ProblemMemberAssertion - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions

Fri Nov 09 12:57:42 GMT 2007

COCD_TP146008UK04
ProblemMemberAssertion

A assertion which highlights a coded entry as a member of a problem.

This is used to group together acts which are all relevant to the particular Problem and Issue.


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 (CV {CNE:SnomedCT } ) { Fixed="416271009" }

A fixed SnomedCT code.

The Coded Value (CV) with CDA URL datatype/flavour shall be 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 SnomedCT
  • The displayName attribute shall carry a description associated with the code in SnomedCT
  • The originalText element can be used to carry a reference element. This can link the coded item to the relevant text in the CDA section
Note the implementation guidance for the domain where this template is used should be consulted regarding correct usage of the originalText element.
[1..1] [M] effectiveTime (IVL<TS>)

The time or duration that the problem member assertion was relevant.

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 an problem member assertion.

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="completed" }

The status of the problem member assertion.

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
    • nullified
    • completed.
[1..1] [M] templateId (II) { Fixed="COCD_TP146008UK04#ProblemMemberAssertion" }

The fixed value of this attribute provides a unique identifier for the template and the classname within that template.

The IdentifierExternal 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 attribute shall contain the fixed value.
[0..1] author

Refers to the author of a problem member link assertion.

[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 the author contributes to the context of the problem member assertion 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] [M] contentId (II) { "NPFIT-000001#Role" }

This attribute, when valued in an instance, provides a unique forward pointing identifier for a template which constrains the classes and attributes which follow.

The attribute is intended simply as a structural navigational aid and should not be relied upon as an indicator of semantic meaning.

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

  • The root attribute shall contain the OID "2.16.840.1.113883.2.1.3.2.4.18.16"
  • The extension attribute shall contain the template artifact Id.
[1..1] [M] functionCode (CV {CNE:AuthorFunctionType } ) { Fixed="OA" }

A code from the vocabulary shown indicating the function of the document author

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

  • The code attribute shall contain the value
  • The codeSystem attribute shall contain the OID for the vocabulary concerned
  • The displayName attribute shall contain the text associated with the code
[1..1] [M] templateId (II) { Fixed="COCD_TP146008UK04#author" }

The fixed value of this attribute provides a unique identifier for the template and the classname within that template.

The IdentifierExternal 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 attribute shall contain the fixed value.
[1..1] [R] time (TS)

The time at which the author authored the member assertion.

[1..1] participant (AuthorChoice)

A link to a choice of author.

[1..1] [M] entryRelationship
Refers to the problem which the referred to coded entry is a member of.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="COMP" }

Indicates that this is a component

[1..1] [M] inversionInd (BL) { Fixed="true" }

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.

[1..1] [M] contextConductionInd (BL) { Fixed="false" }

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

[1..1] [M] contentId (II) { "NPFIT-000003#ActRef" }

This attribute, when valued in an instance, provides a unique forward pointing identifier for a template which constrains the classes and attributes which follow.

The attribute is intended simply as a structural navigational aid and should not be relied upon as an indicator of semantic meaning.

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

  • The root attribute shall contain the OID "2.16.840.1.113883.2.1.3.2.4.18.16"
  • The extension attribute shall contain the template artifact Id.
[1..1] [M] seperatableInd (BL) { Fixed="false" }

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.

[1..1] [M] templateId (II) { Fixed="COCD_TP146008UK04#entryRelationship" }

The fixed value of this attribute provides a unique identifier for the template and the classname within that template.

The IdentifierExternal 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 attribute shall contain the fixed value.
[1..1] [M] problemReference (ProblemReference)

A link to the problem reference.

[1..1] [M] entryRelationship1

Refers to a reference to a coded entry which is a member of the stated problem.

[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="COMP" }

Indicates that this is a component of the link assertion.

[1..1] [M] inversionInd (BL) { Fixed="false" }

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.

[1..1] [M] contextConductionInd (BL) { Fixed="false" }

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

[1..1] [M] contentId (II) { "NPFIT-000005#ActRef" }

This attribute, when valued in an instance, provides a unique forward pointing identifier for a template which constrains the classes and attributes which follow.

The attribute is intended simply as a structural navigational aid and should not be relied upon as an indicator of semantic meaning.

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

  • The root attribute shall contain the OID "2.16.840.1.113883.2.1.3.2.4.18.16"
  • The extension attribute shall contain the template artifact Id.
[1..1] [M] seperatableInd (BL) { Fixed="false" }

This attribute indicates whether or not the source Act is intended to be interpreted independently of the target Act.

[1..1] [M] templateId (II) { Fixed="COCD_TP146008UK04#entryRelationship1" }

The fixed value of this attribute provides a unique identifier for the template and the classname within that template.

The IdentifierExternal 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 attribute shall contain the fixed value.
[1..1] [M] codedEntryReference (CodedEntryReference)

A link to the reference to the coded entry which is a member of the stated problem.

AuthorChoice

Refers to the choice of authors of a problem member assertion.

Used by: ProblemMemberAssertion
[1..1] either : Template2

A link to the choice of author templates.

CodedEntryReference

Refers to the reference to the coded entry which is being asserted as a member of the problem.

Used by: ProblemMemberAssertion
[1..1] either : Template1

The choice of coded entry reference templates which can be asserted as members of the problem.

ProblemReference

Refers to the reference to the problem of which it's member is being asserted.

Used by: ProblemMemberAssertion
[1..1] either : Template

The choice of problem reference templates.