RiskToPatient - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions

Fri Nov 09 12:57:43 GMT 2007

COCD_TP146026UK04
RiskToPatient

Information which has been identified as a risk to the patient.

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="222701000000104" }

A fixed code taken from snomedCT indicating that this is a Risk To Patient observation.

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>)
When the risk was valid or the time from which it is valid.

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:

  • Thelow 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 a RiskToPatient.

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

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

The status of the Risk To Patient observation.

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
[1..1] [M] templateId (II) { Fixed="COCD_TP146026UK04#RiskToPatient" }

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 risk to patient observation.

This is the person who deemed something to be a risk to patient.

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 this is an author.
[1..1] [M] contextControlCode (CS {CNE:ContextControl } ) { Fixed="OP" }
Specifies how this author contributes to the context of the risk to patient observation 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_TP146026UK04#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 risk to patient observation.
[1..1] participant (AuthorChoice)

A link to the choice of informant templates.

[1..1] [M] entryRelationship

Refers a reference to a coded entry which is considered to be a risk to patient.

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

indicates this is a has subject relationship.

[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-000011#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" }
Indicates if the source Act is to be interpreted independently of the target Act.
[1..1] [M] templateId (II) { Fixed="COCD_TP146026UK04#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] codedEntryReference (CodedEntryReference)

A link to the choice of clinical statement references.

[0..1] informant
Refers to who informed about the risk to patient.

This is only required if the Informant different from the inherited Informant.
[1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="INF" }
Indicates that this is an informant.
[1..1] [M] contextControlCode (CS {CNE:ContextControl } ) { Fixed="OP" }
Specifies how this informant contributes to the context of the risk to patient observation 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-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_TP146026UK04#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.
InformantChoice

Refers to the choice of informant of the risk to patient observation.

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

A link to the choice of templates for an informant.

AuthorChoice

Refers to the choice of authors of the risk to patient observation.

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

A link to the author templates.

CodedEntryReference

A choice of clinical statement references.

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

A link to the clinical statement reference templates.