A constrained ENTRY containing a collection of data items required to represent the contemporary or retrospective activity of admitting a subject of care into a hospital provider spell. Comprises a single coded Admission Event item and optionally may contain:
- an unbounded representation of the method by which the subject of care was admitted
- the participation of an organisation or place entity as the location where the subject of care was admitted
- the participation of an organisation or place entity as the source location from where the subject of care arrived for admission.
- any coded representation of the reasons for admission which includes any presenting complaints, allergies or adverse reactions, procedures, or risks and goals.
- any coded representation of the complaints presented which may or may not result in the reason for admission
- a textual representation of the event
Specializes
GenericAdmissionEvent
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. |
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| rc_id | II.Uuid.Ref | 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. |
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| uncertainty_expressed | BL | 1..1 | This attribute is set to TRUE to advise the EHR Recipient that this ENTRY contains data that indicates some degree of uncertainty, and that care should be taken when using these data within automated processes and systems. |
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Contained ELEMENTs
Graphical Representation
| Subject ELEMENT class | Related object classes | ||||||
|---|---|---|---|---|---|---|---|
| Name | ELEMENT Class | Occurs | Description | Relationship | Occurs | Class | Dependency |
| items | ReasonForAdmission | 0 .. * | HasAnnotation | 0..1 |
Text
|
INDEPENDENT | |
| IsConsequenceOf | 0..* |
Diagnosis
RiskGoalsAndExpectations ProcedureActivity CareIssues FindingObservation |
INDEPENDENT | ||||
| IsConsequenceOf | 0..* |
Diagnosis
CareIssues RiskGoalsAndExpectations FindingObservation ProcedureActivity |
INDEPENDENT | ||||
| items | CareIssues | 0 .. * | IsClinicalContextOf | 0..* |
AdmissionEvent
|
INDEPENDENT | |
| HasRecordRole | 0..* |
ProblemsAndComplaintsTag
|
INDEPENDENT | ||||
| HasClinicalContext | 0..* |
ProcedureActivity
Diagnosis FindingObservation |
INDEPENDENT | ||||
| IsIndicationOf | 0..* |
StoppedMedicationActivity
CurrentMedicationActivity |
INDEPENDENT | ||||
| IsMotivationOf | 0..* |
ProcedureActivity
AdmissionEvent |
INDEPENDENT | ||||
| HasAnnotation | 0..* |
Text
|
INDEPENDENT | ||||
| items | FindingObservation | 0 .. * | IsClinicalContextOf | 0..* |
CareIssues
|
INDEPENDENT | |
| IsIndicationOf | 0..* |
StoppedMedicationActivity
CurrentMedicationActivity ProcedureActivity |
INDEPENDENT | ||||
| HasAnnotation | 0..* |
Text
|
INDEPENDENT | ||||
| items | AdmissionEvent | 1 | HasClinicalContext | 0..* |
CareIssues
|
INDEPENDENT | |
| HasContext | 0..1 |
AdmissionMethod
|
DEPENDENT_OBJECT | ||||
| HasAnnotation | 0..* |
Text
|
INDEPENDENT | ||||
| HasMotivation | 0..* |
CareIssues
ProcedureActivity AllergiesOrAdverseReactionEvent RiskGoalsAndExpectations |
INDEPENDENT | ||||
| items | ProcedureActivity | 0 .. * | IsComplicatedBy | 0..* |
ProcedureActivity
FindingObservation |
INDEPENDENT | |
| HasIndication | 0..* |
Diagnosis
FindingObservation CareIssues |
INDEPENDENT | ||||
| IsIndicationOf | 0..* |
StoppedMedicationActivity
CurrentMedicationActivity |
INDEPENDENT | ||||
| HasAnnotation | 0..* |
Text
|
INDEPENDENT | ||||
| Complicates | 0..* |
Diagnosis
|
INDEPENDENT | ||||
| items | AdmissionMethod | 0 .. 1 | |||||
| items | AllergiesOrAdverseReactionEvent | 0 .. * | IsMotivationOf | 0..* |
AdmissionEvent
|
INDEPENDENT | |
| IsIndicationOf | 0..* |
CurrentMedicationActivity
StoppedMedicationActivity |
INDEPENDENT | ||||
| HasAnnotation | 0..* |
Text
|
INDEPENDENT | ||||
| IsInterpretationOf | 0..* |
AllergiesOrAdverseReactionPropensity
|
INDEPENDENT | ||||
| items | Text | 0 .. * | |||||
| items | PresentingComplaint | 0 .. * | HasAnnotation | 0..1 |
Text
|
INDEPENDENT | |
| items | Diagnosis | 0 .. * | IsComplicatedBy | 0..* |
Diagnosis
ProcedureActivity |
INDEPENDENT | |
| IsClinicalContextOf | 0..* |
CareIssues
|
INDEPENDENT | ||||
| IsIndicationOf | 0..* |
CurrentMedicationActivity
StoppedMedicationActivity |
INDEPENDENT | ||||
| HasRecordRole | 0..1 |
DiagnosisStatus
|
INDEPENDENT | ||||
| HasAnnotation | 0..* |
Text
|
INDEPENDENT | ||||
| items | RiskGoalsAndExpectations | 0 .. * | IsMotivationOf | 0..* |
AdmissionEvent
|
INDEPENDENT | |
| HasAnnotation | 0..* |
Text
|
INDEPENDENT | ||||
Participations
Other Participations
| Name | Class | Occurs | Description |
|---|---|---|---|
| other_participations | AdmissionLocationParticpationChoice | 0..1 | Represents a choice of FUNCTIONAL_ROLE classes used to describe the participation of a ROLE class in a COMPOSITION. The ROLE class shall participate as a non-specific 'other participation' representing the location where the subject of care was admitted. |
| other_participations | AdmissionSourceParticipationChoice | 0..1 | Represents a choice of FUNCTIONAL_ROLE classes used to describe the participation of a ROLE class in a COMPOSITION or an ENTRY. The ROLE class shall participate as a non-specific 'other participation' which states the roles that participate as the source location from where the subject of care arrived for admission. |