No Current Link To VocabularyCoded With ExtensionsCoded No Extensions
COCT_HD530000UV
A_SupportingClinicalStatementUniversal

(Link to Excel View)
Derived from RMIM: COCT_RM530000UV
 
ClinicalStatement
subjectOf [0..1] (Subject)
choice of ActChoice
          or ActReference

Design Comments: ActReference is used to refer to a full instance of any clinical statement. The classCode and moodCode of the reference shall have the same values as the act to which reference is being made. According to the context of use the referenced Act may be in the current communication or in a previously communicated message and available from a shared repository

UsageNotes: ActRef is used to refer to a full instance of any clinical statement. The classCode and moodCode of the reference shall have the same values as the act to which reference is being made. According to the context of use the referenced Act may be in the current communication or in a previously communicated message and available from a shared repository

 
Subject
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipHasSubject, root= "SUBJ"}
blockedContextActRelationshipType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ActRelationshipType}
blockedContextParticipationType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ParticipationType}
actAttributeContextBlockedInd [0..1]
ActRelationship (BN)
controlActEvent [1..1] (ControlActEvent)

Design Comments: Only for use in transactional domains such as Laboratory or Pharmacy. Should be constrained out of derived models for other domains.

UsageNotes: Only for use in transactional domains such as Laboratory or Pharmacy. Should be constrained out of derived models for other domains.

 
ControlActEvent

Design Comments: Only for use in transactional domains such as Laboratory or Pharmacy. Should be constrained out of derived models for other domains.

UsageNotes: Only for use in transactional domains such as Laboratory or Pharmacy. Should be constrained out of derived models for other domains.

classCode [1..1] (M)
ControlAct (CS) {CNE:V:ActClassControlAct, root= "CACT"}
moodCode [1..1] (M)
ControlAct (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"}
id [0..1]
ControlAct (II)
code [1..1]
ControlAct (CD) {CWE:D:HL7TriggerEventCode}
statusCode [1..1]
ControlAct (CS) {CNE:D:completed}
effectiveTime [1..1]
ControlAct (TS)
reasonCode [0..1]
ControlAct (CV) {CWE:D:ControlActReason}
 
ActChoice
recordTarget [0..1] (RecordTarget)
responsibleParty [0..*] (ResponsibleParty)
performer [0..*] (Performer)

Design Comments: Makes it possible to provide information about the performer of a cited act.

author [0..*] (Author)

Design Comments: Author is often an assigned entity but may also be a patient or related person (as in filling out a patient history form).

UsageNotes: Author is often an assigned entity but may also be a patient or related person (as in filling out a patient history form).

transcriber [0..1] (Transcriber)

Design Comments: Used only if data is not primarily electronically authored.

informant [0..*] (Informant)
consultant [0..*] (Consultant)
verifier [0..*] (Verifier)
location [0..*] (Location)

Design Comments: Makes it possible to provide information about the location of a cited act.

definition [0..1] (Definition)

Design Comments: Identifies the "master" or "service catalog" entry of the Act. Use this alone or in addition to an Act.code.

documentationOf [0..*] (DocumentationOf)
conditions [0..*] (Conditions)
outboundRelationship1 [0..*] (SourceOf1)

Design Comments: It is an act relationship that makes it possible to link a product reporting related act to an act reference. The act reference is used to create a link to acts external to the model, for example to an adverse event or reaction. Note: negationInd: In an implementable model this attribute should either be constrained out or it should be set to be Required.

UsageNotes: blockContext attributes are meant to be optional, but where not present should default to blocking all Participations and Act Relationship types. This should be indicated by ‘=”ART”’ (rather than ‘<=”ART”’) but this is not supported by tooling currently.

outboundRelationship2 [0..*] (SourceOf)

Design Comments: inversionInd: in a message instance this attribute should not be valued as ‘true’ when an alternative act relationship with an inversionInd valued as ‘false’ could be used to convey the same semantic.

inboundRelationship [0..*] (SourceOf2)

Design Comments: inversionInd: in a message instance this attribute should not be valued as ‘true’ when an alternative act relationship with an inversionInd valued as ‘false’ could be used to convey the same semantic.

choice of Observation

Design Comments: x_ClinicalStatementObservationMood: APT, ARQ, DEF, EVN, GOL, INT, PRMS, PRP, RQO, RSK

          or SubstanceAdministration

Design Comments: The act of introducing or otherwise applying a substance to the subject. Normally a type of procedure that involves a performer introducing or otherwise applying a material into or to the subject. Note, the performer and subject may be the same party.

UsageNotes: x_ClinicalStatementSubstanceMood: DEF, EVN, INT, PRMS, PRP, RQO

          or Procedure

Design Comments: x_ClinicalStatementProcedureMood: APT, ARQ, DEF, EVN, INT, PRMS, PRP, RQO

          or Supply

Design Comments: x_ClinicalStatementSupplyMood: DEF, EVN, INT

          or Encounter

Design Comments: x_ClinicalStatementEncounterMood: APT, ARQ, DEF, EVN, INT, PRMS, PRP, RQO

          or Exposure

Design Comments: x_ClinicalStatementExposureMood: DEF, EVN, RSK

          or PublicHealthCase
          or Act

Design Comments: A record of something that is being done, has been done, can be done, or is intended or requested to be done. The class is used to represent acts that are not further specialized as an observation, procedure, etc.

UsageNotes: code: A harmonization proposal will be submitted for a more appropriate concept domain.

          or Organizer

Design Comments: An act which acts as an "organizer of entries." It is navigational, and is expected to have no semantic content. Knowledge of the section code is not required to interpret contained observations, however, the code will be useful within the adverse event and product problem reporting context. The act represents a heading in a heading structure, or "organizer tree".

UsageNotes: code: A harmonization proposal will be submitted for a more appropriate concept domain.

