| REDS_MT020001UV Order Set Document |
Derived from RMIM: REDS_RM020001UV and HMD: REDS_HD020001UV |
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| OrderSetDocument |
Design Comments: This class represents the root of the OrderSetDocument RMIM. |
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| classCode [1..1] (M) Document (CS) {CNE:V:ActClassDocument, root= "DOC"} |
Design Comments: Represents the globally unique instance identifier of an order set document. This relates to the Order Set Key from the domain analysis model (DAM). |
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| moodCode [1..1] (M) Document (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| id [1..1] (M) Document (II) |
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| title [1..1] (M) Document (ST) |
Design Comments: A descriptive name for the order set document, intended for human consumption, equivalent to the Order set title from the DAM. |
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| text [0..1] Document (ED) |
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| statusCode [1..1] (M) Document (CS) {CNE:V:ActStatus} |
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| effectiveTime [1..1] (M) Document (IVL<TS>) |
Design Comments: The lower bound of the time interval is the creation date of the order set. The upper bound is the archive date of the order set. |
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| versionNumber [1..1] (M) Document (ST.SIMPLE) |
Design Comments: The version of the document equivalent to the Order set version (DAM). This is used in conjunction with id to uniquely identify a specific version of a specific order set document. |
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| author [1..*] (Author) |
Design Comments: Specifies the authors of the order set. Order set author/editor (DAM) == Author.person.name |
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| informant [0..1] (Informant) |
Design Comments: Specifies the editors of the order set. Order set editor (DAM) == Informant.person.name; Order set edit date (DAM) == Informant.time |
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| custodian [0..2] (Custodian) |
Design Comments: Specifies the current owner of the order set. Order set owner (DAM) == Custodian.person.name |
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| authenticator [0..*] (Authenticator) |
Design Comments: Specifies the identity and date of order validation activities. Order set validator == Authenticator.person.name; Order set validation date (DAM) == Authenticator.time. |
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| predecessor [0..*] (Predecessor) |
Design Comments: This relationship is a link to the identifier of an earlier order set which is now superseded by the current order set. ParentDocument id and ParentDocument.versionNumber constitute the unique identifier of the earlier version of this order set. This represents element Replaces (DAM). |
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| appendage [0..*] (Appendage) |
Design Comments: Organizes milestone data linked to order set management. Milestone name (DAM) is supported in Milestone.title; Milestone creation date (DAM) is Milestone.effectiveTime(lower); Milestone target date (DAM) == TargetCompletion.value; Milestone actual date (DAM) == Milestone.effectiveTime (upper). |
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| support [0..*] (Support) |
Design Comments: External document provides link to informative data regarding the use of this order set or order item; this represents Order Set Resource link (DAM). |
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| summary [0..1] (Summary) |
Design Comments: Description.text provides a textual descrition of the purpose and content of the order set; representing Order set description (DAM). |
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| component [1..1] (Component1) | |||||||||
| Author |
Design Comments: Specifies the authors of the order set. Order set author/editor (DAM) == Author.person.name |
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| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationAuthorOriginator, root= "AUT"} |
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| documentAuthor [1..1] (DocumentAuthor) | |||||||||
| DocumentAuthor | |||||||||
| classCode [1..1] (M) Role (CS) {CNE:V:RoleClassAssignedEntity, root= "ASSIGNED"} |
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| id [1..*] Role (DSET<II>) |
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| assignedPerson [0..1] (Person) | |||||||||
| representedOrganization [0..1] (Organization) | |||||||||
| Informant |
Design Comments: Specifies the editors of the order set. Order set editor (DAM) == Informant.person.name; Order set edit date (DAM) == Informant.time |
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| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationInformant, root= "INF"} |
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| time [1..1] Participation (TS) |
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| assignedEditor [1..1] (AssignedEditor) | |||||||||
| AssignedEditor | |||||||||
| classCode [1..1] (M) Role (CS) {CNE:V:RoleClassAssignedEntity, root= "ASSIGNED"} |
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| id [0..*] Role (DSET<II>) |
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| assignedPerson [0..1] (Person) | |||||||||
| Custodian |
Design Comments: Specifies the current owner of the order set. Order set owner (DAM) == Custodian.person.name |
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| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationCustodian, root= "CST"} |
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| assignedCustodian [1..1] (AssignedCustodian) | |||||||||
| AssignedCustodian | |||||||||
| classCode [1..1] (M) Role (CS) {CNE:V:RoleClassAssignedEntity, root= "ASSIGNED"} |
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| id [1..1] Role (II) |
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| assignedCustodianChoice [0..1] (CustodianChoice) | |||||||||
| CustodianChoice | |||||||||
| choice of Organization | |||||||||
| or Person | |||||||||
| Authenticator |
Design Comments: Specifies the identity and date of order validation activities. Order set validator == Authenticator.person.name; Order set validation date (DAM) == Authenticator.time. |
