shall be used:

  • The low attribute shall contain the start 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.

The center attribute may be used if the exact start / end time is not known

  • The center attribute shall contain a time stamp.
[1..1] [M] id (II)

This is a unique identifier for this instance of a finding.

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 Finding.

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.
[0..1] referenceRange

A range of values for the finding.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="REFV" }

Indicates this is a Reference Value.
[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] referenceReferenceValue (ReferenceValue)
ReferenceValue

A value associated with the finding.
Used by: Finding
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="OBS" }

Indicates that this is an Observation.

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

Indicates that this is an event criterion or condition applied to another act.
[0..1] interpretationCode (CV {CNE:Interpretation } )

A code from the vocabulary shown indicating type of interpretation.

The Coded Plain flavour of the Coded Value (CV) data type shall be used to carry this information.
[0..1] text (ED)

A textual value associated with the finding.
[0..1] value (IVL<PQ>)
A physical quantity value or range associated with the finding.
BloodPressure


This clinical statement should be used to represent blood pressure where the patient is sitting, an appropriate device is used Korotkoff's 4th sound is used (Nice Guidelines on blood pressure taking are followed). Other types of blood pressure measurement should be recorded using the findings and findings organiser clinical statements.


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

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

Indicates that this is an Event.

[1..1] [M] code (CD {CNE:BloodPressureSnCT } ) { Default="75367002" }

A SnomedCT code identifying Blood Pressure.

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.
[1..1] [R] effectiveTime (TS)
The date and time at which the Blood Pressure was recorded.
[1..1] [M] id (II)

This is a unique identifier for this instance of a Blood Pressure.

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 Blood Pressure Finding.

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.
[1..1] [M] component1

A component of the blood pressure battery.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="COMP" }

Indicates a component.
[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.component" }

An identifier of the Act Relationship that categorises clinical data by it's role within the message instance.

The IdentifierExternal datatype flavour is used to carry this information as follows:

  • The root attribute shall containthe 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] [M] diastolicPressure (DiastolicPressure)

The diastolic blood pressure.
[1..1] [M] component2

A component of the blood pressure battery.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="COMP" }

Indicates that this is a component.
[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.component" }

An identifier of the Act Relationship that categorises clinical data by it's role within the message instance.

The IdentifierExternal datatype flavour is used to carry this information as follows:

  • The root attribute shall containthe 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] [M] systolicPressure (SystolicPressure)

The systolic blood pressure.
DiastolicPressure

The diastolic blood pressure measurement.
Used by: BloodPressure
[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="271650006" }

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] effectiveTime (TS)
The date and time at which the Diastolic Blood Pressure was recorded.
[1..1] [M] id (II)

This is a unique identifier for this instance of a Diastolic Blood Pressure.

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

  • The root attribute shall contain a DCE UUID.
[1..1] [M] value (PQ)

The diastolic blood pressure.

The value should always be in mmHg

SystolicPressure

The systolic blood pressure measurement.
Used by: BloodPressure
[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="271649006" }

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] effectiveTime (TS)
The date and time at which the Systolic Blood Pressure was recorded.
[1..1] [M] id (II)

This is a unique identifier for this instance of a Systolic Blood Pressure.

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

  • The root attribute shall contain a DCE UUID.
[1..1] [M] value (PQ)

The systolic blood pressure.

The value should always be in mmHg

Weight

This should be used for representing either birth weight or body weight.

Used by: FindingChoice
[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 this in an event.
[1..1] [M] code (CD {CNE:BodyWeightSnCT } ) { Default="27113001" }

A SnomedCT code identifying Weight.

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.
[1..1] [R] effectiveTime (TS)

The time that the weight finding was observed.
[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 finding.

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

Weight should be given in Kg to an accuracy of 0.5Kg or in grams to the nearest 5g

Height

Definition - height
The distance from the bottom to the top of something standing upright; especially : the distance from the lowest to the highest point of an animal body especially of a human being in a natural standing position or from the lowest point to an arbitrarily chosen upper point.
This excludes other measurements of length or distance. If these are required to be represented then the findings clinical statement should be used

Used by: FindingChoice
[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:HeightSnCT } ) { Default="248333004" }

A SnomedCT code identifying Height.

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.
[1..1] [R] effectiveTime (TS)

The time that the height observation was observed.
[1..1] [M] id (II)

This is a unique identifier for this instance of a Height.

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 Height Finding.

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

Value in meters with accuracy to 2 decimal places.
Temperature

To represent measurement of body temperature.

