Investigation - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions

Fri Nov 09 12:57:43 GMT 2007

COCD_TP146019UK04
Investigation
Details of a investigative procedure.
Used by:
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="PROC" }
Indicates that this is a procedure.
[1..1] [M] moodCode (CS {CNE:x_DocumentProcedureMood } )

The mood code of the Investigation.

The Coded Only datatype flavour is used to carry this information and should be used as follows:

  • The code attribute should be set according the context of the information being conveyed and will be selected from the vocabulary.
[1..1] [M] code (CD {CNE:InvestigationTypeSnCT } )
A SnomedCT code taken from the vocabulary shown.

The Concept Descriptor (CD) 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
  • qualifier (s) may be used if required
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>)

When the Investigation took place, is intended to take place or is planned to take place.

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 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

[1..1] [M] id (II)

This is a unique identifier for this instance of an Investigation.

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

  • The root attribute shall contain a DCE UUID.
[1..1] [M] statusCode (CS {CNE:ActStatus } ) { Default="completed" }
The status of the Investigation

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
    • completed
    • aborted
    • active
[1..1] [M] templateId (II) { Fixed="COCD_TP146019UK04#Investigation" }

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 person who is the author of the investigative procedure.

 This author is only required if the author 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 author 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] [M] contentId (II) { "NPFIT-000005#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_TP146019UK04#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 investigative procedure.
[1..1] participant (AuthorChoice)
A link to the choice of author templates.
[0..*] entryRelationship

Refers to a reference to medication relevant to the investigative procedure.

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

Indictes this is a reference.
[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-000009#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_TP146019UK04#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] referredToMedicationReferenceChoice (MedicationReferenceChoice)
Link to the medication details.
[0..1] informant

Refers to the informant of the investigative procedure

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

Indicates this is an informant.
[1..1] [M] contextControlCode (CS {CNE:ContextControl } ) { Fixed="OP" }

Specifies how the informant contributes to the context of the investigative procedure 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."
[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:

  • 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] templateId (II) { Fixed="COCD_TP146019UK04#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:

  • 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] participant (InformantChoice)
A link to the choice of informant templates.
[0..*] performer
Refers to a performer of the investigative procedure.

Where performer participation is used, then all performers must be stated, even if they authored the act.

Where the author did not perform the act then the performer(s) should be explicitly stated.
[1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="PRF" }
Indicates that this is a performer.
[1..1] [M] contentId (II) { "NPFIT-000003#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.
[0..1] modeCode (CS {CNE:ParticipationMode } )

The mode in which the participant participated in the Investigation.

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

  • The code attribute will contain a value from the list of codes in theParticipationMode vocabulary.
[1..1] [M] templateId (II) { Fixed="COCD_TP146019UK04#performer" }

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 (IVL<TS>)
The time during/at which the performer participated in the investigative procedure.
[1..1] participant (PerformerChoice)

A link to the choice of informant templates.
[0..*] specimen

Refers to a specimen collected during an investigative procedure.

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

Indictes this is a specimen.
[1..1] [M] templateId (II) { Fixed="COCD_TP146019UK04#specimen" }

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] specimenRole (SpecimenRole)
Link to the specimen which is the product of the investigative procedure.
PerformerChoice

Refers to the choice of performer of the investigative procedure.

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

link to the choice of templates for a performer.
AuthorChoice

Refers to the choice of author of the investigative procedure.

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

A link to the author templates.
InformantChoice

Refers to the choice of informant of the investigative procedure.

Used by: Investigation
[1..1] either : Template3

A link to the choice of templates for an informant.
SpecimenRole
Information about the specimen.
Used by: Investigation
[1..1] [M] classCode (CS {CNE:RoleClass } ) { Fixed="SPEC" }
Indicates that this is a specimen.
[1..1] [M] id (II)
Local identifier of a specimen.

The local identifier is carried using the Identifier External datatype flavour as follows:
  • The extension attribute shall contain the local id.
  • The root attribute shall contain an OID for the local id. system
Note the OID is not specificied with the MIM as it is local to the system that recorded the specimen details.
[1..1] [M] templateId (II) { Fixed="COCD_TP146019UK04#specimenRole" }

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] specimenPlayingEntity (PlayingEntity)
A link to the entity that plays the specimen material.
PlayingEntity

Refers to the entity playing the role of specimen.

Used by: SpecimenRole
[1..1] [M] classCode (CS {CNE:EntityClass } ) { Fixed="MAT" }

Indicates this is a material.
[1..1] [M] determinerCode (CS {CNE:EntityDeterminer } )

The determiner code of the entity.

The value of determinerCode should be set according to the specification of the specimen being carried in the entity.

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

  • The code attribute will contain a value from the list of codes in the EntityDeterminer vocabulary;
[0..1] code (CE {CNE:SpecimenMaterialTypeSnCT } )

A SnomedCT code identifying the material forming the specimen.

The Coded with Equivalents (CE) 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] templateId (II) { Fixed="COCD_TP146019UK04#specimenPlayingEntity" }

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.
MedicationReferenceChoice
Medication pre / used during / post/ or relevant to this investigative procedure.
Used by: Investigation
[1..1] either : Template

A link to the choice of medication reference templates.