GP Summary (text) - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
REPC_RM150002UK05
GPSummary

The GP Summary.

Used by:
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="COMPOSITION" }
Indicates that this is a Composition.
[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }
Indicates this is an Event.
[1..1] [M] code (CV {CNE:EventTypeSnCT } ) { Fixed="196971000000103" }

A SNOMED CT code taken from the vocabulary shown.

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] effectiveTime (TS)
The time the GP Summary was created on the GP system.
[1..1] [M] id (II)

This is a unique identifier for this instance of a GP Summary.

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

  • The root attribute shall contain a DCE UUID.
NOTE :- This will be the message UUID which in GP Summary messages MUST be the same as the PSIS Event UUID.
[1..1] [M] statusCode (CS {CNE:ActStatus } ) { Default="active" }

The status of the GP Summary.

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:
    • nullified
    • active
[1..1] [M] author
Refers to the person or organisation who is the author of the act.

Note: This 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] [M] role      [CMET: UKCT_MT160017UK01]
NPfIT CMET to identify the organisation which is participating.

The tabular view for this CMET describes its usage.

Only the SDS representation of Organisation should be used.
[1..1] [M] excerptFrom
Refers to the presentation text which is the excerpt of the GP Summary.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="XCRPT" }
Indicates that this is an excerpt.
[1..1] [M] inversionInd (BL) { Fixed="false" }
Indicates that the meaning of the ActRelationship is not reversed.
[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] 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="CSAT_RM-NPfITUK10.excerptFrom" }
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.excerptFrom".
[1..1] [M] sourcePresentationText      [CMET: UKCT_MT144051UK01]
Link to details of the PresentationText.
[1..1] [M] pertinentInformation1

Indicates pertinent CRE Type information for the GPSummary.

[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] contextConductionInd (BL) { Fixed="true" }
If true, associations in the parent act are conducted across the ActRelationship to the child act.
[1..1] [M] negationInd (BL) { Fixed="false" }
Indicates that the ActRelationship cannot be negated.
[1..1] [M] seperatableInd (BL) { Fixed="true" }
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.pertinentInformation1" }

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.pertinentInformation1".
[1..1] [M] pertinentRootCREType (RootCREType)
Link to details of the RootCREType.
[1..1] [M] recordTarget

Refers to the patient who is the subject of the GP Summary message.

[1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="RCT" }
Indicates that the role is that of record target.
[1..1] [M] patient (Patient)
The patient who is the record target. Only new permanent NHS numbers can be used to identify patients.
RootCREType

The CRE Type applied to the GP Summary.

Used by: GPSummary
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="CATEGORY" }
Indicates that this is a category.
[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }
Indicates this is an Event.
[1..1] [M] code (CV {CNE:SnomedCT } ) { Fixed="163171000000105" }

Indicates that this is the CRE Type care professional documentation.

The Coded Plain flavour of the Coded Value (CV) datatype shall be used to carry this information as follows:

  • The code attribute shall contain the fixed value shown.
  • 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.
Patient

Refers to the patient who is the record target.

Used by: GPSummary
[1..1] [M] classCode (CS {CNE:RoleClass } ) { Fixed="PAT" }
Indicates that the role is that of a patient.
[1..1] [M] id (II)

To provide the nationally recognised identifier for the patient, the NHS number.

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

An NHS number is carried in the following way:

  • The root attribute will contain an OID with the value "2.16.840.1.113883.2.1.4.1"
  • The extension attribute will contain the NHS number.
Only new permanent NHS numbers can be used to identify patients.