GP Summary - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
REPC_RM150007UK05
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="196981000000101" }
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 ofauthor.
[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_MT160018UK01]
NPfIT CMET to identify the person who is participating.

The tabular view for this CMET describes its usage.
Only the SDS representation of a Person 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" }
Indicates that the associations in the source act are conducted across the ActRelationship to the target 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" }
Indicates that the associations in the source act are conducted across the ActRelationship to the target 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..*] [M] pertinentInformation2
Indicates pertinent CRE Type information for the GPSummary components.
[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" }
Indicates that the associations in the source act are conducted across the ActRelationship to the target 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] pertinentCREType (CREType)
Link to details of the CRE Type
[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.
[0..1] replacementOf
Refers to a previous message this message is intended to replace.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="RPLC" }
Indicates a replacement.
[1..1] [R] priorMessageRef (MessageRef)
Link to the reference of the message that is being replaced.
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..

CREType
The CRE Type applied to components of 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:CRETypeSnCT } )

A SNOMED CT code taken from the vocabulary shown.

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.
[1..*] [M] component
Refers to the components of the GP Summary.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="COMP" }
Indicates that this is a component.
[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] [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.component".
[1..1] [M] cMETChoice (CMETChoice)
Link to a choice of components.
CMETChoice
Choice of components for the GP Summary.
Used by: CREType
[1..1] either : UKCT_MT144056UK01

TemplateText
             ... or ... : UKCT_MT144055UK01

TemplateText
             ... or ... : UKCT_MT144054UK01

TemplateText
             ... or ... : UKCT_MT144053UK02

TemplateText
             ... or ... : UKCT_MT144050UK01

TemplateText
             ... or ... : UKCT_MT144049UK01

TemplateText
             ... or ... : UKCT_MT144048UK02

TemplateText
             ... or ... : UKCT_MT144047UK01

TemplateText
             ... or ... : UKCT_MT144046UK01

TemplateText
             ... or ... : UKCT_MT144045UK01

TemplateText
             ... or ... : UKCT_MT144044UK01

TemplateText
             ... or ... : UKCT_MT144043UK02

TemplateText
             ... or ... : UKCT_MT144042UK01

TemplateText
             ... or ... : UKCT_MT144041UK01

TemplateText
             ... or ... : UKCT_MT144040UK01

TemplateText
             ... or ... : UKCT_MT144039UK02

TemplateText
             ... or ... : UKCT_MT144038UK02

TemplateText
             ... or ... : UKCT_MT144037UK01

TemplateText
             ... or ... : UKCT_MT144036UK01

TemplateText
             ... or ... : UKCT_MT144035UK01

TemplateText
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.
MessageRef
A reference to a previous message GP Summary that this message is replacing.

Note: If there is an existing GP Summary on PSIS then it MUST be replaced by the updated summary.
Used by: GPSummary
[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] id (II)
A reference to another GP Summary held on PSIS.
NOTE :- This will be the message UUID which in GP Summary messages MUST be the same as the PSIS Event UUID.