A_Investigation - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
UKCT_RM144045UK01
Investigation
Details of the investigation.
Used by:
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="PROC" }
Indicates that this is a Procedure.
[1..1] [M] moodCode (CS {CNE:x_ActMoodIntentEvent } )

The mood code of the Investigation.

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

  • The code attribute should be set according the context of the information being conveyed and will be selected from the vocabulary.
[1..1] [M] code (CD {CNE:InvestigationTypeSnCT } )

A SNOMED CT code taken from the vocabulary shown.

The Concept Descriptor (CD) datatype shall be used to carry this information as follows:

  • The code attribute shall contain acode from the relevant vocabulary.
  • The code System attribute shall containthe OID for SnomedCT.
  • The displaytext shall carry a description associated with the codein SnomedCT.
  • the original text attribute may be used if required.
  • qualifier (s) may be used if required.
[1..1] [R] effectiveTime (IVL<TS>)

When the Investigation took place, is intended to take place or is planned to take place.

The 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

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

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

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="normal" }
The status of the Investigation

The Coded Only datatype 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
    • aborted
[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 the role is that of 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] role      [CMET: UKCT_MT160018UK01]
The person who participates in the role of author.
[0..1] informant
Information about the person acting in the role of informant to the author.

Note: This is only required if the Informant or Informant time is different from the inherited Informant.
[1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="INF" }
Indicates that the role is that of 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."
[0..1] time (TS)
The time at which the informant informed the author.
[1..1] role (UKCT_MT160018UK01)
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 Investigation.

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 theParticipationMode vocabulary.
[1..1] [R] time (IVL<TS>)
The time during/at which the performer participated.
[1..1] role (UKCT_MT160018UK01)
The person who participates in the role of performer.
[0..1] pertinentInformation
Indicates pertinent supporting information
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="PERT" }
Indicates pertinent information.
[1..1] [M] contextConductionInd (BL) { Fixed="true" }

Indicates that the associations in the source act are conducted across the ActRelationship to the target act.

[1..1] [M] seperatableInd (BL) { Fixed="false" }
Indicates that the source act and the target act are not meant to be interpreted independently.
[1..1] pertinentSupportingInfo (SupportingInfo)
Link to the details of SupportingInformation.
[0..*] pertinentInformation1
Indicates pertinent medication information.
[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 that the ActRelationship cannot be negated.
[1..1] [M] seperatableInd (BL) { Fixed="false" }
Indicates that the source act and the target act are not meant to be interpreted independently.
[1..1] [M] templateId (II) { Fixed="CSAB_RM-NPfITUK10.sourceOf1" }
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] pertinentMedcationReferenceChoice (MedcationReferenceChoice)
Link to the medication details.
[0..*] product
A reference to something produced by this Investigation, e.g. a specimen.
[1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="PRD" }
Indicates this is a product.
[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] specimenRole (SpecimenRole)
Link to the specimen which is the product.
SupportingInfo
An Act holding overflow information from the Act acting as the root of the clinical statement . Supporting informationshall not contradict the content of the source act, only add to it or explain it.
Used by: Investigation
[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 is an Event.
[1..1] [M] code (CV {CNE:TextType } ) { Fixed="SupportingText" }
A code from the shown vocabulary indicating the nature of the supporting information.

The Coded Plain flavour of the Coded Value (CV) datatype shall be used to carry this information.
[1..1] [M] value (ST)
The supporting text.
MedcationReferenceChoice
Information about the Medication used in this Investigation.
Used by: Investigation
[1..1] either : MedicationAdministration

Reference to MedicationAdministration

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

TemplateText

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

TemplateText

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

TemplateText

             ... or ... : Medication

Reference to Medication

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

TemplateText

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

TemplateText

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

TemplateText

SpecimenRole
Information about the specimen.
Used by: Investigation
[1..1] [M] classCode (CS {CNE:RoleClass } ) { Fixed="SPEC" }
Indicates that this is a specimen.
[1..1] [M] code (CS {CNE:RoleCode } ) { Fixed="P" }
Indicates that this specimen was taken from the patient.
[1..1] [M] id (II)
Local identifier of a specimen.

The local identifier is carried using the Identifier External datatype flavour as follows:
  • The extension attribute shall contain the local id.
  • The root attribute shall contain an OID for the local id. system
[0..1] specimenMaterial (Material)
Refers to the specimen material.
Material
Information about the actual specimen taken.
Used by: SpecimenRole
[1..1] [M] classCode (CS {CNE:EntityClass } ) { Fixed="MAT" }
Indicates that this is a Material.
[1..1] [M] determinerCode (CS {CNE:EntityDeterminer } )
The determinerCode of the entity.

The value of determinerCode should be set according to the specification of the specimen 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.
[0..1] code (CE {CNE:SpecimenMaterialTypeSnCT } )
A SnomedCT code taken from the vocabulary shown.

The datatype must be constrained to CD and used as indicated below.

TheConcept Descriptor (CD) datatype shall be used to carry this information as follows:
  • The code attribute shall contain acode from the relevant vocabulary.
  • The code System attribute shall containthe OID for SnomedCT.
  • The displaytext shall carry a description associated with the codein SnomedCT.
  • the original text attribute may be used if required.
  • qualifier(s) may be used if required.
[0..1] id (II)
An identifier of the material. This attribute may only be used if the determinerCode is "INSTANCE"

The Identifier Global datatype flavour is used to carry this information as follows:
  • The root attributeshall contain a DCE UUID.