Logical Record Architecture for Health and Social Care

The content of this release is not comprehensive and is not fully validated and must not be used in live system implementations.

Controlled Vocabulary for: LRA component relationship element meaning

LRA Vocabulary Id

ac80ff21-660d-47a2-92c3-b2e52cda4d23

Vocabulary Properties

Version: 1.0
Status created
Date 2010-03-01

Description

Concept set

Level Code Description Notes Properties
0 IsAssociationOf Is association of The subject has some logical connection with the object Inverse of: HasAssociation

Transitive: false

Symmetric:false

1  IsDefinitionOf Is definition of The subject is in some way defined by the object. Inverse of: HasDefinition

Transitive: false

Symmetric:false

2   IsSameAs Is same as The subject is same as the object. It is equivalent and is interchangeable or could be merged. The subject and object statement must describe the same thing, have the same provenance and attestation, and be semantically equivalent. This is intended to be rarely used in the circumstance where a unique instance acquires more than one globally unique identifier. Transitive: true

Symmetric:true

2   IsSubtypeOf Is subtype of The subject is a more specific example of the object. In instance healthcare data there is expected to be limited use for this construct. Inverse of: HasSubtype

Transitive: true

Symmetric:false

2   IsInstanceOf Is instance of The subject is an a concrete example of an abstract object. E.g. an instance entry describing abstract condition concepts such as "Patient has angina" may be linked to specific occurrences of that group, such as "This episode of angina". The distinction here is between recognised clinical conditions and the specific elements. Inverse of: HasInstance

Transitive: true

Symmetric:false

3    IsExampleOf Is example of The subject is an example of an object phenomenon or circumstance Inverse of: HasExample

Transitive: false

Symmetric:false

4     IsClassifiedInto Is classified into The subject situation or occurrence is classifiable into the object abstract situation or occurrence Transitive: false

Symmetric:false

5      IsAdministrativelyClassifiedAs Is administratively classified as The subject situation, occurrence or context is part of the evidence for an object administrative classification record. Transitive: false

Symmetric:false

5      IsFunctioningAs Is functioning as The subject situation or occurrence is being used within a healthcare delivery process in a manner specified by the object process contextual description. Transitive: false

Symmetric:false

6       HasRecordRole Has record role The subject situation or occurrence is acting in a particular role in the object statement of the implicit process supported by a medical record context artefact. This includes for example the representation of the model of use representation of diagnosis, as a provisional diagnosis, or a finding or observation as a “reason for admission.”. Transitive: false

Symmetric:false

2   IsPartOf Is part of A general partitive relationship. The subject is part of the object. Inverse of: HasPart

Transitive: true

Symmetric:false

3    IsComponentActionOf Is component action of The subject is a sub-action of an overall action. This may be nested to document complex actions, which may be performed by different people, occurring as part of a whole action under an individuals responsibility. The sequencing of such actions into a care plan is not included in this. Inverse of: HasComponentAction

Transitive: true

Symmetric:false

2   IsMemberOf Is member of The subject is an element in a set of things that share a common feature. Inverse of: HasMember

Transitive: false

Symmetric:false

3    IsProblemMember Is problem member The subject is in a set of things that are regarded as a problem by the patient or a healthcare professional Inverse of: HasProblemMember

Transitive: false

Symmetric:false

3    IsCarePlanMember Is care plan member The subject is part of a planned sequence of activities defined by the object Inverse of: HasCarePlanMember

Transitive: false

Symmetric:false

2   IsInitiatorOf Is initiator of The subject is the starting event or condition for the object Inverse of: HasInitiator

Transitive: false

Symmetric:false

3    IsThreadStart Is thread start The subject is the initiating event or condition of a health issue. This will in most events be assigned retrospectively, and may change over time. Inverse of: HasThreadStart

Transitive: false

Symmetric:false

4     IsProblemOrigin Is problem origin The subject is the starting event or condition for a health issue that is perceived as a problem by the patient or heathcare professional. Inverse of: InitiatesProblem

Transitive: false

Symmetric:false

1  IsRestrictionOf Is restriction of These relationships are basic set building relationships that are included for the technical design modelling. It is not expected that end users will be interacting directly with this kind of relationship but rather that the end user applications will be mapping some of their structured data representations into the form. Transitive: false

