Logical Record Architecture for Health and Social Care

Discharge Summary Release 0.02

The content of this release is not comprehensive and is not fully validated and must not be used in live system implementations.

ELEMENT Domain Model: GenericPropertyObservation2

An ELEMENT to represent a generic observation. A clinical observation is an observation made by a Care Professional, patient, or carer with or without specific examination. This includes information provided by the patient or carer2. A generic observation may have an associated value (with units as applicable). 2: NPFIT-NCR-DES-0135.07 NHS Care Record Elements

Attributes

Name Data type Occurs Description Value Constraints
name SC 1..1 The name, expressed as a coded value or as plain text, specifies the clinical or administrative concept to which this EHR node corresponds, as labelled in the EHR system in which it was first committed.

value
Literal value(s): PROPERTY_OBSERVATION_ELEMENT
rc_id II 1..1 The globally-unique identifier by which this node in the EHR hierarchy is referenced in the EHR system to which the data were first committed. This identifier shall be retained by the EHR Recipient and re-used whenever this RECORD_COMPONENT is subsequently included in another EHR_EXTRACT.
meaning CD.CV 1..1 A coded representation of the type of observation.

code
Semantic expression constraint
synthesised BL 1..1 This attribute value shall be TRUE if this RECORD_COMPONENT has been created in order to comply with this standard , but this point in the EHR hierarchy has no corresponding node in the EHR from which it was extracted.

obs_time IVL_TS 0..1 The date and time, or interval, of the observation.
value ANY 1..1 The value (and units if applicable) of the observed measurement.


COMPONENT RELATIONSHIPS

Subject of relationships

Name Object of relationship Occurs Dependency
HasAnnotation Text 0..* INDEPENDENT
HasPart GenericPropertyObservation2 0..1 CO_DEPENDENT
IsDerivedObservation GenericPropertyObservation2 0..* DEPENDENT_SUBJECT
HasSubtype BloodPressureObservation 0..* INDEPENDENT
HasSubtype BodyHeightObservation 0..* INDEPENDENT
HasSubtype BodySurfaceAreaObservation 0..* INDEPENDENT
HasSubtype BodyWeightObservation 0..* INDEPENDENT
HasSubtype MaterialQuantity 0..* INDEPENDENT
HasSubtype PulseRateObservation 0..* INDEPENDENT
HasSubtype SystolicPressureObservation 0..* INDEPENDENT
HasSubtype TemperatureObservation 0..* INDEPENDENT


Object of relationships

Name Subject of relationship Occurs Dependency
IsInterpretationOf AllergyOrAdverseReactionEvent 0..* INDEPENDENT
HasInterpretation AllergyOrAdverseReactionPropensity 0..* INDEPENDENT
IsSubtypeOf BodyHeightObservation 0..* INDEPENDENT
IsInterpretationOf DiagnosisName 0..* INDEPENDENT
IsDerivedObservation GenericFindingObservation 0..* INDEPENDENT
HasAssociation GenericFindingObservation 0..* INDEPENDENT
IsDerivedObservation GenericFindingObservation2 0..* INDEPENDENT
IsReferenceRangeOf InterpretationRange 0..1 CO_DEPENDENT
HasPart GenericPropertyObservation2 0..* CO_DEPENDENT
IsDerivedObservation GenericPropertyObservation2 0..* DEPENDENT_SUBJECT
HasIndication ProductOrSubstanceRelatedActivity2 0..* INDEPENDENT

Item of ENTRY Domain Models

Diagnosis

SubjectOfCareObservations

ProductOrSubstanceRelatedActivity2

Reference Model Type

PROPERTY_OBSERVATION_ELEMENT