Diagnostic Imaging Request - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
POII_RM000001UK01
DIRequest

An act used to specify the details of the Diagnostic Imaging Request.

Used by:
[1..1] classCode (CS {CNE:ACT} ){ Fixed="ACT" }

A code to indicate this is an Entry.

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

Indicates that the mood of an act is a request.

  • Fixed value:= "RQO"
[1..2] id (LIST<II>)

The identifier for the DIRequest which is in the form of a list. 

The first (mandatory) identifier represents a placer's request ID. This consists of a system OID + the placer system Request ID.  As well as conveying a real world business identifier that the observation may have, the presence of an id allows this act to be "replaced" in a future message should that be necessary (see replacementOf).

The second id is for possible future use (e.g. "snapshot" DCE UUID).

[1..1] code (CV {CNE:OrganizerTypeSnCT} )

A Snomed code from the OrganizerTypeSnCT vocabulary that describes this act as a 'Diagnostic imaging request':

  • Fixed Value: "181361000000104"

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

  • The code attribute shall contain a value from the list of codes in the  vocabulary
  • The codeSystem attribute shall contain the OID for SnomedCT
  • The displayName attribute will carry a description for the code from the coding system 
[1..1] effectiveTime (TS)

May be used to carry the patient's preferred date and time for fulfillment of this DI Request in a structured format.

Format: yyyy(mm)(dd)(hh)(mm)(ss)

If there is no preferred date and time for fulfillment of this DI Request, or the preferred date and time is to be carried in an unstructured format (in the AdditionalInformation act) a 'Null Value' (NullFlavor: NA) shall be carried in this field.

[1..1] priorityCode (CV {CNE:PriorityType} )

A code from the PriorityType vocabulary which describes the priority of the act, in this case the priority of the DI Request.

Allowed values are:

  1. 'Routine' (default value)
  2. 'Urgent'

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

  • The code attribute shall contain a value from the list of codes in the  vocabulary
  • The codeSystem attribute shall contain the OID for the vocabulary 
  • The displayName attribute will carry a description for the code from the coding system 
[1..1] recordTarget

A link between the DIRequestMessageEvent focal act and the details of the patient to whom it relates.

[1..1] typeCode (CS {CNE:RCT} ){ Fixed="RCT" }

A code indicating that the patient's records will hold the information relating to this DIRequest act.

  • Fixed value: "RCT"
[1..1] patient (Patient)

A link to the details of the patient

[1..1] author

A link between the DIRequestMessageEvent focal act and the details of it's author.

[1..1] typeCode (CS {CNE:AUT} ){ Fixed="AUT" }

A code indicating that this is the author of the message

  • Fixed value: "AUT"
[1..1] contextControlCode (CS {CNE:ContextControl} )

A code that 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.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association overrides to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this professional propagates through to the clinical statements as the authoring care professional unless specifically overriden for individual acts.

[1..1] time (TS)

A timestamp specifying the time that the message was sent.

[1..1] agent      [CMET: UKCT_MT120301UK02]

A link to the NPfIT CMET R_AgentNPFITPersonSDS used to identify the person who has verified the content of the act.

Full details of the person and role profile are available from SDS.

Only the following Classes and Attributes from this CMET shall be included in this message.  Classes and attributes that are not detailed below are not to be used in this message.

AgentPersonSDS.id shall  carry An SDS identifier that uniquely identifies the Role of the Person in the following way:

  • The root attribute shall contain an OID with the value 1.2.826.0.1285.0.2.0.67
  • The extension attribute shall contain the SDS Role Profile ID

PersonSDS.id shall carry an SDS identifier that uniquely identifies the Person in the following way:

  • The root attribute shall contain an OID with the value 1.2.826.0.1285.0.2.0.65
  • The extension attribute shall contain the SDS User ID
[0..1] location

A link between the DIRequest act and the details of the patient's preferred location for this DI Request to be fulfilled when this is to be carried in a structured format.

Note - the ptaient's preferred location for fulfillment of this DI request may also be carried in an unstructured format in the 'AdditionalInformation' act.

[1..1] typeCode (CS {CNE:LOC} ){ Fixed="LOC" }

A code indicating that this is a location

  • Fixed value: "LOC"
[1..1] contextControlCode (CS {CNE:ContextControl} )

A code that 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.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "ON" - Overidding, non propagating

"ON" indicates that association overides the existing context associated with the Act, but will not propagate to any descendant Acts reached by conducting Act Relationships.