Symmetric:false

2   IsAllOf Is all of The subject is an aggregation of all of the objects (see Is one of for various patterns) Transitive: true

Symmetric:false

2   IsSomeOf Is some of The subject is some of the object(s) Transitive: false

Symmetric:false

2   IsNoneOf Is none of The subject is not any of the object(s). It is disjoint from Transitive: true

Symmetric:false

2   IsOneOf Is one of The subject is one of a number of possible alternative objects. The object here must refer to a statement of a list or set of alternatives, that are stated as a single entry - in most events this will be a cluster. An alternative representation to this is to use this directly between subject and multiple objects. Transitive: true

Symmetric:false

3    IsDifferentialOf Is differential of The specific use case for one of relationships and ordered lists is the expression of differential diagnosis lists, where individual elements express a choice that may be true. From decision support purposes a list of differential diagnoses must be considered as all true until superceded by a more specific diagnosis. Transitive: true

Symmetric:false

1  IsConsequenceOf Is consequence of The subject is a consequence of the object. This consequence my be causative or by intention. Inverse of: HasConsequence

Transitive: false

Symmetric:false

2   IsFulfilmentOf Is fulfilment of The subject intervention has occurred to meet an object goal. Inverse of: HasFulfilment

Transitive: false

Symmetric:false

2   IsExecutionOf Is execution of The subject intervention occurs to complete an object planned intervention Inverse of: HasExecution

Transitive: false

Symmetric:false

2   IsTriggeredBy Is triggered by Same as has trigger. A subject event or condition is triggered by an object event or condition in the medical sense. Triggered does not imply that there is a patho-physiological mechanism but rather that the object is an initiaing event without which the subject would not have occurred. This does not imply that the event could not have occured. Inverse of: IsTriggerOf

Transitive: false

Symmetric:false

2   IsExplainedBy Is explained by The subject event or condition can be explained by the object event or condition. Inverse of: HasExplanation

Transitive: false

Symmetric:false

3    IsEvidenceOf Is evidence of The subject event or condition is both explained by the object event or condition but also affirms the presence of the object event. Inverse of: HasEvidence

Transitive: false

Symmetric:false

2   IsResultOf Is result of Synonymous for is caused by. The subject was caused by a object, event, intervention or condition. In this case the object was a necessary cause that has an understood patho-physiological link to the subject occurence. Inverse of: HasResult

Transitive: false

Symmetric:false

3    IsOutcomeOf Is outcome of The subject event or condition is an outcome of an object intervention. Inverse of: HasOutcome

Transitive: false

Symmetric:false

4     IsComplicationOf Is complication of The subject is an outcome event or condition of an object intervention that has subjectively negative consequences for the patient Inverse of: HasComplication

Transitive: false

Symmetric:false

4     IsBenefitOf Is benefit of The subject is an outcome event or condition of an object intervention that has subjectively positive consequences for the patient Inverse of: HasBenefit

Transitive: false

Symmetric:false

3    IsResultantObservationOf Is resultant observation of The subject is an observation which has occurred as the result of an intervention procedure, such as a diagnostics procedure or a patient examination, or from a calculation. Inverse of: HasResultingObservation

Transitive: false

Symmetric:false

4     IsDerivedObservation Is derived observation The subject is an observation that has been derived directly from an object calculation and input observations. Inverse of: HasDerivedObservation

Transitive: false

Symmetric:false

1  IsProspectOf Is prospect of The subject is a future circumstance that has some association with the of the object. Inverse of: HasProspect

Transitive: false

Symmetric:false

2   IsPurposeOf Is purpose of The subject goal, event or condition is the purpose of a specific object intervention Inverse of: HasPurpose

Transitive: false

Symmetric:false

3    IsGoalOf Is goal of The subject goal is the specific target of an intervention Inverse of: HasGoal

Transitive: false

Symmetric:false

2   IsExpectationOf Is expectation of The subject is a reasonably probable circumstance or occurrence that will arise associated with the object circumstance Inverse of: HasExpectation

Transitive: false

Symmetric:false

3    IsPrognosisOf Is prognosis of The subject is an event or condition that is likely as a result of the object event or circumstance. Inverse of: HasPrognosis

