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| Parent: | None |
This CMET has been withdrawn by the Orders and Observations Technical Committee.
An observation can be communicated (via CMET) using either the A_ObservationGeneral universal CMET or one of the new A_SupportingClinicalStatement CMETs.
| R_AssignedEntityUniversal | COCT_MT090000UV01 |
| A_Observation universal | COCT_MT120000UV |  |
| Parent: | None |
This is the minimal variant of A_ObservationDx universal
Overview
A diagnosis is an observation that represents the determination of the nature of a case of disease. The diagnosis code is captured as the value of the observation, while act code indicates the type of diagnosis, e.g., admitting, billing. All the participations relevant to a diagnosis are addressed in the discussion of the General Events Domain Message Information Model. There are no act relationships in this CMET.
| R_AssignedEntityIdentified | COCT_MT090001UV01 |
| A_ObservationDx minimal | COCT_MT120104UV | |
| Parent: | None |
This is the universal variant of the A_ObservationDx CMET.
Overview
A diagnosis is an observation that represents the determination of the nature of a case of disease. The diagnosis code is captured as the value of the observation, while act code indicates the type of diagnosis, e.g., admitting, billing. All the participations relevant to a diagnosis are addressed in the discussion of the General Events Domain Message Information Model.
This CMET also includes a definition act relationship which identifies the "master" or "service catalog" entry of the observation service being performed.
| R_AssignedEntityUniversal | COCT_MT090000UV01 |
| A_ObservationDx universal | COCT_MT120100UV | |
| Parent: | None |
Observation General CMET
A general observation represents the fact that the General Events DMIM also serves to represent a wide variety of relatively unspecialized observations. All the participations and act relationships for the general observation CMET are addressed within the General Events Domain Message Information Model (DMIM) Walkthrough
| R_AssignedEntityUniversal | COCT_MT090000UV01 |
| A_ObservationGeneral universal | COCT_MT120500UV | |
| Parent: | None |
Observation Intolerance CMET
An observation intolerance (AKA allergy) provides the attributes and associations needed for the specification of an intolerance or allergy. An allergy is a hypersensitive state acquired through exposure to a particular allergen. All participations and act relationships that are valid for intolerances are described in the General Events Domain Message Information Model Walkthrough
Act RelationshipsThe following associations have particular relevance for an intolerance. causeOf(Manifestation):
An intolerance can be associated with zero to many adverse reactions (manifestations). For the most part, intolerances are discovered and confirmed through the observation of an adverse reaction. However, an intolerance may be reported without providing specific information on related adverse reactions. At the same time, an allergic person may experience many reactions as a result of multiple exposures. This association is derived from the pertinent participation in the General Events DMIM.
| R_AssignedEntityUniversal | COCT_MT090000UV01 |
| A_ObservationIntolerence universal | COCT_MT120300UV | |
| Parent: | None |
Annotation CMET
Text-based comments made about a record, patient, or other object to which this CMET is attached. Provides for greater documentation and communication. All the participations for this CMET are addressed within the Observations Domain Message Information Model (DMIM) Walkthrough
| R_AssignedEntityUniversal | COCT_MT090000UV01 |
| A_annotation Universal | COCT_MT590000UV | |
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