Fri Nov 09 12:57:42 GMT 2007
| COCD_TP146011UK04 | ||||||||||
| Diagnosis |
A diagnosis.
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| [1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="OBS" } |
Indicates that this is an observation. |
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| [1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" } |
Indicates that this is an event. |
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| [1..1] [M] code (CD {CNE:DiagnosisTypeSnCT } ) |
A SnomedCT code identifying the type of diagnosis. The Concept Descriptor (CD) with CDA URL datatype/flavour shall be used to carry this information as follows:
Note the implementation guidance for the domain where this template is used should be consulted regarding correct usage
of the originalText element.
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| [1..1] [M] effectiveTime (IVL<TS>) |
Where known the dates that the diagnosis was affective on the patient should be used i.e when the patient started with asthma and when the asthma was no longer present for the patient The effective date carries the start and end date/time of the diagnosis. The start date/time
is required and the end date/time is optional. 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 data type shall be used:
If only a start date is present the Date or Time Interval After data type shall be used:
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| [1..1] [M] id (II) |
A unique identifier of a diagnosis. The Identifier Global data type flavour is used to carry the identifier as follows:
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| [1..1] [M] statusCode (CS {CNE:ActStatus } ) { Default="completed" } |
The status of the diagnosis. The Coded Only data type flavour is used to carry this information as follows:
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| [1..1] [M] templateId (II) { Fixed="COCD_TP146011UK04#Diagnosis" } |
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:
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| [0..1] value (ANY) |
A value associated with the SnomedCT concept carried in diagnosis.code |
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| [0..1] author |
The person who authored the diagnosis Only required if different to inherited author or no author is inherited. |
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| [1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="AUT" } |
Indicates that this is an author. |
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| [1..1] [M] contextControlCode (CS {CNE:ContextControl } ) { Fixed="OP" } |
Specifies how this author contributes to the context of the diagnosis 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". |
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| [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:
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| [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:
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| [1..1] [M] templateId (II) { Fixed="COCD_TP146011UK04#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:
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| [1..1] [R] time (TS) |
The time at which the author authored the diagnosis. |
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| [1..1] participant (AuthorChoice) |
A link to the choice of informant templates. |
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| [0..*] entryRelationship |
Refers to a reference to a coded entry which supports this diagnosis.
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| [1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="SPRT" } |
Indicates that this is a supported by relationship. |
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| [1..1] [M] contextConductionInd (BL) { Fixed="false" } |
If true, associations in the parent act are conducted across the ActRelationship to the child act. |
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| [1..1] [M] contentId (II) { "NPFIT-000007#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:
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| [1..1] [M] seperatableInd (BL) { Fixed="false" } |
Indicates if the source Act is to be interpreted independently of the target Act. |
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| [1..1] [M] templateId (II) { Fixed="COCD_TP146011UK04#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:
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| [1..1] supportingCodedEntryReference (CodedEntryReference) |
A link to the coded entry reference. |
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| [0..1] informant |
Refers to the person who informed about the diagnosis.
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| [1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="INF" } |
Indicates this is an informant. |
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| [1..1] [M] contextControlCode (CS {CNE:ContextControl } ) { Fixed="OP" } |
Specifies how the informant contributes to the context of the diagnosis and whether they 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." |
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| [1..1] [M] contentId (II) { "NPFIT-000002#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:
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| [1..1] [M] templateId (II) { Fixed="COCD_TP146011UK04#informant" } |
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:
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| [1..1] participant (InformantChoice) |
A link to a choice of informants
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| AuthorChoice |
Refers to the choice of authors of the diagnosis. |
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| Used by: Diagnosis | ||||||||||
| [1..1] either : Template1 |
A link to the author templates. |
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| InformantChoice |
Refers to the choice of informants of the diagnosis. |
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| Used by: Diagnosis | ||||||||||
| [1..1] either : Template2 |
A link to the choice of templates for an informant. |
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| CodedEntryReference |
A reference to a coded entry which supports the diagnosis.
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| Used by: Diagnosis | ||||||||||
| [1..1] either : Template |
A link to the choice of coded entry reference templates. |
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