Transitive: false

Symmetric:false

3    IsResultantRiskOf Is resultant risk of The subject is a risk of an event, or propensity for a condition, that is expected to be present as the result of a object event or condition Inverse of: HasResultantRisk

Transitive: false

Symmetric:false

2   IsConditionOf Is condition of The subject is must occur in association with any intended or expected occurrence of the subject event or condition. Inverse of: HasConditional

Transitive: false

Symmetric:false

3    IsPreconditionOf Is precondition of The subject must occur before any expected or intended occurrence of the object event or condition Inverse of: HasPrecondition

Transitive: false

Symmetric:false

1  IsReferentOf Is referent of The subject record is a documentation, assessment or interpretation of an object record, occurrence or circumstance Inverse of: HasReferent

Transitive: true

Symmetric:false

2   IsDocumentationOf Is documentation of The subject document refers to the object event or circumstance. Inverse of: HasDocumentation

Transitive: true

Symmetric:false

3    IsSummaryOf Is summary of The subject document summarises a set of occurrences or circumstances or a more detailed documentation object. Inverse of: HasSummary

Transitive: true

Symmetric:false

3    IsAnnotationOf Is annotation of The subject is an uncoded descriptive element that expands on the detail, or supplies contextual information about the object as it relates to the patient (or other subject of information). Inverse of: HasAnnotation

Transitive: false

Symmetric:false

3    IsTitleOf Is title of The subject is a descriptive element that tersely describes the object as it relates to the subject of information (e.g. the patient) Inverse of: HasTitle

Transitive: false

Symmetric:false

2   IsEvaluationOf Is evaluation of The subject is an assessment of the quantity, quality or nature of some object circumstance or occurrence Inverse of: HasEvaluation

Transitive: false

Symmetric:false

3    IsMeasurementOf Is measurement of the subject is some assessment of the quantity or quality of some object circumstance or occurrence Inverse of: HasMeasurement

Transitive: false

Symmetric:false

3    IsInterpretationOf Is interpretation of The subject is some assessment of the nature of the object circumstance or occurrence Inverse of: HasInterpretation

Transitive: false

Symmetric:false

2   IsAdjustmentOf Is adjustment of A subject record is some alteration to an object record, strategy or plan Inverse of: HasAdjustment

Transitive: false

Symmetric:false

3    IsChangeToCarePlan Is change to care plan The subject plan is a change to some object care plan Inverse of: HasCarePlanChange

Transitive: false

Symmetric:false

1  IsContextOf Is context of The subject circumstance describes the background of some object circumstance or situation Inverse of: HasContext

Transitive: true

Symmetric:false

2   IsTemporalContextOf Is temporal context of The subject circumstance describes or constrains the time of the object circumstance through a specified time based relationship Inverse of: HasTemporalContext

Transitive: false

Symmetric:false

3    IsPrecedentOf Is precedent of The subject circumstance occurs preceding the object circumstance and in some way defines the timing of the object circumstance Inverse of: HasPredecessor

Transitive: true

Symmetric:false

3    IsSubsequentOf Is subsequent of The subject circumstance occurs subsequent to the object circumstance and in some way constraint the occurrence of the object Inverse of: HasSuccessor

Transitive: true

Symmetric:false

3    IsConcurrentTo Is concurrent to The subject circumstance occurs in the same time span as the object circumstance and the object is in some way constrained to occur within this time span Transitive: false

Symmetric:true

2   IsCareContextOf Is care context of The subject circumstance defines the care delivery circumstance of the object circumstance Transitive: false

Symmetric:false

3    IsCo-locationOf Is co-location of The subject circumstance happens in the same place as the object circumstance, and the location of the object is in some way determined by the subject circumstance Transitive: false

Symmetric:true

3    IsDuringEpisodeOf Is during episode of The subject circumstance occurs in the same episode of responsibility of care provision as the object circumstance. Transitive: true

Symmetric:false

4     IsDuringClinicalEpisodeOf Is during clinical episode of The subject occurs within a specific bounded clinical episode. Such clinical episodes are defined as periods of responsibility of care that have a specific clinical objective. This might include a maternal delivery episode, for example, and the definition is based on the requriments for decision support based on occurences bound by specific clinical contexts. The population of such contexts within a health record may be derived from the activity context of a specific medical record, and is unlikely to be directly asserted in the originating EHR. Transitive: true