[1..1] agent      [CMET: UKCT_MT120501UK03]

A link to the NPFIT CMET:  R_AgentNPFITOrganizationSDS used to identify the patient's preferred location for this DI Request to be fulfilled.

Only the following Classes and Attributes from this CMET shall be included in this message.  Classes and attributes that are not detailed below are not to be used in this message.

AgentPersonSDS.id shall  carry An SDS identifier that uniquely identifies the role of the Person in the following way:

  • The root attribute shall contain an OID with the value 1.2.826.0.1285.0.2.0.67.
  • The extension attribute shall contain the SDS Role Profile ID.

PersonSDS.id shall carry an SDS identifier that uniquely identifies the Person in the following way:

  • The root attribute shall contain an OID with the value 1.2.826.0.1285.0.2.0.65.
  • The extension attribute shall contain the SDS User ID.
[0..1] primaryInformationRecipient

A link between the DIRequest act and the details of the DI Service Provider to whom it is sent with the expectation that they act on it's contents.

[1..1] typeCode (CS {CNE:PRCP} ){ Fixed="PRCP" }

A code indicating that this is the Primary Recipient of the message

  • Fixed value: "PRCP"
[1..1] contextControlCode (CS {CNE:ON} ){ Fixed="ON" }

A code that 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.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Fixed value: "ON" - Overidding, non propagating

"ON" indicates that association overides the existing context associated with the Act, but will not propagate to any descendant Acts reached by conducting Act Relationships.

[1..1] agent      [CMET: UKCT_MT120501UK03]

A link to the NPFIT CMET:  R_AgentNPFITOrganizationSDS used to identify the DI Service Provider that is the intended Primary Recipient of this message.

Only the following Classes and Attributes from this CMET shall be included in this message.  Classes and attributes that are not detailed below are not to be used in this message.

AgentPersonSDS.id shall  carry An SDS identifier that uniquely identifies the role of the Person in the following way:

  • The root attribute shall contain an OID with the value 1.2.826.0.1285.0.2.0.67.
  • The extension attribute shall contain the SDS Role Profile ID.

PersonSDS.id shall carry an SDS identifier that uniquely identifies the Person in the following way:

  • The root attribute shall contain an OID with the value 1.2.826.0.1285.0.2.0.65.
  • The extension attribute shall contain the SDS User ID.
[0..*] receiver
A link between the DIRequest act and the details of the intended receivers of the DI Report which is the product of this request.
[1..1] typeCode (CS {CNE:RCV} ){ Fixed="RCV" }

A code indicating that this is the receiver of the product of this message

  • Fixed value: "RCV"
[1..1] contextControlCode (CS {CNE:ContextControl} )

A code that 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.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Fixed value: "ON" - Overidding, non propagating

"ON" indicates that association overides the existing context associated with the Act, but will not propagate to any descendant Acts reached by conducting Act Relationships.

[1..1] agent      [CMET: UKCT_MT120301UK02]

A link to the NPfIT CMET:  R_AgentNPFITPersonSDS used to identify receivers of a copy of the DI Report which is the product of this request.

Only the following Classes and Attributes from this CMET shall be included in this message.  Classes and attributes that are not detailed below are not to be used in this message.

AgentPersonSDS.id shall  carry An SDS identifier that uniquely identifies the role of the Person in the following way:

  • The root attribute shall contain an OID with the value 1.2.826.0.1285.0.2.0.67.
  • The extension attribute shall contain the SDS Role Profile ID.

PersonSDS.id shall carry an SDS identifier that uniquely identifies the Person in the following way:

  • The root attribute shall contain an OID with the value 1.2.826.0.1285.0.2.0.65.
  • The extension attribute shall contain the SDS User ID.
[1..1] responsibleParty

A link between the DIRequest act and the details of the person who has primary responsibility for the request.

[1..1] typeCode (CS {CNE:RESP} ){ Fixed="RESP" }

A code indicating that this is the person with primary responsibility for the message

  • Fixed value: "RESP"
[1..1] contextControlCode (CS {CNE:ContextControl} )

A code that 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.

The value of contextControlCode should be set appropriately according to the context of the participation being modelled.

  • Default value: "OP" - Overriding and propagating

The default value of "OP" indicates that the association overrides to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships.