Inherits associations from ClinicalStatement
 
RecordTarget
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationRecordTarget, root= "RCT"}
subjectChoice [1..1] (R_SubjectUniversal)
 
ResponsibleParty
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationResponsibleParty, root= "RESP"}
time [0..1]
Participation (IVL<TS>)
assignedEntity [1..1] (R_AssignedEntityUniversal)
 
Performer

Design Comments: Makes it possible to provide information about the performer of a cited act.

typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationPhysicalPerformer, root= "PRF"}

Design Comments: The value, PRF, indicates that information about the performer of an act is being provided.

functionCode [0..1]
Participation (CD) {CWE:D:PerformerParticipationFunction}
noteText [0..1]
Participation (ED)
time [0..1]
Participation (IVL<TS>)
modeCode [0..1]
Participation (CD) {CWE:D:ParticipationMode}
providerOrPatientOrRelated [1..1] (ProviderOrPatientOrRelated)
 
Author

Design Comments: Author is often an assigned entity but may also be a patient or related person (as in filling out a patient history form).

UsageNotes: Author is often an assigned entity but may also be a patient or related person (as in filling out a patient history form).

typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationAuthorOriginator, root= "AUT"}
noteText [0..1]
Participation (ED)
time [0..1]
Participation (TS)
modeCode [0..1]
Participation (CD) {CWE:D:ParticipationMode}
signatureCode [0..1]
Participation (CD) {CNE:D:ParticipationSignature}
signatureText [0..1]
Participation (ED)
providerOrPatientOrRelated [1..1] (ProviderOrPatientOrRelated)
 
ProviderOrPatientOrRelated
choice of R_AssignedEntityUniversal
          or R_PatientOrInvestigatedOrRelatedPersonUniversal
 
Transcriber

Design Comments: Used only if data is not primarily electronically authored.

typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationInformationTranscriber, root= "TRANS"}
time [0..1]
Participation (TS)
modeCode [0..1]
Participation (CD) {CWE:D:ParticipationMode}
signatureCode [0..1]
Participation (CD) {CNE:D:ParticipationSignature}
signatureText [0..1]
Participation (ED)
assignedEntity [1..1] (R_AssignedEntityUniversal)
 
Informant
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationInformant, root= "INF"}
time [0..1]
Participation (IVL<TS>)
modeCode [0..1]
Participation (CD) {CWE:D:ParticipationMode}
providerOrPatientOrRelated [1..1] (ProviderOrPatientOrRelated)
 
Consultant
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationConsultant, root= "CON"}
functionCode [0..1]
Participation (CD) {CWE:D:ConsultantParticipationFunction}
noteText [0..1]
Participation (ED)
time [0..1]
Participation (IVL<TS>)
assignedEntity [1..1] (R_AssignedEntityUniversal)
 
Verifier
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationVerifier, root= "VRF"}
noteText [0..1]
Participation (ED)
time [0..1]
Participation (TS)
modeCode [0..1]
Participation (CD) {CWE:D:ParticipationMode}
signatureCode [0..1]
Participation (CD) {CNE:D:ParticipationSignature}
signatureText [0..1]
Participation (ED)
assignedEntity [1..1] (R_AssignedEntityUniversal)
 
Location

Design Comments: Makes it possible to provide information about the location of a cited act.

typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationTargetLocation, root= "LOC"}

Design Comments: The code value, LOC, indicates this is a location participation.

clincalStatementLocation [1..1] (R_ClincalStatementLocationUniversal)
 
Definition

Design Comments: Identifies the "master" or "service catalog" entry of the Act. Use this alone or in addition to an Act.code.

typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipInstantiatesMaster, root= "INST"}

Design Comments: The value, INST, indicates that the source of the act relationship is an instance that is being related to definitional information.

blockedContextActRelationshipType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ActRelationshipType}
blockedContextParticipationType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ParticipationType}
actAttributeContextBlockedInd [0..1]
ActRelationship (BN)
actDefinition [1..1] (ActDefinition)

Design Comments: Definitional information about an act.

 
ActDefinition

Design Comments: Definitional information about an act.

classCode [1..1] (M)
Act (CS) {CNE:V:ActClassRoot, root= "ACT"}

Design Comments: The value, ACT, indicates the presence of an activity.

moodCode [1..1] (M)
Act (CS) {CNE:V:ActMoodDefinition, root= "DEF"}

Design Comments: The value, DEF, indicates that information about a class of activities is being provided.

id [1..1] (M)
Act (II)

Design Comments: An identifier for the activity definition.

text [0..1]
Act (ED)

Design Comments: A text description of the act. The attribute is used when the act needs to be described.

 
DocumentationOf
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipDocuments, root= "DOC"}
document [1..1] (Document)
 
Document
classCode [1..1] (M)
Document (CS) {CNE:V:ActClassDocument, root= "DOC"}
moodCode [1..1] (M)
Document (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"}
id [0..*]
Document (DSET<II>)
code [0..1]
Document (CD) {CWE:D:ActCode}
title [0..1]
Document (ED)
text [0..1]
Document (ED)
statusCode [0..1]
Document (CS) {CNE:D:ActStatus}
effectiveTime [0..1]
Document (GTS)
confidentialityCode [0..*]
Document (DSET<CD>) {CWE:D:Confidentiality}
setId [0..1]
Document (II)
versionNumber [0..1]
Document (ST)
completionCode [0..1]
Document (CD) {CWE:D:DocumentCompletion}
storageCode [0..1]
Document (CD) {CWE:D:DocumentStorage}
copyTime [0..1]
Document (TS)
bibliographicDesignationText [0..*]
Document (DSET<ED>)
relatedDocument [0..*] (SourceOf3)
 
SourceOf3
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:x_ActRelationshipDocument}
blockedContextActRelationshipType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ActRelationshipType}
blockedContextParticipationType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ParticipationType}
actAttributeContextBlockedInd [0..1]
ActRelationship (BN)
seperatableInd [0..1]
ActRelationship (BL)
document [1..1] (Document)
 
Conditions
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipConditional}
blockedContextActRelationshipType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ActRelationshipType}
blockedContextParticipationType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ParticipationType}
actAttributeContextBlockedInd [0..1]
ActRelationship (BN)
checkpointCode [0..1]
ActRelationship (CS) {CNE:D:ActRelationshipCheckpoint}
conjunctionCode [0..1]
ActRelationship (CS) {CNE:V:RelationshipConjunction, default= "AND"}
seperatableInd [0..1]
ActRelationship (BL)
criterion [1..1] (Criterion)
 
SourceOf1

Design Comments: It is an act relationship that makes it possible to link a product reporting related act to an act reference. The act reference is used to create a link to acts external to the model, for example to an adverse event or reaction. Note: negationInd: In an implementable model this attribute should either be constrained out or it should be set to be Required.