Symmetric:false

2   IsClinicalContextOf Is clinical context of The subject circumstance describes an aspect of the background on which the object circumstance must be interpreted. Inverse of: HasClinicalContext

Transitive: false

Symmetric:false

3    IsComparatorOf Is comparator of The subject circumstance defines an index circumstance that the object circumstance can be compared against Inverse of: HasComparison

Transitive: false

Symmetric:false

3    IsNormalStateOf Is normal state of The subject defines a range of hypothetical normal states that an object observation or interpretation is to be compared against Inverse of: HasNormalState

Transitive: false

Symmetric:false

4     IsReferenceRangeOf Is reference range of The subject defines a set of normal quantitative ranges that the object can be compared against Transitive: false

Symmetric:false

3    IsMotivationOf Is motivation of The subject defines a background circumstance that the defines the rationale for an object decision Inverse of: HasMotivation

Transitive: false

Symmetric:false

4     IsIndicationOf Is indication of The subject defines a circumstance that provides the background for a decision to perform an object intervention or planned intervention Inverse of: HasIndication

Transitive: false

Symmetric:false

4     IsContraindicationOf Is contraindication of The subject defines a circumstance that provides the background for a decision to abandon a intervention or a planned intervention Inverse of: HasContraindication

Transitive: false

Symmetric:false

3    IsEvolvingThreadOf Is evolving thread of The subject is a situation or occurrence that is part of the same health record thread as the object situation or occurrence Inverse of: HasThreadEvolution

Transitive: true

Symmetric:false

4     IsEvolvingDiagnosis Is evolving diagnosis The subject is a diagnosis which is an update of, or modification to an original object presumed or provisional diagnosis or differential diagnosis list. Inverse of: HasDiagnosisEvolution

Transitive: true

Symmetric:false

4     IsProblemEvolution Is problem evolution The subject follows and develops on, modifies or otherwise qualifies an object event or circumstance that is part of an overall health issue thread that is percieved as a problem by the patient or a healthcare professional Inverse of: HasProblemThreadEvolution

Transitive: true

Symmetric:false

1  IsModifiedBy Is modified by The subject occurrence or circumstance is changed in nature as a result of the object occurrence or circumstance. Inverse of: HasModifier

Transitive: false

Symmetric:false

2   IsComplicatedBy Is complicated by A subject occurrence or circumstance has a detrimental interaction with a object occurrence or circumstance. The interaction between the two leads to a current and ongoing detrimental interaction effect such that the two occurences or circumstances are precieved as more negative than expected given the two individual occurrences or circumstances Inverse of: HasComplicatingFactor

Transitive: false

Symmetric:false

2   IsImprovedBy Is improved by The subject occurrence or circumstance is subjectively made better, or less severe, by the object occurrence or circumstance. Inverse of: Improves

Transitive: false

Symmetric:false

2   IsWorsenedBy Is worsened by The subject occurrence or circumstance is subjectively made better, or less severe, by the object occurrence or circumstance. Inverse of: Worsens

Transitive: false

Symmetric:false

2   IsMitigatedBy Is mitigated by The subject occurrence or circumstance is deemed to be less severe in nature than it may otherwise be due to the object circumstance or occurrence Inverse of: HasMitigation

Transitive: false

Symmetric:false

3    IsPreventedBy Is prevented by The subject risk or goal is avoided due to the presence of a object occurrence or circumstance. Inverse of: Prevents

Transitive: false

Symmetric:false

0 HasAssociation Has association see definition of inverse: Is association of Inverse of: IsAssociationOf

Transitive: false

Symmetric:false

1  HasDefinition Has definition see definition of inverse: Is definition of Inverse of: IsDefinitionOf

Transitive: false

Symmetric:false

2   HasSubtype Has subtype see definition of inverse: Is subtype of Inverse of: IsSubtypeOf

Transitive: true

Symmetric:false

2   HasInstance Has instance see definition of inverse: Is instance of Inverse of: IsInstanceOf

Transitive: true

Symmetric:false

3    HasExample Has example see definition of inverse: Is example of Inverse of: IsExampleOf

Transitive: false

Symmetric:false

2   HasPart Has part see definition of inverse: Is part of Inverse of: IsPartOf

Transitive: true

Symmetric:false

3    HasComponentAction Has component action see definition of inverse: Is component action of Inverse of: IsComponentActionOf

