Ambulance
Domain Message Specification

RiskToPatient Tabular View

COCD_TP146326GB01
RiskToPatient

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

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

Indicates that this is an observation.

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

Indicates that this is an event.

[1..1] [M] code (CD { CWE:CodedEntryCode } )

A code to identify the type of risk to patient

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 vocabulary.
  • The displayName attribute shall carry a description associated with the code in the vocabulary.
  • 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.
[1..1] [M] effectiveTime (IVL<TS>)
When the risk was valid or the time from which it is valid.

The date range shall be carried as follows:

If both a start date and an end date are present the Date or Time Interval Complete datatype shall be used:

  • Thelow attribute shall contain the start date.
  • The high attribute shall contain the end date.

If only a start date is present the Date or Time Interval After datatype shall be used:

  • The low attribute shall contain the start date.
[1..1] [M] id (II)

This is a unique identifier for this instance of a RiskToPatient.

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

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

The status of the Risk To Patient observation.

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

  • The code attribute will contain a one of the following codes from the Act Status vocabulary:
    • nullified
    • completed
[1..1] [M] templateId (II)
{ Fixed="COCD_TP146326GB01#RiskToPatient" }

The fixed value of this attribute provides a unique identifier for the template and the classname within that template.

The IdentifierExternal datatype flavour is used to carry this information as follows:

  • The root attribute shall contain the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The extension attribute shall contain the fixed value.
[0..1] author

Refers to the person who is the author of the risk to patient observation.

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

This author is only required if the author is different from the inherited author.


[1..1] [M] typeCode (CS { CNE: ParticipationType } )
{ Fixed="AUT" }
Indicates that this is an author.
[1..1] [M] contextControlCode (CS { CNE: ContextControl } )
{ Fixed="OP" }
Specifies how this author contributes to the context of the risk to patient observation and whether it may be propagated to descendent acts whose association allows such propagation.

"O" (Overriding)- the association replaces any context of the same or more specific type that has been conducted from the parent act.

"P" (Propagating)- the association is conducted to all child acts where the ActRelationship.contextConductionInd is set to "true."
[1..1] [M] contentId (II) { "NPFIT-000005#Role" }

This attribute, when valued in an instance, provides a unique forward pointing identifier for a template which constrains the classes and attributes which follow.

The attribute is intended simply as a structural navigational aid and should not be relied upon as an indicator of semantic meaning.

The IdentifierExternal datatype flavour is used to carry this information as follows:

  • The root attribute shall contain the OID "2.16.840.1.113883.2.1.3.2.4.18.16"
  • The extension attribute shall contain the template artifact Id.
[1..1] [M] functionCode (CV { CNE:AuthorFunctionType } )
{ Fixed="OA" }

A code from the vocabulary shown indicating the function of the document author

The Coded Plain flavour of Coded Value (CV) datatype shall be used to carry this information as follows:

  • The code attribute shall contain the value
  • The codeSystem attribute shall contain the OID for the vocabulary concerned
  • The displayName attribute shall contain the text associated with the code
[1..1] [M] templateId (II)
{ Fixed="COCD_TP146326GB01#author" }

The fixed value of this attribute provides a unique identifier for the template and the classname within that template.

The IdentifierExternal datatype flavour is used to carry this information as follows:

  • The root attribute shall contain the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The extension attribute shall contain the fixed value.
[1..1] [R] time (TS)
The time at which the author authored the risk to patient observation.
[1..1] participant (AuthorChoice)

A link to the choice of informant templates.

[1..1] [M] entryRelationship

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

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

indicates this is a has subject relationship.

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

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

[1..1] [M] contentId (II) { "NPFIT-000311#ActRef" }

This attribute, when valued in an instance, provides a unique forward pointing identifier for a template which constrains the classes and attributes which follow.

The attribute is intended simply as a structural navigational aid and should not be relied upon as an indicator of semantic meaning.

The IdentifierExternal datatype flavour is used to carry this information as follows:

  • The root attribute shall contain the OID "2.16.840.1.113883.2.1.3.2.4.18.16"
  • The extension attribute shall contain the template artifact Id.
[1..1] [M] seperatableInd (BL)
{ Fixed="false" }
Indicates if the source Act is to be interpreted independently of the target Act.
[1..1] [M] templateId (II)
{ Fixed="COCD_TP146326GB01#entryRelationship" }

The fixed value of this attribute provides a unique identifier for the template and the classname within that template.

The IdentifierExternal datatype flavour is used to carry this information as follows:

  • The root attribute shall contain the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The extension attribute shall contain the fixed value.
[1..1] [M] codedEntryReference (CodedEntryReference)

A link to the choice of clinical statement references.

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

This is only required if the Informant different from the inherited Informant.
[1..1] [M] typeCode (CS { CNE: ParticipationType } )
{ Fixed="INF" }
Indicates that this is an informant.
[1..1] [M] contextControlCode (CS { CNE: ContextControl } )
{ Fixed="OP" }
Specifies how this informant contributes to the context of the risk to patient observation and whether it may be propagated to descendent acts whose association allows such propagation.

"O" (Overriding)- the association replaces any context of the same or more specific type that has been conducted from the parent act.

"P" (Propagating)- the association is conducted to all child acts where the ActRelationship.contextConductionInd is set to "true."
[1..1] [M] contentId (II) { "NPFIT-000002#Role" }

This attribute, when valued in an instance, provides a unique forward pointing identifier for a template which constrains the classes and attributes which follow.

The attribute is intended simply as a structural navigational aid and should not be relied upon as an indicator of semantic meaning.

The IdentifierExternal datatype flavour is used to carry this information as follows:

  • The root attribute shall contain the OID "2.16.840.1.113883.2.1.3.2.4.18.16"
  • The extension attribute shall contain the template artifact Id.
[1..1] [M] templateId (II)
{ Fixed="COCD_TP146326GB01#informant" }

The fixed value of this attribute provides a unique identifier for the template and the classname within that template.

The IdentifierExternal datatype flavour is used to carry this information as follows:

  • The root attribute shall contain the OID "2.16.840.1.113883.2.1.3.2.4.18.2"
  • The extension attribute shall contain the fixed value.
[1..1] participant (InformantChoice)
A link to the choice of informant templates.
InformantChoice

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

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

A link to the choice of templates for an informant.

AuthorChoice

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

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

A link to the author templates.

CodedEntryReference

A choice of clinical statement references.

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

A link to the clinical statement reference templates.