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.

Reference Model Class: FINDING_OBSERVATION_ELEMENT

The FINDING_OBSERAVATION_ELEMENT class is an OBSERVATION_ELEMENT whose coded meaning is constrained to represent a SNOMED CT finding or event situation. The focus concept of the finding situation must be subsumed either by 404684003 | clinical finding | or by 272379006 | event |. FINDING_OBSERVATION_ELEMENT is used to represent both normal and abnormal clinical states found on examination or deduced from clinical reasoning (e.g. 'clear sputum', 'normal breath sounds', 'poor posture', 'diabetes mellitus') and events to which the patient or service user may have been to subject (e.g. 'physical abuse', 'exposure to mercury'). The value attribute is constrained to the null flavor NA | not applicable | so as to prohibit its use within the LRA whilst maintaining conformance to EN 13606-1:2007.

Specializes

OBSERVATION_ELEMENT

Constraints

Type Name Specification
meaning is a finding LRA Invariant --The meaning.code conforms to the specified semantic constraint. inv: meaning.code.semantic(LraFindingObservationElementMeaning)
name value LRA Inv: Fixed inv: name.value = <a href="$element://{99CDF407-1579-4eac-BB4F-F9D25CB6AA56}"><font color="#0000ff"><u>LraRecordComponentName</u></font></a>.FINDING_OBSERVATION_ELEMENT
value is null LRA Invariant -- Attribute value has null flavor NA|not applicable| value.nullFlavor.oclIsDefined and value.nullFlavor = LraAnyNullFlavor.NA