Transitive: true

Symmetric:false

2   HasMember Has member see definition of inverse: Is member of Inverse of: IsMemberOf

Transitive: false

Symmetric:false

3    HasProblemMember Has problem member see definition of inverse: Is problem member Inverse of: IsProblemMember

Transitive: false

Symmetric:false

3    HasCarePlanMember Has care plan member see definition of inverse: Is care plan member Inverse of: IsCarePlanMember

Transitive: false

Symmetric:false

2   HasInitiator Has initiator see definition of inverse: Is initiator of Inverse of: IsInitiatorOf

Transitive: false

Symmetric:false

3    HasThreadStart Has thread start see definition of inverse: Is thread start Inverse of: IsThreadStart

Transitive: false

Symmetric:false

4     InitiatesProblem Initiates problem see definition of inverse: Is problem origin Inverse of: IsProblemOrigin

Transitive: false

Symmetric:false

1  HasConsequence Has consequence see definition of inverse: Is consequence of Inverse of: IsConsequenceOf

Transitive: false

Symmetric:false

2   HasExplanation Has explanation see definition of inverse: Is explained by Inverse of: IsExplainedBy

Transitive: false

Symmetric:false

2   HasEvidence Has evidence see definition of inverse: Is evidence of Inverse of: IsEvidenceOf

Transitive: false

Symmetric:false

2   HasFulfilment Has fulfilment see definition of inverse: Is fulfilment of Inverse of: IsFulfilmentOf

Transitive: false

Symmetric:false

2   HasExecution Has execution see definition of inverse: Is execution of Inverse of: IsExecutionOf

Transitive: false

Symmetric:false

2   IsTriggerOf Is trigger of see definition of inverse: Is triggered by Inverse of: IsTriggeredBy

Transitive: false

Symmetric:false

2   HasResult Has result see definition of inverse: Is result of Inverse of: IsResultOf

Transitive: false

Symmetric:false

3    HasOutcome Has outcome see definition of inverse: Is outcome of Inverse of: IsOutcomeOf

Transitive: false

Symmetric:false

4     HasComplication Has complication see definition of inverse: Is complication of Inverse of: IsComplicationOf

Transitive: false

Symmetric:false

4     HasBenefit Has benefit see definition of inverse: Is benefit of Inverse of: IsBenefitOf

Transitive: false

Symmetric:false

3    HasResultingObservation Has resulting observation see definition of inverse: Is resultant observation of Inverse of: IsResultantObservationOf

Transitive: false

Symmetric:false

4     HasDerivedObservation Has derived observation see definition of inverse: Is derived observation Inverse of: IsDerivedObservation

