MedicationDiscontinuation - tabular view

No Current Link To VocabularyCoded With ExtensionsCoded No Extensions

Fri Nov 09 12:57:45 GMT 2007

COCD_TP146036UK04
MedicationDiscontinuation

Refers to the actual act of discontinuating the medication supply.

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

Indicates this is an observation.
[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }

Indicates this is an event.
[1..1] [M] code (CV {CNE:SnomedCT } ) { Fixed="274512008" }

A SnomedCT code identifying the act as a discontinuation of the supply of medication.

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 (TS)

When the medication supply was discontinued.
[1..1] [M] id (II)

This is a unique identifier for this instance of a medication discontinuation act.

The Identifier Global data type flavour is used to carry the identifiers follows:

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

The status of the discontinuation of the supply of medication.

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

  • The code attribute will contain a fixed code from the Act Status vocabulary
[1..1] [M] templateId (II) { Fixed="COCD_TP146036UK04#MedicationDiscontinuation" }

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

The person who authored the discontinuation of medication.

Only required if different to inherited author or no author is inherited
[1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="AUT" }
Indicates this is an author.
[1..1] [M] contextControlCode (CS {CNE:ContextControl } ) { Fixed="OP" }

Specifies how this author contributes to the context of the discontinuation of medication 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-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_TP146036UK04#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)

When the author authored the medication discontinuation.
[1..1] participant (AuthorChoice)

A link to the choice of author templates.
[0..1] entryRelationship

Refers to the patient inform act which is a component of the medication discontinuation.
[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="COMP" }

Indicates this is a component.
[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

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

If true, associations in the parent act are conducted across the Act Relationship to the child act.
[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_TP146036UK04#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] informPatient (InformPatient)

A link to the inform patient act.
[0..*] entryRelationship1

Refers to any unsucessful attempt to contact the patient.

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

Indicates this is a component.
[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

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

If true, associations in the parent act are conducted across the Act Relationship to the child act.
[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_TP146036UK04#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] patientContactAttempt (PatientContactAttempt)

A link to the patient contact attempt act.
[0..*] entryRelationship2

Refers to a reference to a reason to discontinue medication.

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

Indicates this is a reason.
[1..1] [M] contextConductionInd (BL) { Fixed="false" }

If true, associations in the parent act are conducted across the Act Relationship to the child act.
[1..1] [M] contentId (II) { "NPFIT-000017#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_TP146036UK04#entryRelationship2" }

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] justifyingReasonForDiscontinuation (ReasonForDiscontinuation)

A link to the choice of reason for medcation discontinuation reference templates.
AuthorChoice

An abstract placeholder for the templates of an author.

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

A link to the author templates.
InformPatient

The act of informing the patient about the discontinuation of the medication.

Only used when the patient has been informed.
Used by: MedicationDiscontinuation
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="INFRM" }

Indicates this is an inform act.
[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }

Indicates this is an event.
[1..1] [M] code (CV {CNE:SnomedCT } ) { Fixed="185381000000106" }

A fixed code from SnomedCT.

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] [R] effectiveTime (TS)

The time the patient was informed about the discontinuation of medication.
[1..1] [M] id (II)

A unique identifier for this instance of a inform patient act.

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

  • The root attribute shall contain a DCE UUID
[1..1] [M] templateId (II) { Fixed="COCD_TP146036UK04#informPatient" }

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] performer

Refers to who informed the patient.

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

Indicates this is a performer.
[1..1] [M] contentId (II) { "NPFIT-000022#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] modeCode (CS {CNE:ParticipationMode } )

The mode in which the performer informed the patient.

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 the ParticipationMode vocabulary
[1..1] [M] templateId (II) { Fixed="COCD_TP146036UK04#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] [M] participant (PerformerChoice)

A link to the choice of performer.
[1..1] [M] primaryInformationRecipient

Refers to the person who is the primary information recipient of the inform of medication discontinuation.

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

Indicates the role of primary information recipient.
[1..1] [M] contextControlCode (CS {CNE:ContextControl } ) { Fixed="OP" }

Specifies how the primary information recipient contributes to the context of the inform act 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] templateId (II) { Fixed="COCD_TP146036UK04#primaryInformationRecipient" }

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] patientRole (PatientRole)

A link to the patient role.
PatientRole

The role of patient.

Used by: InformPatient
[1..1] [M] classCode (CS {CNE:RoleClass } ) { Fixed="PAT" }

Indicates this is a patient role.
[1..1] [M] 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 NHS number.
Only new permanent NHS numbers can be used to identify patients.
[1..1] [M] templateId (II) { Fixed="COCD_TP146036UK04#patientRole" }

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.
PerformerChoice

An abstract placeholder for the templates of a performer of the medication discontinuation.

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

A link to the performer templates.
PatientContactAttempt

An attempt to inform the patient about the discontinuation of medication.

Only used when the patient could not be contacted.

Used by: MedicationDiscontinuation
[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="ENC" }

Indicates this is an encounter.
[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }

Indicates this is an event.
[1..1] [M] code (CD {CNE:EncounterSnCT } )

A SnomedCT code from the EncounterSnCT vocabulary identifying the encounter type.

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 (TS)

The time the attempt to contact the patient was made.
[1..1] [M] id (II)

This is a unique identifier for this instance of a patient contact attempt.

The Identifier Global data type flavour is used to carry the identifiers follows:

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

The status of the contact attempt.

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

  • The code attribute will contain a fixed code from the Act Status vocabulary
[1..1] [M] templateId (II) { Fixed="COCD_TP146036UK04#patientContactAttempt" }

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] performer

Refers to a performer of the contact attempt.

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

Indicates that this is a performer.
[1..1] [M] contentId (II) { "NPFIT-000022#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 (CE {CNE:ParticipationMode } )

The mode in which the performer performed in the contact attempt.

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 the ParticipationMode vocabulary
[1..1] [M] templateId (II) { Fixed="COCD_TP146036UK04#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 that the perfomer performer during the contact attempt.

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.
This datatype is used if date of the contact attempt is not fully known / available


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
[1..1] [M] participant (PerformerChoice1)

A link to the choice of performer templates.
PerformerChoice1

An abstract placeholder for the templates of a performer of the attempt to contact the patient.

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

A link to the performer templates.
ReasonForDiscontinuation

The reason for the discontinuation of medication.
Used by: MedicationDiscontinuation
[1..1] either : Template

A choice of reason for discontinuation reference templates.