In this instance, a code that this professional propagates through to the clinical statements as the authoring care professional unless specifically overriden for individual acts.

[1..1] agent      [CMET: UKCT_MT120301UK02]

A link to the NPfIT CMET:  R_AgentNPFITPersonSDS used to identify the person who has primary responsibility for the message.

Only the following Classes and Attributes from this CMET shall be included in this message.  Classes and attributes that are not detailed below are not to be used in this message.

AgentPersonSDS.id shall  carry An SDS identifier that uniquely identifies the role of the Person in the following way:

  • The root attribute shall contain an OID with the value 1.2.826.0.1285.0.2.0.67.
  • The extension attribute shall contain the SDS Role Profile ID.

PersonSDS.id shall carry an SDS identifier that uniquely identifies the Person in the following way:

  • The root attribute shall contain an OID with the value 1.2.826.0.1285.0.2.0.65.
  • The extension attribute shall contain the SDS User ID.
[1..*] component
An act relationship used to convey that the DIProcedureRequest act forms a component of the DIRequest act.
[1..1] typeCode (CS {CNE:COMP} ){ Fixed="COMP" }

A code indicating that this is a component 

  • Fixed value: "COMP"
[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of this act relationship.
In this context the seperatableInd defaults to "false".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Component" mechanism.

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

  • The root attribute shall contain  the 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] dIProcedureRequest (DIProcedureRequest)

A link to the DIProcedureRequest act containing details of the DI procedures requested.

[0..1] pertinentInformation5

A link between the DIRequest act and the details of the Transport Requirement of the record target of this message.

[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.

In this context the contextConductionInd defaults to "true".

[1..1] pertinentTransportRequirement (TransportRequirement)

A link to the TransportRequirement of the patient.

[0..*] pertinentInformation1
A link between the DIRequest act and the details of any Additional Coded Information that may be pertinent to this DI Request.
[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.

In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the semantic of the relationship is negated.

 In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of this act relationship.
In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Direct Relationship" mechanism.

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

  • The root attribute shall contain  the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The extension shall contain the template ID "CSAB_RM-NPfITUK10.sourceOf2".
[1..1] pertinentAdditionalCodedInfo (AdditionalCodedInfo)

A link to the AdditionalCodedInfo act containing details of Additional Coded Information.

[0..1] pertinentInformation

A link between the DIRequest act and additional information that is pertinent to this act.

[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "false".

[1..1] pertinentAdditionalInformation (AdditionalInformation)

A link to Additional Information in support of the DI Request.

[0..1] pertinentInformation4

A link between the DIRequest act and the details of the patient's Last Menstrual Period.

For females of child-bearing age this link shall be present unless pregnancy information is carried in an unstructured format in the AdditionalInformation act.

[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.

In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the semantic of the relationship is negated.

 In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of this act relationship.
In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Direct Relationship" mechanism.

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

  • The root attribute shall contain  the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The extension shall contain the template ID "CSAB_RM-NPfITUK10.sourceOf2".
[1..1] pertinentLastMenstrualPeriod (LastMenstrualPeriod)

A link to the details of the last menstrual period of the patient.

[0..*] pertinentInformation3

A link between the DIRequest act and the clinical information (carried in coded form) justifying the DI procedures being requested.

[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.

In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the semantic of the relationship is negated.

 In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of this act relationship.
In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Direct Relationship" mechanism.

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

  • The root attribute shall contain  the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The extension shall contain the template ID "CSAB_RM-NPfITUK10.sourceOf2".
[1..1] pertinentJustifyingInformation (JustifyingInformation)

A link to the JustifyingInformation act containing details of the clinical information (carried in coded form)justifying the DI procedures being requested.

[0..2] pertinentInformation2

A link between the DIRequest act and the clinical information (carried as text) justifying the DI procedures being requested.

[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of this act relationship.
In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Direct Relationship" mechanism.

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

  • The root attribute shall contain  the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The extension shall contain the template ID "CSAB_RM-NPfITUK10.sourceOf2".
[1..1] pertinentJustifyingInformationText (JustifyingInformationText)

A link to the JustifyingInformationText act containing details of the clinical information (carried as text) justifying the DI procedures being requested.

[0..1] pertinentInformation6

A link between the DIRequest  act and the Booking Reference act. If a Universal Booking Reference Number (UBRN) is supplied then this is carried in the Booking Reference act.