UsageNotes: blockContext attributes are meant to be optional, but where not present should default to blocking all Participations and Act Relationship types. This should be indicated by ‘=”ART”’ (rather than ‘<=”ART”’) but this is not supported by tooling currently.

typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipType}
inversionInd [0..1]
ActRelationship (BL)

Design Comments: An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed.

blockedContextActRelationshipType [0..1]
ActRelationship (CS) {CNE:V:ActRelationshipType, default= "ART"}
blockedContextParticipationType [0..1]
ActRelationship (CS) {CNE:V:ParticipationType, default= "PART"}
actAttributeContextBlockedInd [0..1]
ActRelationship (BN){fixed value= "true"}
sequenceNumber [0..1]
ActRelationship (INT.NONNEG)

Design Comments: An integer specifying the relative sequential or temporal ordering of this relationship among other like-types relationships having the same source Act.

priorityNumber [0..1]
ActRelationship (REAL)
pauseQuantity [0..1]
ActRelationship (PQ.TIME)

Design Comments: Provides information about a pause, or gap in time, between a pair of acts associated via an act relationship.

negationInd [0..1]
ActRelationship (BL)

Design Comments: An indicator that asserts that the meaning of the link is negated. If the relationship without negation specifies that Act A has Act B as a component, then the negation indicator specifies that Act A does not have Act B as a component. If B is a reason for A, then negation means that B is not a reason for A.

conjunctionCode [0..1]
ActRelationship (CS) {CNE:D:RelationshipConjunction}

Design Comments: A code specifying the logical conjunction of the criteria among all the condition-links of Acts (e.g., and, or, exclusive-or).

localVariableName [0..1]
ActRelationship (ST.SIMPLE)
seperatableInd [0..1]
ActRelationship (BL)
uncertaintyCode [0..1]
ActRelationship (CD) {CNE:D:ActUncertainty}
actReference [1..1] (ActReference)

Design Comments: ActReference is used to refer to a full instance of any clinical statement. The classCode and moodCode of the reference shall have the same values as the act to which reference is being made. According to the context of use the referenced Act may be in the current communication or in a previously communicated message and available from a shared repository

UsageNotes: ActRef is used to refer to a full instance of any clinical statement. The classCode and moodCode of the reference shall have the same values as the act to which reference is being made. According to the context of use the referenced Act may be in the current communication or in a previously communicated message and available from a shared repository

 
ActReference

Design Comments: ActReference is used to refer to a full instance of any clinical statement. The classCode and moodCode of the reference shall have the same values as the act to which reference is being made. According to the context of use the referenced Act may be in the current communication or in a previously communicated message and available from a shared repository

UsageNotes: ActRef is used to refer to a full instance of any clinical statement. The classCode and moodCode of the reference shall have the same values as the act to which reference is being made. According to the context of use the referenced Act may be in the current communication or in a previously communicated message and available from a shared repository

classCode [1..1] (M)
Act (CS) {CNE:V:ActClassRoot, root= "ACT"}

Design Comments: Any sub-type of ACT can be used, and should match the class being referenced.

moodCode [1..1] (M)
Act (CS) {CNE:V:ActMood}

Design Comments: Any sub-type of ActMood can be used, and should match the class being referenced.

id [1..1] (M)
Act (II)

Design Comments: An identifier for the act that is being referenced. This is the "pointer" that makes the ActReference work.

 
SourceOf

Design Comments: inversionInd: in a message instance this attribute should not be valued as ‘true’ when an alternative act relationship with an inversionInd valued as ‘false’ could be used to convey the same semantic.

typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipType}

Design Comments: The type code value, drawn from the ActRelationshipType coding system, indicates the nature of the association between the pair of related acts.

inversionInd [0..1]
ActRelationship (BL)

Design Comments: An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed. The inversion indicator is used when the meaning of ActRelationship.typeCode must be reversed.

blockedContextActRelationshipType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ActRelationshipType}
blockedContextParticipationType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ParticipationType}
actAttributeContextBlockedInd [0..1]
ActRelationship (BN)
sequenceNumber [0..1]
ActRelationship (INT.NONNEG)

Design Comments: Indicates the sequence to be used in considering or interpreting the relationship of a parent act to the collection of children act related in the same way (that is sharing the same act relationship code value).

priorityNumber [0..1]
ActRelationship (INT)
pauseQuantity [0..1]
ActRelationship (PQ.TIME)

Design Comments: Provides information about a pause, or gap in time, between a pair of acts associated via an act relationship.

negationInd [0..1]
ActRelationship (BL)

Design Comments: An indicator that asserts that the meaning of the link is negated. If the relationship without negation specifies that Act A has Act B as a component, then the negation indicator specifies that Act A does not have Act B as a component. If B is a reason for A, then negation means that B is not a reason for A.

conjunctionCode [0..1]
ActRelationship (CS) {CNE:D:RelationshipConjunction}
localVariableName [0..1]
ActRelationship (ST.SIMPLE)
seperatableInd [0..1]
ActRelationship (BL)
uncertaintyCode [0..1]
ActRelationship (CD) {CNE:D:ActUncertainty}
actChoice [1..1] (ActChoice)
 
SourceOf2

Design Comments: inversionInd: in a message instance this attribute should not be valued as ‘true’ when an alternative act relationship with an inversionInd valued as ‘false’ could be used to convey the same semantic.

typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipType}
inversionInd [0..1]
ActRelationship (BL)
blockedContextActRelationshipType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ActRelationshipType}
blockedContextParticipationType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ParticipationType}
actAttributeContextBlockedInd [0..1]
ActRelationship (BN)
sequenceNumber [0..1]
ActRelationship (INT.NONNEG)
priorityNumber [0..1]
ActRelationship (REAL)
pauseQuantity [0..1]
ActRelationship (PQ.TIME)
negationInd [0..1]
ActRelationship (BL)
conjunctionCode [0..1]
ActRelationship (CS) {CNE:D:RelationshipConjunction}
localVariableName [0..1]
ActRelationship (ST.SIMPLE)
seperatableInd [0..1]
ActRelationship (BL)
uncertaintyCode [0..1]
ActRelationship (CD) {CNE:D:ActUncertainty}
actChoice [1..1] (ActChoice)
 
