A_FamilyHistory Tabular View

Family History releates to a previous event or condition in a family relative deemed to be significant to the care or health of the patient.

Used by:

[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:FamilyHistorySnCT } )

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 (IVL<TS>)

The effective time for Family History relates to the disease as it occurred in family member. So the date of diagnosis of breast cancer in the mother would be appropriate. It is acceptable to have a low attribute only, a low and a high, and a centre.

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 Family History 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] 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 choice of 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

Refers to supporting information which is pertinent to a 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)

Text or a value that is pertinent to the clinical statement.

RoleChoice

The person performing this participation.

Used by: FamilyHistory

[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: FamilyHistory,RoleChoice

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

Indicates that 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

A link to the person playing the non-agent role.

Used by: NonAgentRole

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

Indicates that 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 supporting information which shall not contradict the content of the source act, only add to or explain it.

Used by: FamilyHistory

[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.


UKCT_RM144044UK01

FamilyHistory		Family History releates to a previous event or condition in a family relative deemed to be significant to the care or health of the patient.

	Used by:

[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:FamilyHistorySnCT } )		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 (IVL<TS>)		The effective time for Family History relates to the disease as it occurred in family member. So the date of diagnosis of breast cancer in the mother would be appropriate. It is acceptable to have a low attribute only, a low and a high, and a centre. 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 Family History 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] 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 choice of 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		Refers to supporting information which is pertinent to a 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)		Text or a value that is pertinent to the clinical statement.

RoleChoice		The person performing this participation.

	Used by: FamilyHistory

[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: FamilyHistory,RoleChoice

[1..1] [M] classCode (CS {CNE:RoleClass } ) { Fixed="ROL" }		Indicates that 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		A link to the person playing the non-agent role.

	Used by: NonAgentRole

[1..1] [M] classCode (CS {CNE:EntityClass } ) { Fixed="PSN" }		Indicates that 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 supporting information which shall not contradict the content of the source act, only add to or explain it.

	Used by: FamilyHistory

[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.

A_FamilyHistory - tabular view