Used by: FindingChoice
[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:TemperatureObservationTypeSnCT } )

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.
[1..1] [R] effectiveTime (TS)

The time that the temperature observation was observed.
[1..1] [M] id (II)

This is a unique identifier for this instance of a Temperature.

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 finding.

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

The value of the temperature measurement.
FindingOrganizer

To be used to represent a group of findings


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

Indicates that this is an Entry, this represents the information acquired for an observation.
[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }

Indicates that this is an Event.

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

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
  • the original text attribute may be used if required.
  • qualifier (s) may be used if required.
[1..1] [R] effectiveTime (TS)

The effective date carries the clinically significant time for the event.

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

This is a unique identifier for this instance of a Finding Organizer.

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 finding organiser.

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.
[1..*] [M] component

A component of an organiser.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="COMP" }

Indicates that this is a component.
[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.component" }

An identifier of the Act Relationship that categorises clinical data by it's role within the message instance.

The IdentifierExternal datatype flavour is used to carry this information as follows:

  • The root attribute shall containthe 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] [M] finding (Finding)
AuthorChoice
The choice of authors.
Used by: FindingChoice
[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 ... : UKCT_MT120601UK02

A CMET identifying the participating device.

AgentDevcie.classCode shall carry a fixed value of "AGNT"

AgentDevice. id shall carry a nationally agreed identifier for the role being played. This shall be a code from a national coding scheme.

A national code is carried in the following way:

  • The root attribute shall contain the OID that identifies the coding scheme;
  • The extension attribute shall contain the code.


If the device can be identified by reference to SDS then:

DeviceSDS.classcode shall carry a fixed value of "DEV" to indicates that this is a Device. In this context the device can be hardware or software.

DeviceSDS.determinerCode shall carry a fixed value of "INSTANCE"

DeviceSDS.id shall carry an SDS identifier that uniquely identifies the Device.

This is carried in the following way.

  • The root attribute shall contain an OID with the appropriate value;
  • The extension attribute shall contain the SDS Device ID.


If the device cannot be identified by reference to SDS then:

Device.classCode shall carry a fixed value of "DEV"

Device.determinerCode shall carry a fixed value of "INSTANCE"

Device.id shall carry an optional identifier that uniquely identifies the Device. This shall be a code from a national scheme.

A national code is carried in the following way:

  • The root attribute shall carry the OID that identifies the coding scheme;
  • The extension attribute shall contain the code.
  • If an ID is not present, then a name shall be included.


Device.code shall carry an optional code to describe the type of device.

If a code is not present, then a description shall be included.

Device.name shall carry an optional name of the device.

This shall be included if an id is not present.

Device.desc shall carry an optional description of the type of device.

This shall be included if a code is not present.

Device.manufacturerModelName shall optionally carry the model name as allocated by the Device manufacturer.

Device.softwareName shall optionally carry the name of the software used by the Device.

If the device is scoped by an organisation then and the organisation can be identified by reference to SDS then:

OrganizationSDS.classCode shall carry a fixed value of "ORG"

OrganizationSDS.determinerCode shall carry a fixed value of "INSTANCE"

OrganizationSDS.id shall carry an SDS identifier that uniquely identifies the Organisation. This is carried in the following way:

  • The root attribute shall contain an OID with the value 1.2.826.0.1285.0.1.10;
  • The extension attribute shall contain the SDS Organisation ID.


If the device is scoped by an organization then and the organization cannot be identified by reference to SDS then:

Organization.classCode shall carry a fixed value of "ORG"

Organization.determinerCode shall carry a fixed value of"INSTANCE"

Organization.id shall carryan optional identifier that uniquely identifies the Organisation. This shall be code from a national scheme.

A national code is carried in the following way:

  • the root attribute shall contain the OID that identifies the coding scheme;
  • the extension attribute shall contain the code.
  • If an id is not present, then a name shall be included.


Organization.code shall optionally carry a value from the OrganisationType vocabulary to identify the type of Organisation.

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

  • The code attribute shall contain a value from the list of codes in the OrganisationType vocabulary.
  • If a code is not present, then a description shall be included.

Organization.name shall optionally contain the name of the Organisation. This shall be included if an id is not present.

Organization.desc shall containa optional description of the type of Organisation. This shall be included if a code is not present.

Organization.telecom shall contain optional telephone contact details for the Organisation.

Organization.addr shall contain an optional address of the Organisation.

InformantChoice

The person acting in the role of informant.
Used by: FindingChoice
[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: FindingChoice,InformantChoice
[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: FindingChoice
[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.