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: GenericAdmissionEvent

An ELEMENT to represent the contemporary or retrospective activity of admitting a subject of care into a hospital provider spell or day-case care. A Hospital Provider Spell is defined as: The total continuous stay of a patient using a Hospital Bed on premises controlled by a Health Care Provider during which medical care is the responsibility of one or more consultants, or the patient is receiving care under one or more Nursing Episodes or Midwife Episodes in a ward1. 1 - NHS Data Dictionary: Hospital Provider Spell

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.Uuid 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 The standardised clinical or administrative concept to which the name attribute has been mapped. In archetyped systems it will correspond to the archetype node name. In non-archetyped systems it might be a coded term from an appropriate terminology system.

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.

nullFlavor
Literal value(s): NA


COMPONENT RELATIONSHIPS

Subject of relationships

Name Object of relationship Occurs Dependency
IsFulfillmentOf GenericAdmissionProspect 0..* INDEPENDENT
IsFulfillmentOf GenericAdmissionProspect 0..* INDEPENDENT
HasContext GenericDischargeEvent 0..* INDEPENDENT
HasContext UnboundData 0..* INDEPENDENT
HasContext UnboundData 0..* INDEPENDENT
HasAnnotation Text 0..* INDEPENDENT
HasClinicalContext GenericProblemAndIssue 0..* INDEPENDENT
HasClinicalContext DiagnosisName 0..* INDEPENDENT
HasClinicalContext GenericFindingObservation2 0..* INDEPENDENT
HasClinicalContext GenericFindingObservation 0..* INDEPENDENT
HasIndication GenericFindingObservation 0..* INDEPENDENT
HasIndication GenericProblemAndIssue 0..* INDEPENDENT
HasIndication GenericFindingObservation2 0..* INDEPENDENT
HasIndication GenericTreatment 0..* INDEPENDENT
HasIndication GenericProcedure 0..* INDEPENDENT
HasIndication GenericAssessment 0..* INDEPENDENT
HasIndication GenericInvestigation 0..* INDEPENDENT
HasIndication RisksExpectationsOrGoals 0..* INDEPENDENT


Object of relationships

Name Subject of relationship Occurs Dependency
IsMotivationOf GenericProblemAndIssue 0..* INDEPENDENT
IsMotivationOf RisksExpectationsOrGoals 0..* INDEPENDENT
IsClinicalContextOf GenericProblemAndIssue 0..* INDEPENDENT
IsMotivationOf AllergyOrAdverseReactionEvent 0..* INDEPENDENT

Item of ENTRY Domain Models

GenericAdmissionEvent

GenericProblemAndIssue

AllergyOrAdverseReactionEvent

RisksExpectationsAndGoals

Reference Model Type

GENERAL_ACTIVITY_ELEMENT