[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Direct Relationship" mechanism.

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

  • The root attribute shall contain  the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The extension shall contain the template ID "CSAB_RM-NPfITUK10.sourceOf2".
[1..1] pertinentBookingReference (BookingReference)

A link to the details of the Booking Reference for this request.

Patient
Details about the patient.
Used by: DIRequest
[1..1] classCode (CS {CNE:PAT} ){ Fixed="PAT" }

A code indicating that this is the patient

  • Fixed value: "PAT"
[1..1] 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 10 digit NHS number.

Only new permanent NHS numbers can be used to identify patients.

DIProcedureRequest

An act used to specify the details of the procedures requested in the Diagnostic Imaging Request.

Used by: DIRequest
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

A code to indicate this is an observation.

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

Indicates that the mood of an act is a request.

  • Fixed value:= "RQO"
[1..1] id (II)

An Identifier (Identifier Global flavour) representing this act.

This identifier is universally unique across all records for this DIProcedureRequest.

It is in the form of a DCE UUID.

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

A SnomedCT code (and where applicable the original code) from the DIProcedureSnCT vocabulary that describes the details of the DI procedure being requested.

  • The code attribute shall contain a code from the relevant vocabulary
  • The codeSystem attribute shall contain the OID for the source code system 
  • The displayName shall carry a description associated with the code in the source code system
  • The originalText attribute may be used if required
  • qualifier(s) may be used if required
  • The translation attribute may be used if required
[1..1] effectiveTime (TS)

A 'Null Value' (NullFlavor: NA) only is used here in this act.

[0..*] pertinentInformation1

A link between the DIProcedureRequest act and the clinical information (carried in coded form) justifying the DI procedures being requested.

[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the relationship does not apply.
In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of the pertinentInformation relationship.
In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Direct Relationship" mechanism.

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

  • The root attribute shall contain  the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The extension shall contain the template ID "CSAB_RM-NPfITUK10.sourceOf2".
[1..1] pertinentJustifyingInformation (JustifyingInformation)

A link to the JustifyingInformation act containing details of the clinical information (carried in coded form) justifying the DI procedures being requested.

[0..2] pertinentInformation

A link between the DIProcedureRequest act and the clinical information (carried as text) justifying the DI procedures being requested.

[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the semantic of the relationship is negated.

 In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of this act relationship.
In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Direct Relationship" mechanism.

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

  • The root attribute shall contain  the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The extension shall contain the template ID "CSAB_RM-NPfITUK10.sourceOf2".
[1..1] pertinentJustifyingInformationText (JustifyingInformationText)

A link to the JustifyingInformationText act containing details of the clinical information (carried as text) justifying the DI procedures being requested.

TransportRequirement
An act used to specify the Transport Requirements of the patient.
Used by: DIRequest
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

A code to indicate this is an observation.

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

A code to indicate this is an event.

  • Fixed value: "EVN"
[1..1] code (CV {CNE:TransportNeed} )

A code from the TransportNeed vocabulary that describes the transport requirements of the record target of this message.

The datatype flavour Coded with Code System is used to carry this information as follows:

  • The code attribute shall contain a value from the list of codes in the  vocabulary
  • The codeSystem attribute shall contain the OID value referenced in the vocabulary
AdditionalCodedInfo

An act used to describe any Additional Coded Information that is pertinent to this DI Request.

This act may be used to carry any of the following information:

  1. Oxygen Requirement
  2. Claustrophobia Status
  3. Foreign Body Details 
  4. Allergy Details
  5. Pre-existing Clinical Conditions (excluding pregnancy information)
  6. Modality Specific Information
  7. Risks and Warnings
  8. Social Circumstances
Used by: DIRequest
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

A code to indicate this is an observation.

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

A code to indicate this is an event.

  • Fixed value: "EVN"
[1..1] id (II)

An Identifier (Identifier Global flavour) representing this act.

This identifier is universally unique across all records for this AdditionalCodedInfo.

It is in the form of a DCE UUID.

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

A Snomed code (and where applicable the original code) from the ObservationTypeSnCT vocabulary used to describe any Addtional Information that is pertinent to this DI Request.

