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: GenericPropertyObservation

An ELEMENT to represent a generic observation. A clinical observation is an observation made by a Care Professional, patient, or carer with or without specific examination. This includes information provided by the patient or carer2. A generic observation may have an associated value (with units as applicable). 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): PROPERTY_OBSERVATION_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 observation.

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 observation.
value ANY 1..1 The value (and units if applicable) of the observed measurement.


COMPONENT RELATIONSHIPS

Subject of relationships

Name Object of relationship Occurs Dependency
HasAnnotation Text 0..* INDEPENDENT
IsIndicationOf ProductOrSubstanceRelatedActivity 0..* INDEPENDENT
IsDerivedObservation GenericFindingObservation 0..* DEPENDENT_SUBJECT
IsDerivedObservation GenericPropertyObservation 0..* DEPENDENT_SUBJECT
IsReferenceRangeOf InterpretationRange 0..1 INDEPENDENT
IsResultantObservationOf GenericInvestigation 0..* INDEPENDENT
IsResultantObservationOf GenericInvestigation 0..* INDEPENDENT
HasPart GenericPropertyObservation 0..1 CO_DEPENDENT
IsAssociationOf GenericFindingObservation 0..* INDEPENDENT


Object of relationships

Name Subject of relationship Occurs Dependency
IsInterpretationOf AllergyOrAdverseReactionEvent 0..* INDEPENDENT
HasInterpretation AllergyOrAdverseReactionPropensity 0..* INDEPENDENT
IsInterpretationOf DiagnosisName 0..* INDEPENDENT
HasPart GenericAssessment 0..* INDEPENDENT
IsDerivedObservation GenericFindingObservation 0..* INDEPENDENT
HasAssociation GenericFindingObservation 0..* INDEPENDENT
HasClinicalContext GenericFindingObservation 0..* INDEPENDENT
HasIndication ProductOrSubstanceRelatedActivity 0..* INDEPENDENT
HasOutcome GenericTreatment 0..* INDEPENDENT
IsDerivedObservation GenericPropertyObservation 0..* DEPENDENT_SUBJECT
HasPart GenericPropertyObservation 0..* CO_DEPENDENT
HasIndication GenericTreatment 0..* INDEPENDENT

Item of ENTRY Domain Models

GenericFinding

GenericProperty

ProductOrSubstanceRelatedActivity

AllergyOrAdverseReactionEvent

AllergyOrAdverseReactionPropensity

Diagnosis

GenericAssessment

GenericTreatment

Reference Model Type

PROPERTY_OBSERVATION_ELEMENT