Observation

Design Comments: x_ClinicalStatementObservationMood: APT, ARQ, DEF, EVN, GOL, INT, PRMS, PRP, RQO, RSK

classCode [1..1] (M)
Observation (CS) {CNE:V:ActClassObservation, root= "OBS"}

Design Comments: The code value, OBS, indicates that this is an observation.

moodCode [1..1] (M)
Observation (CS) {CNE:V:x_ClinicalStatementObservationMood}

Design Comments: The mood code value, drawn from the indicated concept domain, indicates whether or not the observation has occurred or is intended to occur.

id [0..*]
Observation (DSET<II>)

Design Comments: An identifier for the act.

code [1..1]
Observation (CD) {CWE:D:ObservationType}

Design Comments: A coded value that indicates the type of observation, e.g., height, weight, red blood count.

actionNegationInd [0..1]
Observation (BL)
title [0..1]
Observation (ED)
text [0..1]
Observation (ED)

Design Comments: A text description of the observation. The attribute is used when the entire process of making the observation needs to be described. Textual results are captured in observation.value as are all results. This is not extra information about the act, but rather a textual summary of the content in the other fields. NOT be used as an "other" field.

statusCode [0..1]
Observation (CS) {CNE:D:ActStatus}

Design Comments: A coded expression of the state of the activity. Note, this is the status of the activity of observing, not the status of the object observed.

effectiveTime [0..1]
Observation (QSET<TS>)

Design Comments: A time expression specifying the "clinically relevent", "focal" or "operative" time of the act.

activityTime [0..1]
Observation (QSET<TS>)
availabilityTime [0..1]
Observation (TS)
priorityCode [0..1]
Observation (CD) {CWE:D:ActPriority}
confidentialityCode [0..*]
Observation (DSET<CD>) {CWE:D:Confidentiality}

Design Comments: A code that controls the disclosure of information about this Act, regardless of mood.

repeatNumber [0..1]
Observation (IVL<INT.NONNEG>)

Design Comments: An interval of integer numbers stating the minimal and maximal number of repetitions of the Act.

interruptibleInd [0..1]
Observation (BL)

Design Comments: The interruptibleInd is used to indicate, on a request, that a particular action cannot be stopped during that action (e.g. 24 hour specimen collection procedure cannot be stopped in the middle).

independentInd [0..1]
Observation (BL)
uncertaintyCode [0..1]
Observation (CD) {CNE:D:ActUncertainty}
languageCode [0..1]
Observation (CD) {CNE:D:HumanLanguage}
isCriterionInd [0..1]
Observation (BL)
value [0..1]
Observation (ANY) {CWE:D:ObservationValue}

Design Comments: Information that is assigned or determined by the observation action. Note, the datatype of the observation value is determined by the context.

valueNegationInd [0..1]
Observation (BL)
interpretationCode [0..*]
Observation (DSET<CD>) {CWE:D:ObservationInterpretation}

Design Comments: One or more codes specifying a rough qualitative interpretation of the observation, such as "normal", "abnormal", "below normal", "change up", "resistant", "susceptible", etc

methodCode [0..*]
Observation (DSET<CD>) {CWE:D:ObservationMethod}

Design Comments: A code that provides additional detail about the means or technique used to ascertain the observation.

targetSiteCode [0..*]
Observation (DSET<CD>) {CWE:D:ActSite}

Design Comments: A code specifying detail about the anatomical site or system that is the focus of the observation if this information is not already implied by the observation definition or Act.code.

device [0..*] (Device1)
consumable [0..*] (Consumable1)
referenceRange [0..*] (ReferenceRange)
Inherits associations from ActChoice
Inherits associations from ClinicalStatement
 
Device1
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationTargetDevice, root= "DEV"}
sequenceNumber [0..1]
Participation (INT.NONNEG)
time [0..1]
Participation (IVL<TS>)
commonProductModelChoice [1..1] (R_ClinicalStatementProductModelUniversal)
 
Consumable1
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationConsumable, root= "CSM"}
sequenceNumber [0..1]
Participation (INT.NONNEG)
time [0..1]
Participation (IVL<TS>)
commonProductModelChoice [1..1] (R_ClinicalStatementProductModelUniversal)
 
ReferenceRange
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipHasReferenceValues, root= "REFV"}
blockedContextActRelationshipType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ActRelationshipType}
blockedContextParticipationType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ParticipationType}
actAttributeContextBlockedInd [0..1]
ActRelationship (BN)
seperatableInd [0..1]
ActRelationship (BL)
observationRange [1..1] (ObservationRange)

Design Comments: Information used to interpret the outcome of an observation. The Observation Range indicates the values which are to be interpreted as high, low, normal, etc.

 
ObservationRange

Design Comments: Information used to interpret the outcome of an observation. The Observation Range indicates the values which are to be interpreted as high, low, normal, etc.

classCode [1..1] (M)
Observation (CS) {CNE:V:ActClassObservation, root= "OBS"}

Design Comments: The value, OBS, indicates this is an observation.

moodCode [1..1] (M)
Observation (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"}

Design Comments: The value EVN.CRT, indicates that the observation provides a criterion for the interpretation of an event.

actionNegationInd [0..1]
Observation (BL)
text [0..1]
Observation (ED)
isCriterionInd [1..1] (M)
Observation (BL){fixed value= "true"}
value [1..1]
Observation (ANY) {CWE:D:ObservationValue}

Design Comments: The observation value range that is to be given the indicated interpretation (normally an IVL interval datatype).

valueNegationInd [0..1]
Observation (BL)
interpretationCode [1..1] (M)
Observation (CD) {CWE:D:ObservationInterpretation}

Design Comments: An indication of the interpretation, e.g., high, low, normal, to be given to the stated value or values.

precondition [0..*] (Precondition)
 
Precondition
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipHasPre-condition, root= "PRCN"}
blockedContextActRelationshipType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ActRelationshipType}
blockedContextParticipationType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ParticipationType}
actAttributeContextBlockedInd [0..1]
ActRelationship (BN)
conjunctionCode [0..1]
ActRelationship (CS) {CNE:V:RelationshipConjunction, default= "AND"}
seperatableInd [0..1]
ActRelationship (BL)
criterion [1..1] (Criterion)