This code may be used to describe any of the following information:

  1. Oxygen Requirement
  2. Claustrophobia Status
  3. Foreign Body Details 
  4. Allergy Details
  5. Pre-existing Clinical Conditions
  6. Modality Specific Information
  7. Risks and Warnings
  8. Social Circumstances

The datatype is used to carry this information as follows:

  • The code attribute shall contain a code from the relevant vocabulary
  • The codeSystem attribute shall contain the OID for thesource code system 
  • The displayName shall carry a description associated with the code in Sthe source code system
  • The originalText attribute may be used if required
  • qualifier(s) may be used if required
  • The translation attribute may be used if required
[1..1] effectiveTime (IVL<TS>)

The clinically relevant date and time where it is appropriate to be carried.

A date range shall be carried as follows:

If a single point in time is to be carried the Date or Time Point datatype 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 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.

Format: yyyy(mm)(dd)(hh)(mm)(ss)

AdditionalInformation

An act used to convey any Additional Information that is pertinent to the DI Request.

This act may be used to carry any of the following information:

  1. The patient's preferred date and time for fulfillment of this DI Request
  2. The patient's preferred location for fulfillment of this DI Request
  3. Oxygen Requirement
  4. Allergy Details
  5. Pre-existing Clinical Details
  6. Transport Requirement
  7. Pregnancy Information

Note - For females of child-bearing age pregnancy information shall be carried in this act unless it is present in a structured format via the pertinentInformation3 act relationship.

Used by: DIRequest
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

A code to indicate this is an observation.

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

A code to indicate this is an event.

  • Fixed value: "EVN"
[1..1] value (ST)

Text used to describe any Additional Information that is pertinent to this DI Request.

LastMenstrualPeriod

An act used to specify the Last Menstrual Period of the patient. This information shall be present where the patient is a female of child-bearing age (either here or in an unstructured format in the AdditionalInformation act).

Used by: DIRequest
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

A code to indicate this is an observation.

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

A code to indicate this is an event.

  • Fixed value: "EVN"
[1..1] id (II)

An Identifier (Identifier Global flavour) representing this act.

This identifier is universally unique across all records for this LastMenstrualPeriod.

It is in the form of a DCE UUID.

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

A Snomed code from the ObservationTypeSnCT vocabulary used in conjunction with the value field to describe the last menstrual period of the patient.

  • Fixed Value: "21840007" =  "date of last menstrual period"
  • The value field shall carry the date.

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

  • The code attribute shall contain a value from the list of codes in the  vocabulary
  • The codeSystem attribute shall contain the OID for SnomedCT
  • The displayName attribute shall carry a description for the code from the coding system.
[1..1] effectiveTime (TS)

The date and time stamp that the Last Menstrual period information was entered into the system.

Format: yyyymmddhhmmss

[1..1] value (TS)

A date and time stamp used in conjuction with the code field to specify the date of the last menstrual period of the patient.

Format: yyyymm(dd)

[1..1] pertinentInformation

A link between the LastMenstrualPeriod act and the details of the patient's pregnancy status.

[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the semantic of the relationship is negated.

 In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of this act  relationship.
In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Direct Relationship" mechanism.

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

  • The root attribute shall contain  the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The extension shall contain the template ID "CSAB_RM-NPfITUK10.sourceOf2".
[1..1] pertinentPregnancyStatus (PregnancyStatus)

A link to the PregnancyStatus act containing details of the patient's pregnancy status.

BookingReference

An act used to carry the Unique Booking Reference Number (UBRN) that is pertinent to the DIRequest act. 

The UBRN is a unique reference number created by the Choose & Book System, used by Choose & Book to link 'requests for Service' to a 'Referral Letter' (possibly including a DI Request) to an appointment slot at a chosen Service Provider.

The Service Provider can use the UBRN to check/amend the status of a booking made on the Choose & Book.

Used by: DIRequest
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

A code to indicate this is an observation.

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

A code to indicate that it was an event.

  • Fixed value: "EVN"
[1..1] id (II)

An Identifier (Identifier Global flavour) representing this act.

This identifier is universally unique across all records for this BookingReference.

It is in the form of a DCE UUID

[1..1] code (CV {CNE:IdentifierType} )

A code identifying the Universal Booking Reference Number.

The Coded Plain (CV) dataype shall be used to carry this information as follows:

  • The code attribute shall contain a fixed value of "BookingReference"
  • The code System attribute shall contain the OID for the vocabulary
  • The display text shall carry a description associated with the code.
[1..1] effectiveTime (TS)

The time at which the Unique Booking Reference Number was created.

