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: GenericTreatment

An ELEMENT to represent any treatment that cannot be represented using the Substance Related Treatment ELEMENT. Treatments are procedures that are intended to have a therapeutic, preventative, curative or palliative effect2. 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): GENERAL_ACTIVITY_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 treatment given (or to be given).

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 treatment.
value ANY 1..1 An ELEMENT has a single DATA_VALUE containing the value, unless this is indicated as absent by a null_flavour attribute.

nullFlavor
Literal value(s): NA


COMPONENT RELATIONSHIPS

Subject of relationships

Name Object of relationship Occurs Dependency
HasOutcome GenericFindingObservation 0..* INDEPENDENT
HasOutcome GenericPropertyObservation 0..* INDEPENDENT
HasOutcome MaterialQuantity 0..* INDEPENDENT
HasComplication GenericFindingObservation 0..* INDEPENDENT
UsesDevice TreatmentDevice 0..* INDEPENDENT
HasParameterSetting MaterialFlowRate 0..* INDEPENDENT
HasParameterSetting MaterialQuantity 0..* INDEPENDENT
HasComponentAction GenericTreatment 0..* INDEPENDENT
HasComponentAction ProductOrSubstanceRelatedActivity 0..* INDEPENDENT
HasAnnotation Text 0..* INDEPENDENT
HasIndication ActivatedClottingTimeObservation 0..* INDEPENDENT
HasIndication BloodSugarObservation 0..* INDEPENDENT
HasIndication BloodPressureObservation 0..* INDEPENDENT
HasIndication BodyHeightObservation 0..* INDEPENDENT
HasIndication BodyWeightObservation 0..* INDEPENDENT
HasIndication CapillaryRefillTimeObservation 0..* INDEPENDENT
HasIndication DiagnosisName 0..* INDEPENDENT
HasIndication GenericAssessment 0..* INDEPENDENT
HasIndication GenericInvestigation 0..* INDEPENDENT
HasIndication GenericFindingObservation 0..* INDEPENDENT
HasIndication GenericPropertyObservation 0..* INDEPENDENT
HasIndication OxygenSaturationObservation 0..* INDEPENDENT
HasIndication GenericTreatment 0..* INDEPENDENT
HasIndication TemperatureObservation 0..* INDEPENDENT
HasIndication ProductOrSubstanceRelatedActivity 0..* INDEPENDENT
HasIndication PulseRateObservation 0..* INDEPENDENT
AssertsTiming FutureEventTime 0..* DEPENDENT_OBJECT


Object of relationships

Name Subject of relationship Occurs Dependency
HasIndication GenericAdmissionEvent 0..* INDEPENDENT
HasIndication GenericAdmissionEvent2 0..* INDEPENDENT
HasClinicalContext GenericAdmissionProspect 0..* INDEPENDENT
HasClinicalContext BloodUreaObservation 0..* DEPENDENT_SUBJECT
HasConsequence DiagnosisName 0..* INDEPENDENT
HasClinicalContext FluidIntakeVolumeObservation 0..* INDEPENDENT
HasPart GenericAssessment 0..* INDEPENDENT
HasOutcome GenericAssessment 0..* INDEPENDENT
HasClinicalContext GenericFindingObservation 0..* INDEPENDENT
HasIndication ProductOrSubstanceRelatedActivity2 0..* INDEPENDENT
HasComponentAction ProductOrSubstanceRelatedActivity2 0..* INDEPENDENT
IsComponentActionOf ProductOrSubstanceRelatedActivity 0..* INDEPENDENT
HasIndication ProductOrSubstanceRelatedActivity 0..* INDEPENDENT
HasComponentAction GenericTreatment 0..* INDEPENDENT
HasIndication GenericTreatment 0..* INDEPENDENT

Item of ENTRY Domain Models

GenericAdmissionEvent

ProductOrSubstanceRelatedActivity

GenericAdmissionEvent2

GenericAdmissionProspect

Diagnosis

GenericTreatment

Kt/V

ProductOrSubstanceRelatedActivity2

UreaReductionRatio

Reference Model Type

GENERAL_ACTIVITY_ELEMENT