Design Comments: code: - concept Domain ‘ObservationEventCriteriaType’ pending harmonization approval

 
Criterion

Design Comments: code: - concept Domain ‘ObservationEventCriteriaType’ pending harmonization approval

classCode [1..1] (M)
Observation (CS) {CNE:V:ActClassObservation, root= "OBS"}
moodCode [1..1] (M)
Observation (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"}
code [0..1]
Observation (CD) {CWE:D:ObservationEventCriteriaType}
actionNegationInd [0..1]
Observation (BL)
text [0..1]
Observation (ED)
isCriterionInd [1..1] (M)
Observation (BL){fixed value= "true"}
value [1..1]
Observation (ANY) {CWE:D:ObservationValue}
valueNegationInd [0..1]
Observation (BL)
interpretationCode [1..1]
Observation (CD) {CWE:D:ObservationInterpretation}
device [0..*] (Device1)
consumable [0..*] (Consumable1)
precondition [0..*] (Precondition2)
 
Precondition2
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipHasPre-condition, root= "PRCN"}
blockedContextActRelationshipType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ActRelationshipType}
blockedContextParticipationType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ParticipationType}
actAttributeContextBlockedInd [0..1]
ActRelationship (BN)
checkpointCode [0..1]
ActRelationship (CS) {CNE:D:ActRelationshipCheckpoint}
conjunctionCode [0..1]
ActRelationship (CS) {CNE:V:RelationshipConjunction, default= "AND"}
seperatableInd [0..1]
ActRelationship (BL)
criterion [1..1] (Criterion)
 
SubstanceAdministration

Design Comments: The act of introducing or otherwise applying a substance to the subject. Normally a type of procedure that involves a performer introducing or otherwise applying a material into or to the subject. Note, the performer and subject may be the same party.

UsageNotes: x_ClinicalStatementSubstanceMood: DEF, EVN, INT, PRMS, PRP, RQO

classCode [1..1] (M)
SubstanceAdministration (CS) {CNE:V:ActClassSubstanceAdministration, root= "SBADM"}

Design Comments: The value, SBADM, indicates that the act is a substance administration.

moodCode [1..1] (M)
SubstanceAdministration (CS) {CNE:V:x_ClinicalStatementSubstanceMood}

Design Comments: The mood code value, drawn from the indicated concept domain, indicates whether or not the administration has occurred or is intended to occur.

id [0..*]
SubstanceAdministration (DSET<II>)

Design Comments: An identifier for the act.

code [0..1]
SubstanceAdministration (CD) {CWE:D:ActSubstanceAdministrationCode}
actionNegationInd [0..1]
SubstanceAdministration (BL)
text [0..1]
SubstanceAdministration (ED)

Design Comments: A text description of the substance administration (not to be used for "other" infomation).

statusCode [0..1]
SubstanceAdministration (CS) {CNE:D:ActStatus}

Design Comments: An indication of the state of the activity.

effectiveTime [0..1]
SubstanceAdministration (QSET<TS>)

Design Comments: A time expression specifying the focal or operative time of the Act, the primary time for which the Act holds, the time of interest from the perspective of the Act's intention.

activityTime [0..1]
SubstanceAdministration (QSET<TS>)
availabilityTime [0..1]
SubstanceAdministration (TS)
priorityCode [0..1]
SubstanceAdministration (CD) {CWE:D:ActPriority}
confidentialityCode [0..*]
SubstanceAdministration (DSET<CD>) {CWE:D:Confidentiality}

Design Comments: A code that controls the disclosure of information about this Act, regardless of mood.

repeatNumber [0..1]
SubstanceAdministration (IVL<INT.NONNEG>)

Design Comments: An interval of integer numbers stating the minimal and maximal number of repetitions of the Act.

languageCode [0..1]
SubstanceAdministration (CD) {CNE:D:HumanLanguage}
isCriterionInd [0..1]
SubstanceAdministration (BL)
approachSiteCode [0..*]
SubstanceAdministration (DSET<CD>) {CWE:D:ActSite}

Design Comments: The detailed anatomical site where the medication enters or is applied to the subject.

routeCode [0..1]
SubstanceAdministration (CD) {CWE:D:RouteOfAdministration}

Design Comments: The physiological path or route for introducing the therapeutic material into or onto the subject.

doseQuantity [0..1]
SubstanceAdministration (URG<PQ>)

Design Comments: The amount of the therapeutic agent or other substance given at one administration event. The dose may be specified either as a physical quantity of active ingredient (e.g., 200 mg) or as the count of administration-units (e.g., tablets, capsules, "eaches").

rateQuantity [0..1]
SubstanceAdministration (URG<PQ>)

Design Comments: Identifies the speed with which the substance is introduced into the subject. Expressed as a physical (extensive) quantity over elapsed time (e.g., examples are 100 mL/h, 1 g/d, 40 mmol/h, etc.)

doseCheckQuantity [0..*]
SubstanceAdministration (DSET<RTO<PQ,PQ.TIME>>)

Design Comments: This attribute identifies the expected quantity to be consumed over a period of time. It is used as a verification check on the values specified for other values. This attribute should not generally be used; it is only provided for a special purpose. In some countries, especially Japan, there is a regulatory requirement to note the total daily dose on the prescription and associated documentation.

maxDoseQuantity [0..1]
SubstanceAdministration (RTO<PQ,PQ.TIME>)

Design Comments: Identifies the maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time.

administrationUnitCode [0..1]
SubstanceAdministration (CD) {CWE:D:AdministrableDrugForm}

Design Comments: A code for the administered thing taken from a larger whole. Used if the consumable material is specified as a larger whole but the doseQuantity relates to a specific portion of it rather than the entire consumable material. The ordering system only has a code for "Budesonide Metered Dose Inhaler" but the dose is to be measured in "number of actuations."

consumable [0..1] (Consumable)

Design Comments: Makes it possible to provide information about a product used in a substance administration.

