RefusalToSeal Tabular View

RefusalToSeal - tabular view

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Coded With Extensions

Coded No Extensions

Fri Nov 09 12:57:45 GMT 2007

A record of a refusal by a clinician to seal one or more items of information.

NOTE: This is not the sealing event act, but a notification (intended to be sent to PSIS) for recording that a clinician has refused to seal information.

Used by:

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

Indicates this is an act.

[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="EVN" }

Indicates this is an event.

[1..1] [M] code (CV {CNE:SealingActType } ) { Fixed="RTS" }

A fixed code from the SealingActType vocabulary indicating that this is a refusal to seal.

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 the vocabulary
The displayName attribute shall carry the description associated with the code
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 refusal was made.

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

This is the unique identifier of a refusal to seal.

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_TP146044UK05#RefusalToSeal" }

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] component1

Refers to the reason for refusal to seal.

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

Indicates this is a component.

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

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

[1..1] [M] templateId (II) { Fixed="COCD_TP146044UK05#component1" }

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] refusalReason (RefusalReason)

A link to the refusal to seal reason.

[1..1] [M] component3

Refers to the request to seal.

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

Indicates this is a component.

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

If true, associations in the parent act are conducted across the ActRelationship 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_TP146044UK05#component3" }

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] requestToSeal (RequestToSeal)

A link to the request to seal.

RequestToSeal

A request to seal information.

Used by: RefusalToSeal

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

Indicates this is an act.

[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="RQO" }

Indicates this is a request.

[1..1] [M] code (CV {CNE:SealingActType } ) { Fixed="RQTS" }

A fixed code from the SealingActType vocabulary indicating that this is a request to seal.

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 the vocabulary
The displayName attribute shall carry the description associated with the code
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_TP146044UK05#requestToSeal" }

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

The person who authored the request.

Note :- This is the person who requested the information to be sealed.

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

Indicates this is a author.

[1..1] [M] contextControlCode (CS {CNE:ContextControl } ) { Fixed="OP" }

Specifies how this author contributes to the context of the request to seal 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-000011#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_TP146044UK05#participant" }

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 (RequesterChoice)

A link to the choice of author (requester) of the request to seal information.

RequesterChoice

An abstract placeholder for the templates of a author (requester).

Used by: RequestToSeal

[1..1] either : Template2

A link to the choice of templates of a author (requester) of a request to seal information.

RefusalReason

The reason why the clinician refused to seal the information.

Used by: RefusalToSeal

[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:SealingActType } ) { Fixed="RR" }

A fixed code from the SealingActType vocabulary indicating that this is a refusal reason.

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 the vocabulary
The displayName attribute shall carry the description associated with the code
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_TP146044UK05#refusalReason" }

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] value (CV {CNE:SealingRefusalReason } )

A code from the SealingRefusalReason vocabulary indicating the reason for refusal.

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 the vocabulary
The displayName attribute shall carry the description associated with the code
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.


COCD_TP146044UK05

RefusalToSeal		A record of a refusal by a clinician to seal one or more items of information. NOTE: This is not the sealing event act, but a notification (intended to be sent to PSIS) for recording that a clinician has refused to seal information.

	Used by:

[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="ACT" }		Indicates this is an act.

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

[1..1] [M] code (CV {CNE:SealingActType } ) { Fixed="RTS" }		A fixed code from the SealingActType vocabulary indicating that this is a refusal to seal. 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 the vocabulary The displayName attribute shall carry the description associated with the code 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 refusal was made.

[1..1] [M] id (II)		This is the unique identifier of a refusal to seal. 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_TP146044UK05#RefusalToSeal" }		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] component1		Refers to the reason for refusal to seal.


[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="COMP" }		Indicates this is a component.

[1..1] [M] contextConductionInd (BL) { Fixed="true" }		If true, associations in the parent act are conducted across the ActRelationship to the child act.

[1..1] [M] templateId (II) { Fixed="COCD_TP146044UK05#component1" }		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] refusalReason (RefusalReason)		A link to the refusal to seal reason.

[1..1] [M] component3		Refers to the request to seal.


[1..1] [M] typeCode (CS {CNE:ActRelationshipType } ) { Fixed="COMP" }		Indicates this is a component.

[1..1] [M] contextConductionInd (BL) { Fixed="true" }		If true, associations in the parent act are conducted across the ActRelationship 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_TP146044UK05#component3" }		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] requestToSeal (RequestToSeal)		A link to the request to seal.

RequestToSeal		A request to seal information.

	Used by: RefusalToSeal

[1..1] [M] classCode (CS {CNE:ActClass } ) { Fixed="ACT" }		Indicates this is an act.

[1..1] [M] moodCode (CS {CNE:ActMood } ) { Fixed="RQO" }		Indicates this is a request.

[1..1] [M] code (CV {CNE:SealingActType } ) { Fixed="RQTS" }		A fixed code from the SealingActType vocabulary indicating that this is a request to seal. 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 the vocabulary The displayName attribute shall carry the description associated with the code 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_TP146044UK05#requestToSeal" }		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		The person who authored the request. Note :- This is the person who requested the information to be sealed.


[1..1] [M] typeCode (CS {CNE:ParticipationType } ) { Fixed="AUT" }		Indicates this is a author.

[1..1] [M] contextControlCode (CS {CNE:ContextControl } ) { Fixed="OP" }		Specifies how this author contributes to the context of the request to seal 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-000011#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_TP146044UK05#participant" }		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 (RequesterChoice)		A link to the choice of author (requester) of the request to seal information.

RequesterChoice		An abstract placeholder for the templates of a author (requester).

	Used by: RequestToSeal

[1..1] either : Template2		A link to the choice of templates of a author (requester) of a request to seal information.

RefusalReason		The reason why the clinician refused to seal the information.

	Used by: RefusalToSeal

[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:SealingActType } ) { Fixed="RR" }		A fixed code from the SealingActType vocabulary indicating that this is a refusal reason. 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 the vocabulary The displayName attribute shall carry the description associated with the code 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_TP146044UK05#refusalReason" }		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] value (CV {CNE:SealingRefusalReason } )		A code from the SealingRefusalReason vocabulary indicating the reason for refusal. 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 the vocabulary The displayName attribute shall carry the description associated with the code 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.