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 Constrained Domain Model: Text

A constrained ELEMENT to represent free text information.

Specializes

Text

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): UNBOUND_DATA_ELEMENT
rc_id II.Uuid 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.
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.
value ED.Text 1..1 Represents the textual description of this element.


Component Relationships

Object Relationships

Subject Class Name Occurs Dependency Specified by
PresentingComplaint HasAnnotation 0..1 INDEPENDENT PresentingComplaint
ReasonForAdmission HasAnnotation 0..1 INDEPENDENT ReasonForAdmission
AdmissionEvent HasAnnotation 0..* INDEPENDENT AdmissionEvent
AllergiesOrAdverseReactionEvent HasAnnotation 0..* INDEPENDENT AllergiesOrAdverseReactionEvent
AllergiesOrAdverseReactionPropensity HasAnnotation 0..* INDEPENDENT AllergiesOrAdverseReactionPropensity
CareIssues HasAnnotation 0..* INDEPENDENT CareIssues
ComplianceDevice HasAnnotation 0..* INDEPENDENT ComplianceDevice
Diagnosis HasAnnotation 0..* INDEPENDENT Diagnosis
FindingObservation HasAnnotation 0..* INDEPENDENT FindingObservation
MedicationRecommendationActivity HasAnnotation 0..* INDEPENDENT MedicationRecommendationActivity
MedicinalDevice HasAnnotation 0..* INDEPENDENT MedicinalDevice
MedicinalProductOrSubstance HasAnnotation 0..* INDEPENDENT MedicinalProductOrSubstance
ProcedureActivity HasAnnotation 0..* INDEPENDENT ProcedureActivity
PropertyObservation HasAnnotation 0..* INDEPENDENT PropertyObservation
RiskGoalsAndExpectations HasAnnotation 0..* INDEPENDENT RiskGoalsAndExpectations
StoppedMedicationActivity HasAnnotation 0..* INDEPENDENT StoppedMedicationActivity

Item of ENTRY Constrained Domain Models

AdmissionRelatedInformation

AllergiesOrAdverseReactionEvent

AllergiesOrAdverseReactionPropensity

CareIssues

ClinicalNarrative

CommunityServiceActionPlan

ComplianceDevice

Diagnosis

FindingObservation

GPActionPlan

HospitalActionPlan

MedicationRecommendation

MedicinalDevice

MedicinalProductOrSubstance

ProcedureActivity

PropertyObservation

RisksGoalsAndExpectations

StoppedMedicationActivity

Reference Model Type

UNBOUND_DATA_ELEMENT