Inherits associations from ActChoice
Inherits associations from ClinicalStatement
 
Consumable

Design Comments: Makes it possible to provide information about a product used in a substance administration.

typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationConsumable, root= "CSM"}

Design Comments: The value, CSM, indicates that information related to a product consumed or to be consumed in a substance administration is being provided.

agentChoice [1..1] (R_ClinicalStatementConsumableMaterialUniversal)
 
Procedure

Design Comments: x_ClinicalStatementProcedureMood: APT, ARQ, DEF, EVN, INT, PRMS, PRP, RQO

classCode [1..1] (M)
Procedure (CS) {CNE:V:ActClassProcedure, root= "PROC"}

Design Comments: The value, PROC, indicates that the act is a procedure.

moodCode [1..1] (M)
Procedure (CS) {CNE:V:x_ClinicalStatementProcedureMood}

Design Comments: The mood code value, drawn from the indicated concept domain, indicates whether or not the procedure has occurred or is intended to occur.

id [0..*]
Procedure (DSET<II>)

Design Comments: An identifier for the act.

code [0..1]
Procedure (CD) {CWE:D:ActProcedureCode}

Design Comments: A code specifying the particular kind of Act that the Act-instance represents within its class.

actionNegationInd [0..1]
Procedure (BL)
text [0..1]
Procedure (ED)

Design Comments: A renderable textual or multimedia description (or reference to a description) of the complete information which would reasonably be expected to be displayed to a human reader conveyed by the Act.

statusCode [0..1]
Procedure (CS) {CNE:D:ActStatus}

Design Comments: A code specifying the completeness state of the Act.

effectiveTime [0..1]
Procedure (QSET<TS>)

Design Comments: A time expression specifying the focal or operative time of the Act, the primary time for which the Act holds, the time of interest from the perspective of the Act's intention.

activityTime [0..1]
Procedure (QSET<TS>)
availabilityTime [0..1]
Procedure (TS)
priorityCode [0..1]
Procedure (CD) {CWE:D:ActPriority}

Design Comments: A code or set of codes (e.g. for routine emergency,) specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested to happen.

confidentialityCode [0..*]
Procedure (DSET<CD>) {CWE:D:Confidentiality}

Design Comments: A code that controls the disclosure of information about this Act, regardless of mood.

interruptibleInd [0..1]
Procedure (BL)
uncertaintyCode [0..1]
Procedure (CD) {CNE:D:ActUncertainty}
languageCode [0..1]
Procedure (CD) {CNE:D:HumanLanguage}
isCriterionInd [0..1]
Procedure (BL)
methodCode [0..*]
Procedure (DSET<CD>) {CWE:D:ProcedureMethod}

Design Comments: Identifies the means or technique used to perform the procedure.

approachSiteCode [0..*]
Procedure (DSET<CD>) {CWE:D:ActSite}

Design Comments: The anatomical site or system through which the procedure reaches its target (see targetSiteCode).

targetSiteCode [0..*]
Procedure (DSET<CD>) {CWE:D:ActSite}

Design Comments: The anatomical site or system that is the focus of the procedure.

device [0..*] (Device)

Design Comments: Makes it possible to provide information about a product participating as a device in a substance administration.

product [0..*] (Product2)
Inherits associations from ActChoice
Inherits associations from ClinicalStatement
 
Device

Design Comments: Makes it possible to provide information about a product participating as a device in a substance administration.

typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationTargetDevice, root= "DEV"}

Design Comments: The value, DEV, indicates that information about a device related to a procedure is being passed.

commonProductModelChoice [1..1] (R_ClinicalStatementProductModelUniversal)
 
Product2
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationProduct, root= "PRD"}
sequenceNumber [0..1]
Participation (INT.NONNEG)
specimenChoice [1..1] (R_SpecimenUniversal)
 
Supply

Design Comments: x_ClinicalStatementSupplyMood: DEF, EVN, INT

classCode [1..1] (M)
Supply (CS) {CNE:V:ActClassSupply, root= "SPLY"}

Design Comments: The value, SPLY, indicates this is a supply act.

moodCode [1..1] (M)
Supply (CS) {CNE:V:x_ClinicalStatementSupplyMood}

Design Comments: The mood code value, drawn from the indicated concept domain, indicates whether or not the observation has occurred or is intended to occur.

id [0..*]
Supply (DSET<II>)

Design Comments: An identifier for the act.

code [0..1]
Supply (CD) {CWE:D:ActSupplyType}

Design Comments: A code specifying the particular kind of Act that the Act-instance represents within its class.

text [0..1]
Supply (ED)

Design Comments: A renderable textual or multimedia description (or reference to a description) of the complete information which would reasonably be expected to be displayed to a human reader conveyed by the Act.

statusCode [0..1]
Supply (CS) {CNE:D:ActStatus}

Design Comments: A code specifying the state of the Act.

effectiveTime [0..1]
Supply (QSET<TS>)

Design Comments: A time expression specifying the focal or operative time of the Act, the primary time for which the Act holds, the time of interest from the perspective of the Act's intention.

activityTime [0..1]
Supply (QSET<TS>)
availabilityTime [0..1]
Supply (TS)
priorityCode [0..*]
Supply (DSET<CD>) {CNE:D:ActPriority}
confidentialityCode [0..*]
Supply (DSET<CD>) {CWE:D:Confidentiality}

Design Comments: A code that controls the disclosure of information about this Act, regardless of mood.

repeatNumber [0..1]
Supply (IVL<INT.NONNEG>)

Design Comments: An interval of integer numbers stating the minimal and maximal number of repetitions of the Act.

independentInd [0..1]
Supply (BL)
languageCode [0..1]
Supply (CD) {CNE:D:HumanLanguage}
quantity [0..1]
Supply (PQ)

Design Comments: The amount that was or is to be supplied (depending on the moodCode).

expectedUseTime [0..1]
Supply (IVL<TS>)

Design Comments: Identifies the period time over which the supplied product is expected to be used, or the length of time the supply is expected to last.

product [1..*] (Product)

Design Comments: Makes it possible to provide information about a product or device that supplied during a supply act.

receiver [0..*] (Receiver)
Inherits associations from ActChoice
Inherits associations from ClinicalStatement
 
Product

Design Comments: Makes it possible to provide information about a product or device that supplied during a supply act.

typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationProduct, root= "PRD"}

Design Comments: The value, PRD, indicates that information about a product generated in the course of a supply act, i.e., a device, is being provided.

commonProductModelChoice [1..1] (R_ClinicalStatementProductModelUniversal)
 