Transitive: false

Symmetric:false

1  HasProspect Has prospect see definition of inverse: Is prospect of Inverse of: IsProspectOf

Transitive: false

Symmetric:false

2   HasPurpose Has purpose see definition of inverse: Is purpose of Inverse of: IsPurposeOf

Transitive: false

Symmetric:false

3    HasGoal Has goal see definition of inverse: Is goal of Inverse of: IsGoalOf

Transitive: false

Symmetric:false

2   HasExpectation Has expectation see definition of inverse: Is expectation of Inverse of: IsExpectationOf

Transitive: false

Symmetric:false

3    HasPrognosis Has prognosis see definition of inverse: Is prognosis of Inverse of: IsPrognosisOf

Transitive: false

Symmetric:false

3    HasResultantRisk Has resultant risk see definition of inverse: Is resultant risk of Inverse of: IsResultantRiskOf

Transitive: false

Symmetric:false

2   HasConditional Has conditional see definition of inverse: Is condition of Inverse of: IsConditionOf

Transitive: false

Symmetric:false

3    HasPrecondition Has precondition see definition of inverse: Is precondition of Inverse of: IsPreconditionOf

Transitive: false

Symmetric:false

1  HasReferent Has referent see definition of inverse: Is referent of Inverse of: IsReferentOf

Transitive: true

Symmetric:false

2   HasDocumentation Has documentation see definition of inverse: Is documentation of Inverse of: IsDocumentationOf

Transitive: true

Symmetric:false

3    HasSummary Has summary see definition of inverse: Is summary of Inverse of: IsSummaryOf

Transitive: true

Symmetric:false

3    HasAnnotation Has annotation see definition of inverse: Is annotation of Inverse of: IsAnnotationOf

Transitive: false

Symmetric:false

3    HasTitle Has title see definition of inverse: Is title of Inverse of: IsTitleOf

Transitive: false

Symmetric:false

2   HasEvaluation Has evaluation see definition of inverse: Is evaluation of Inverse of: IsEvaluationOf

Transitive: false

Symmetric:false

3    HasMeasurement Has measurement see definition of inverse: Is measurement of Inverse of: IsMeasurementOf

Transitive: false

Symmetric:false

3    HasInterpretation Has interpretation see definition of inverse: Is interpretation of Inverse of: IsInterpretationOf

Transitive: false

Symmetric:false

2   HasAdjustment Has adjustment see definition of inverse: Is adjustment of Inverse of: IsAdjustmentOf

Transitive: false

Symmetric:false

3    HasCarePlanChange Has care plan change see definition of inverse: Is change to care plan Inverse of: IsChangeToCarePlan

Transitive: false

Symmetric:false

1  HasContext Has context see definition of inverse: Is context of Inverse of: IsContextOf

Transitive: true

Symmetric:false

2   HasTemporalContext Has temporal context see definition of inverse: Is temporal context of Inverse of: IsTemporalContextOf

Transitive: false

Symmetric:false

3    HasPredecessor Has predecessor see definition of inverse: Is precedent of Inverse of: IsPrecedentOf

Transitive: true

Symmetric:false

3    HasSuccessor Has successor see definition of inverse: Is subsequent of Inverse of: IsSubsequentOf

Transitive: true

Symmetric:false

2   HasClinicalContext Has clinical context see definition of inverse: Is clinical context of Inverse of: IsClinicalContextOf

Transitive: false

Symmetric:false

3    HasNormalState Has normal state see definition of inverse: Is normal state of Inverse of: IsNormalStateOf

Transitive: false

Symmetric:false

3    HasComparison Has comparison see definition of inverse: Is comparator of Inverse of: IsComparatorOf

Transitive: false

Symmetric:false

3    HasMotivation Has motivation see definition of inverse: Is motivation of Inverse of: IsMotivationOf

Transitive: false

Symmetric:false

4     HasIndication Has indication see definition of inverse: Is indication of Inverse of: IsIndicationOf

Transitive: false

Symmetric:false

4     HasContraindication Has contraindication see definition of inverse: Is contraindication of Inverse of: IsContraindicationOf

Transitive: false

Symmetric:false

3    HasThreadEvolution Has thread evolution see definition of inverse: Is evolving thread of Inverse of: IsEvolvingThreadOf

Transitive: true

Symmetric:false

4     HasDiagnosisEvolution Has diagnosis evolution see definition of inverse: Is evolving diagnosis Inverse of: IsEvolvingDiagnosis

Transitive: true

Symmetric:false

4     HasProblemThreadEvolution Has problem thread evolution see definition of inverse: Is problem evolution Inverse of: IsProblemEvolution

Transitive: true

Symmetric:false

1  HasModifier Has modifier see definition of inverse: Is modified by Inverse of: IsModifiedBy

Transitive: false

Symmetric:false

2   HasComplicatingFactor Has complicating factor see definition of inverse: Is complicated by Inverse of: IsComplicatedBy

Transitive: false

Symmetric:false

2   Improves Improves see definition of inverse: Is improved by Inverse of: IsImprovedBy

Transitive: false

Symmetric:false

2   Worsens Worsens see definition of inverse: Is worsened by Inverse of: IsWorsenedBy

Transitive: false

Symmetric:false

2   HasMitigation Has mitigation see definition of inverse: Is mitigated by Inverse of: IsMitigatedBy

Transitive: false

Symmetric:false

3    Prevents Prevents see definition of inverse: Is prevented by Inverse of: IsPreventedBy

Transitive: false

Symmetric:false