JustifyingInformation

An act used to specify the details of the Justifying Information carried in coded form that is pertinent to the DI procedures requested.

Used by: DIProcedureRequest, DIRequest
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

A code to indicate this is an observation.

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

A code to indicate that it was an event.

  • Fixed value: "EVN"
[1..1] id (II)

An Identifier (Identifier Global flavour) representing this act.

This identifier is universally unique across all records for this JustifyingInformation.

It is in the form of a DCE UUID.

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

A Snomed code (and where applicable the original code) from the ObservationTypeSnCT vocabulary that describes the Justifying Information that is pertinent to this requested DI procedure.

The datatype is used to carry this information as follows:

  • The code attribute shall contain a code from the relevant vocabulary
  • The codeSystem attribute shall contain the OID for the source code system
  • The displayName shall carry a description associated with the code in the source code system
  • The originalText attribute may be used if required
  • qualifier(s) may be used if required
  • The translation attribute may be used if required
[1..1] effectiveTime (IVL<TS>)

The clinically relevant date and time where it is appropriate to be carried.

A date range shall be carried as follows:

If a single point in time is to be carried the Date or Time Point datatype 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 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.

Format: yyyy(mm)(dd)(hh)(mm)(ss)

[0..1] pertinentInformation

A link between the JustifyingInformation act and the Supporting Justification Information pertinent to this DI procedure request.

[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of this act  relationship.
In this context the seperatableInd defaults to "false".

[1..1] pertinentSupportingJustificationInformation (SupportingJustificationInformation)

A link to information in support of the justifying information.

JustifyingInformationText

An act used to specify the details of the Justifying Information carried as text that is pertinent to the DI procedures requested.

Used by: DIProcedureRequest, DIRequest
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

A code to indicate this is an observation.

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

A code to indicate that it was an event.

  • Fixed value: "EVN"
[1..1] id (II)

An Identifier (Identifier Global flavour) representing this act.

This identifier is universally unique across all records for this JustifyingInformationText.

It is in the form of a DCE UUID.

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

A Snomed code from the vocabulary that describes the Clinical or Supporting Information that is pertinent to justifying this requested DI procedure. This code shall be 'paired' with the text contained in the value field.

Only the following Snomed codes shall be used:

  • "181251000000105" = "Relevant clinical information for diagnostic imaging request"
  • "181261000000108" = "Relevant supporting information for diagnostic imaging request"

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

  • The code attribute shall contain a value from the list of codes in the  vocabulary
  • The codeSystem attribute shall contain the OID for SnomedCT
  • The displayName attribute shall carry a description for the code from the coding system
[1..1] effectiveTime (IVL<TS>)

The date and time stamp that the relevant clinical information text is entered, i.e. the time of what the statement is about. This is not supporting text of another observation; it is the justification of the observation itself (although it does support the request).

Format: yyyymmddhhmmss

[1..1] value (ST)

Text used to describe the justifying information in support of the code contained in the code field.

PregnancyStatus

An act used to specify the Pregnancy Status of the patient.

Used by: LastMenstrualPeriod
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

A code to indicate this is an observation.

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

A code to indicate this is an event.

  • Fixed value: "EVN"
[1..1] id (II)

An Identifier (Identifier Global flavour) representing this act.

This identifier is universally unique across all records for this PregnancyStatus.

It is in the form of a DCE UUID.

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

 A Snomed code (and where applicable the original code) from the ObservationTypeSnCT vocabulary that describes the Pregnancy Status of the patient:

The datatype is used to carry this information as follows:

  • The code attribute shall contain a code from the relevant vocabulary
  • The codeSystem attribute shall contain the OID for the source code system
  • The displayName shall carry a description associated with the code in the source code system
  • The originalText attribute may be used if required
  • qualifier(s) may be used if required
  • The translation attribute may be used if required

The following Snomed CT codes may be used to describe the Pregnancy Status of the patient:

  • "6001007" = "not pregnant"
  • "77386006" = "pregnant"
  • "102874004" = "patient ? pregnant"
[1..1] effectiveTime (TS)

The date and time stamp when the status is applied to identify whether the patient is definitely, is definitely not, or is possibly pregnant.