Receiver
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationReceiver, root= "RCV"}
noteText [0..1]
Participation (ED)
time [0..1]
Participation (IVL<TS>)
assignedEntity [1..1] (R_AssignedEntityUniversal)
 
Encounter

Design Comments: x_ClinicalStatementEncounterMood: APT, ARQ, DEF, EVN, INT, PRMS, PRP, RQO

classCode [1..1] (M)
PatientEncounter (CS) {CNE:V:ActClassEncounter, root= "ENC"}

Design Comments: The value, ENC, indicates that the act is a patient, animal or other entity encounter.

moodCode [1..1] (M)
PatientEncounter (CS) {CNE:V:x_ClinicalStatementEncounterMood}

Design Comments: The mood code value, drawn from the indicated concept domain, indicates whether or not the encounter has occurred or is intended to occur.

id [0..*]
PatientEncounter (DSET<II>)

Design Comments: An identifier for the act.

code [0..1]
PatientEncounter (CD) {CWE:V:ActEncounterCode}

Design Comments: A code specifying the particular kind of Act that the Act-instance represents within its class.

text [0..1]
PatientEncounter (ED)

Design Comments: A renderable textual or multimedia description (or reference to a description) of the complete information which would reasonably be expected to be displayed to a human reader conveyed by the Act.

statusCode [0..1]
PatientEncounter (CS) {CNE:D:ActStatus}

Design Comments: A code specifying the completeness state of the Act.

effectiveTime [0..1]
PatientEncounter (QSET<TS>)

Design Comments: A time expression specifying the focal or operative time of the Act (Encounter), the primary time for which the Act holds, the time of interest from the perspective of the Act's intention.

activityTime [0..1]
PatientEncounter (QSET<TS>)
availabilityTime [0..1]
PatientEncounter (TS)
priorityCode [0..1]
PatientEncounter (CD) {CWE:D:ActPriority}
confidentialityCode [0..*]
PatientEncounter (DSET<CD>) {CWE:D:Confidentiality}

Design Comments: A code that controls the disclosure of information about this Act.

languageCode [0..1]
PatientEncounter (CD) {CNE:D:HumanLanguage}
admissionReferralSourceCode [0..1]
PatientEncounter (CD) {CWE:D:EncounterReferralSource}
lengthOfStayQuantity [0..1]
PatientEncounter (PQ.TIME)

Design Comments: Identifies the total quantity of time when the subject is expected to be or was resident at a facility as part of an encounter.

dischargeDispositionCode [0..1]
PatientEncounter (CD) {CWE:D:EncounterDischargeDisposition}

Design Comments: A code depicting the disposition of the patient at the time of discharge (e.g., discharged to home, expired, against medical advice, etc.).

preAdmitTestInd [0..1]
PatientEncounter (BL)
specialCourtesiesCode [0..*]
PatientEncounter (DSET<CD>) {CWE:D:EncounterSpecialCourtesy}
specialArrangementCode [0..*]
PatientEncounter (DSET<CD>) {CWE:D:SpecialArrangement}
Inherits associations from ActChoice
Inherits associations from ClinicalStatement
 
Exposure

Design Comments: x_ClinicalStatementExposureMood: DEF, EVN, RSK

classCode [1..1] (M)
Exposure (CS) {CNE:V:ActClassExposure, root= "EXPOS"}
moodCode [1..1] (M)
Exposure (CS) {CNE:V:x_ClinicalStatementExposureMood}
id [0..*]
Exposure (DSET<II>)
code [0..1]
Exposure (CD) {CWE:D:ActExposureCode}
actionNegationInd [0..1]
Exposure (BL)
title [0..1]
Exposure (ED)
text [0..1]
Exposure (ED)
statusCode [0..1]
Exposure (CS) {CNE:D:ActStatus}
effectiveTime [0..1]
Exposure (QSET<TS>)
activityTime [0..1]
Exposure (TS)
confidentialityCode [0..*]
Exposure (DSET<CD>) {CWE:D:Confidentiality}
uncertaintyCode [0..1]
Exposure (CD) {CNE:D:ActUncertainty}
languageCode [0..1]
Exposure (CD) {CWE:D:HumanLanguage}
isCriterionInd [0..1]
Exposure (BL)
routeCode [0..1]
Exposure (CD) {CWE:D:RouteOfAdministration}
exposureLevel [0..1]
Exposure (CD) {CWE:D:ActExposureLevelCode}
exposureModeCode [0..1]
Exposure (CD) {CWE:D:ExposureMode}
directTarget1 [0..*] (Participant)
directTarget2 [0..*] (Participant3)
Inherits associations from ActChoice
Inherits associations from ClinicalStatement
 
Participant
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationExposureparticipation, root= "EXPART"}
sequenceNumber [0..1]
Participation (INT.NONNEG)
negationInd [0..1]
Participation (BL)
time [0..1]
Participation (IVL<TS>)
awarenessCode [0..1]
Participation (CD) {CWE:D:TargetAwareness}
investigativeSubject [1..1] (R_InvestigativeSubjectUniversal)
 
Participant3
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationExposuresource, root= "EXSRC"}
sequenceNumber [0..1]
Participation (INT.NONNEG)
negationInd [0..1]
Participation (BL)
time [0..1]
Participation (IVL<TS>)
awarenessCode [0..1]
Participation (CD) {CWE:D:TargetAwareness}
exposureAgentCarrier [1..1] (R_ExposureAgentCarrierUniversal)
 
