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: ProcedureActivity

A constrained ELEMENT to represent a generic procedure when it is not known explicitly what kind of procedure this is. This ELEMENT may be used to model any other sort of procedure except an investigation procedure or a medication related procedure activity. It includes new and relevant therapeutic operations and procedures, including any complications and adverse events arising during the procedure. However, when the procedure type is explicitly known and a specific ELEMENT exists for the purpose of representing that procedure type then that ELEMENT shall be used to represent the procedure. The procedure represented by this ELEMENT may have been completed, be in progress, or be intended to be performed.

Specializes

GenericProcedure

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.SCT 1..1 A coded representation of the procedure that has been completed, is in progress, or is intended to be performed.
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.
value
Default value: false
obs_time IVL_TS 0..1 The date and time, or interval, at which the ITEM actually occurred or was true, if different from the session time of the COMPOSITION.
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.


Component Relationships

Subject Relationships

Object Class Name Occurs Dependency Specified by
Diagnosis Complicates 0..* INDEPENDENT ProcedureActivity
StoppedMedicationActivity IsIndicationOf 0..* INDEPENDENT ProcedureActivity
CurrentMedicationActivity
Diagnosis HasIndication 0..* INDEPENDENT ProcedureActivity
FindingObservation
CareIssues
Text HasAnnotation 0..* INDEPENDENT ProcedureActivity
ProcedureActivity IsComplicatedBy 0..* INDEPENDENT ProcedureActivity
FindingObservation

Object Relationships

Subject Class Name Occurs Dependency Specified by
ReasonForAdmission IsConsequenceOf 0..* INDEPENDENT ReasonForAdmission
ReasonForAdmission IsConsequenceOf 0..* INDEPENDENT ReasonForAdmission
AdmissionEvent HasMotivation 0..* INDEPENDENT AdmissionEvent
CareIssues HasClinicalContext 0..* INDEPENDENT CareIssues
CareIssues IsMotivationOf 0..* INDEPENDENT CareIssues
CurrentMedicationActivity HasIndication 0..* INDEPENDENT CurrentMedicationActivity
Diagnosis IsComplicatedBy 0..* INDEPENDENT Diagnosis
FindingObservation IsIndicationOf 0..* INDEPENDENT FindingObservation
ProcedureActivity IsComplicatedBy 0..* INDEPENDENT ProcedureActivity
StoppedMedicationActivity HasIndication 0..* INDEPENDENT StoppedMedicationActivity

Item of ENTRY Constrained Domain Models

AdmissionRelatedInformation

CareIssues

CurrentMedicationActivity

Diagnosis

FindingObservation

ProcedureActivity

StoppedMedicationActivity

Reference Model Type

GENERAL_ACTIVITY_ELEMENT