Format: yyyymmddhhmmss

[0..1] pertinentInformation

A link between the PregnancyStatus act and the details of the patient's Estimated Delivery Date.

Note - this may only be present if the pregnancy status is known to be positive.

[1..1] typeCode (CS {CNE:PERT} ){ Fixed="PERT" }

Indicates that this is pertinent information.

  • Fixed value: "PERT"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the semantic of the relationship is negated.

 In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of this act  relationship.
In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Direct Relationship" mechanism.

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

  • The root attribute shall contain  the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The extension shall contain the template ID "CSAB_RM-NPfITUK10.sourceOf2".
[1..1] pertinentEstimatedDeliveryDate (EstimatedDeliveryDate)

A link to the details of the estimated delivery date of the patient.

[0..*] reason

A link between the PregnancyStatus act and the details of why the patient can not be pregnant.

Note - this may only be present if the pregnancy status is known to be negative.

[1..1] typeCode (CS {CNE:RSON} ){ Fixed="RSON" }

Indicates that this is a reason.

  • Fixed value: "RSON"
[1..1] inversionInd (BL)

An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.
In this instance, the inversionInd defaults to "false".

[1..1] contextConductionInd (BL)

If true, associations in the parent act are conducted across the ActRelationship to the child act.
In this context the contextConductionInd defaults to "true".

[1..1] negationInd (BL)

When "true" allows the sender to specifically state that the semantic of the relationship is negated.

 In this context the negationInd defaults to "false".

[1..1] seperatableInd (BL)

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.
If the source act is intended to be interpreted independently the value shall be 'true' otherwise the value shall be 'false'.
The value of seperatableInd shall be evaluated for each usage of this act  relationship.
In this context the seperatableInd defaults to "true".

[1..1] templateId (II)

An identifier of the Act Relationship that supports the linkage of clinical statements using the "Direct Relationship" mechanism.

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

  • The root attribute shall contain  the OID 2.16.840.1.113883.2.1.3.2.4.18.2
  • The extension shall contain the fixed template ID
    "CSAB_RM-NPfITUK10.sourceOf2"
[1..1] target (NotPregnantReasonChoice)

A link to details about why the patient cannot be pregnant, using a choice of CMETs to cover finding observation, procedures and medication.

SupportingJustificationInformation
An act used to specify the information in support of the clinical information.
Used by: JustifyingInformation
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

A code to indicate this is an observation.

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

A code to indicate that it was an event.

  • Fixed value: "EVN"
[1..1] value (ST)

Text used to specify the justifying information.

EstimatedDeliveryDate

An act used to specify the Estimated Delivery Date of the patient.

Note - This may only be present if the pregnancy staus of the patient is known to be positive.

Used by: PregnancyStatus
[1..1] classCode (CS {CNE:OBS} ){ Fixed="OBS" }

A code to indicate this is an observation.

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

A code to indicate this is an event.

  • Fixed value: "EVN"
[1..1] id (II)

An Identifier (Identifier Global flavour) representing this act.

This identifier is universally unique across all records for this EstimatedDeliveryDate.

It is in the form of a DCE UUID. 

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

A Snomed code from the ObservationTypeSnCT vocabulary used in conjunction with the value field to describe the estimated delivery date of the patient.

  • Fixed Value: "161714006" =  estimated date of delivery
  • The value field shall carry the date.

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

  • The code attribute shall contain a value from the list of codes in the  vocabulary
  • The codeSystem attribute shall contain the OID for SnomedCT
  • The displayName attribute shall carry a description for the code from the coding system
[1..1] effectiveTime (TS)

The date and time stamp that the Estimated Delivery Date was entered into the system.

Format: yyyymmddhhmmss

[1..1] value (TS)

A date and time stamp used in conjuction with the code field to specify the estimated delivery date of the patient.

Format: yyyymmdd

NotPregnantReasonChoice

A choice of CMETs that represent various kinds of statements that can be made about the reasons why the patient can safely say they are not be pregnant.

Used by: PregnancyStatus
[1..1] either : UKCT_MT140701UK03

A CMET that represents an administration of a course of medication.

             ... or ... : UKCT_MT140201UK03

A CMET that represents an administration of a single dose of medication.

             ... or ... : UKCT_MT144013UK01

A CMET that represents a finding observation.

             ... or ... : UKCT_MT144010UK01

A CMET that represents a procedure.