PublicHealthCase
classCode [1..1] (M)
PublicHealthCase (CS) {CNE:V:ActClassPublicHealthCase, root= "CASE"}
moodCode [1..1] (M)
PublicHealthCase (CS) {CNE:V:x_ClinicalStatementObservationMood}
id [0..*]
PublicHealthCase (DSET<II>)
code [0..1]
PublicHealthCase (CD) {CWE:D:ObservationPublicHealthCaseType}
actionNegationInd [0..1]
PublicHealthCase (BL)
title [0..1]
PublicHealthCase (ED)
text [0..1]
PublicHealthCase (ED)
statusCode [0..1]
PublicHealthCase (CS) {CNE:D:ActStatus}
effectiveTime [0..1]
PublicHealthCase (QSET<TS>)
confidentialityCode [0..*]
PublicHealthCase (DSET<CD>) {CWE:D:Confidentiality}
independentInd [0..1]
PublicHealthCase (BL)
uncertaintyCode [0..1]
PublicHealthCase (CD) {CNE:D:ActUncertainty}
languageCode [0..1]
PublicHealthCase (CD) {CWE:D:HumanLanguage}
isCriterionInd [0..1]
PublicHealthCase (BL)
value [0..1]
PublicHealthCase (ANY) {CWE:D:ObservationValue}
valueNegationInd [0..1]
PublicHealthCase (BL)
interpretationCode [0..*]
PublicHealthCase (DSET<CD>) {CWE:D:ObservationInterpretation}
methodCode [0..*]
PublicHealthCase (DSET<CD>) {CWE:D:ObservationMethod}
targetSiteCode [0..*]
PublicHealthCase (DSET<CD>) {CWE:D:ActSite}
detectionMethodCode [0..1]
PublicHealthCase (CD) {CWE:D:CaseDetectionMethod}
transmissionModeCode [0..1]
PublicHealthCase (CD) {CWE:D:CaseTransmissionMode}
diseaseImportedCode [0..1]
PublicHealthCase (CD) {CWE:D:CaseDiseaseImported}
Inherits associations from ActChoice
Inherits associations from ClinicalStatement
 
Act

Design Comments: A record of something that is being done, has been done, can be done, or is intended or requested to be done. The class is used to represent acts that are not further specialized as an observation, procedure, etc.

UsageNotes: code: A harmonization proposal will be submitted for a more appropriate concept domain.

classCode [1..1] (M)
Act (CS) {CNE:V:ActClassRoot, root= "ACT"}

Design Comments: The value, ACT, indicates that an activity is being referred to.

moodCode [1..1] (M)
Act (CS) {CNE:V:x_ClinicalStatementActMood}

Design Comments: The mood code value, drawn from the indicated concept domain, indicates whether or not the observation has occurred or is intended to occur.

id [0..*]
Act (DSET<II>)

Design Comments: An identifier for the act.

code [1..1]
Act (CD) {CWE:D:ActCode}

Design Comments: A code specifying the particular kind of Act that the Act-instance represents within its class.

actionNegationInd [0..1]
Act (BL)
text [0..1]
Act (ED)

Design Comments: A renderable textual or multimedia description (or reference to a description) of the complete information which would reasonably be expected to be displayed to a human reader conveyed by the Act.

statusCode [0..1]
Act (CS) {CNE:D:ActStatus}

Design Comments: A code specifying the state of the Act.

effectiveTime [0..1]
Act (IVL<TS>)

Design Comments: A time expression specifying the focal or operative time of the Act, the primary time for which the Act holds, the time of interest from the perspective of the Act's intention.

activityTime [0..1]
Act (QSET<TS>)
availabilityTime [0..1]
Act (TS)
priorityCode [0..1]
Act (CD) {CWE:D:ActPriority}
confidentialityCode [0..*]
Act (DSET<CD>) {CWE:D:Confidentiality}

Design Comments: A code that controls the disclosure of information about this Act.

uncertaintyCode [0..1]
Act (CD) {CNE:D:ActUncertainty}
languageCode [0..1]
Act (CD) {CNE:D:HumanLanguage}
directTarget [0..1] (DirectTarget)
Inherits associations from ActChoice
Inherits associations from ClinicalStatement
 
DirectTarget
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationTargetDirect, root= "DIR"}
orderableMedication [1..1] (R_OrderableMedicationUniversal)
 
Organizer

Design Comments: An act which acts as an "organizer of entries." It is navigational, and is expected to have no semantic content. Knowledge of the section code is not required to interpret contained observations, however, the code will be useful within the adverse event and product problem reporting context. The act represents a heading in a heading structure, or "organizer tree".

UsageNotes: code: A harmonization proposal will be submitted for a more appropriate concept domain.

classCode [1..1] (M)
Act (CS) {CNE:V:ActClassRecordOrganizer}

Design Comments: The value indicates the activity is provided as an organizer for acts contained within it.

moodCode [1..1] (M)
Act (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"}

Design Comments: The value, EVN, indicates that the act has already occurred.

id [0..*]
Act (DSET<II>)

Design Comments: A unique identifier for the act.

code [0..1]
Act (CD) {CWE:D:ActCode}

Design Comments: A code specifying the particular kind of Act that the Act-instance represents within its class.

text [0..1]
Act (ED)

Design Comments: A renderable textual or multimedia description (or reference to a description) of the complete information which would reasonably be expected to be displayed to a human reader conveyed by the Act.

statusCode [0..1]
Act (CS) {CNE:D:ActStatus}

Design Comments: A code specifying the completeness state of the Act.

effectiveTime [0..1]
Act (IVL<TS>)

Design Comments: The clinically or operationally relevant time of an act, exclusive of administrative activity.

availabilityTime [0..1]
Act (TS)
priorityCode [0..*]
Act (DSET<CD>) {CWE:D:ActPriority}
confidentialityCode [0..*]
Act (DSET<CD>) {CWE:D:Confidentiality}

Design Comments: A code that indicates the appropriate disclosure of information about this Act, regardless of mood.

device [0..*] (Device1)
consumable [0..*] (Consumable1)
component [0..*] (Component)

Design Comments: The act relationship is used to capture acts which are recorded as components as an organizer class. As an example, this makes it easier to manage the context of acts which are provided within an adverse event or product problem message.

Inherits associations from ActChoice
Inherits associations from ClinicalStatement
 
Component

Design Comments: The act relationship is used to capture acts which are recorded as components as an organizer class. As an example, this makes it easier to manage the context of acts which are provided within an adverse event or product problem message.

typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipHasComponent, root= "COMP"}
blockedContextActRelationshipType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ActRelationshipType}
blockedContextParticipationType [0..*]
ActRelationship (DSET<CS>) {CNE:D:ParticipationType}
actAttributeContextBlockedInd [0..1]
ActRelationship (BN)
sequenceNumber [0..1]
ActRelationship (INT.NONNEG)
priorityNumber [0..1]
ActRelationship (REAL)
seperatableInd [0..1]
ActRelationship (BL){default= "true"}
clinicalStatement [1..1] (ClinicalStatement)