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| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationAuthenticator, root= "AUTHEN"} |
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| time [1..1] Participation (TS) |
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| signatureCode [1..1] Participation (CD) {CNE:D:ParticipationSignature} |
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| assignedEntity [1..1] (AssignedEntity) | |||||||||
| AssignedEntity | |||||||||
| classCode [1..1] (M) Role (CS) {CNE:V:RoleClassAssignedEntity, root= "ASSIGNED"} |
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| id [1..*] Role (DSET<II>) |
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| assignedPerson [0..1] (Person) | |||||||||
| representedOrganization [0..1] (Organization) | |||||||||
| Person | |||||||||
| classCode [1..1] (M) Person (CS) {CNE:V:EntityClassPerson, root= "PSN"} |
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| determinerCode [1..1] (M) Person (CS) {CNE:V:EntityDeterminerSpecific, root= "INSTANCE"} |
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| name [1..1] Person (PN) |
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| Organization | |||||||||
| classCode [1..1] (M) Organization (CS) {CNE:V:EntityClassOrganization, root= "ORG"} |
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| determinerCode [1..1] (M) Organization (CS) {CNE:V:EntityDeterminerSpecific, root= "INSTANCE"} |
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| id [0..1] Organization (II) |
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| name [1..1] Organization (ST) |
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| Predecessor |
Design Comments: This relationship is a link to the identifier of an earlier order set which is now superseded by the current order set. ParentDocument id and ParentDocument.versionNumber constitute the unique identifier of the earlier version of this order set. This represents element Replaces (DAM). |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipSucceeds, root= "SUCC"} |
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| parentDocument [1..1] (ParentDocument) |
Design Comments: This class is a link to the identifier of an earlier order set which is now superseded by the current order set. ParentDocument id and versionNumber constitute the unique identifier of the earlier version of this order set. This represents element Replaces (DAM). |
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| ParentDocument |
Design Comments: This class is a link to the identifier of an earlier order set which is now superseded by the current order set. ParentDocument id and versionNumber constitute the unique identifier of the earlier version of this order set. This represents element Replaces (DAM). |
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| classCode [1..1] (M) Document (CS) {CNE:V:ActClassDocument, root= "DOC"} |
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| moodCode [1..1] (M) Document (CS) {CNE:V:ActMoodDefinition, root= "DEF"} |
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| id [1..1] Document (II) |
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| title [1..1] Document (ED) |
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| text [0..1] Document (ED) |
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| versionNumber [0..1] Document (ST.SIMPLE) |
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| Appendage |
Design Comments: Organizes milestone data linked to order set management. Milestone name (DAM) is supported in Milestone.title; Milestone creation date (DAM) is Milestone.effectiveTime(lower); Milestone target date (DAM) == TargetCompletion.value; Milestone actual date (DAM) == Milestone.effectiveTime (upper). |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipIsAppendage, root= "APND"} |
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| sequenceNumber [0..1] ActRelationship (INT.NONNEG) |
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| milestone [1..1] (Milestone) |
Design Comments: Organizes milestone data linked to order set management. Milestone name (DAM) is supported in Milestone.title; Milestone creation date (DAM) is Milestone.effectiveTime(lower); Milestone target date (DAM) == TargetCompletion.value; Milestone actual date (DAM) == Milestone.effectiveTime (upper). |
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| Milestone |
Design Comments: Organizes milestone data linked to order set management. Milestone name (DAM) is supported in Milestone.title; Milestone creation date (DAM) is Milestone.effectiveTime(lower); Milestone target date (DAM) == TargetCompletion.value; Milestone actual date (DAM) == Milestone.effectiveTime (upper). |
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| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| title [1..1] Observation (ST) |
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| text [0..1] Observation (ED) |
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| effectiveTime [0..1] Observation (IVL<TS>) |
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| goal [0..*] (Goal) | |||||||||
| Goal | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasGoal, root= "GOAL"} |
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| targetCompletion [1..1] (TargetCompletion) | |||||||||
| TargetCompletion | |||||||||
| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodGoal, root= "GOL"} |
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| code [1..1] Observation (CD) {CWE:D:ActCode} |
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| value [1..1] Observation (TS) |
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| Support |
Design Comments: External document provides link to informative data regarding the use of this order set or order item; this represents Order Set Resource link (DAM). |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasSupport, root= "SPRT"} |
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| orderDocumentExternalReference [1..1] (OrderDocumentExternalReference) |
Design Comments: External document provides link to informative data regarding the use of this order set; represents Resource link (DAM). UsageNotes: Example XML: <reference typeCode=”SPRT”> <externalDocument> <text mediaType=”text/html”> <reference value=”http://example.org/doc.html”/> </text> </externalDocument> </reference> |
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| OrderDocumentExternalReference |
Design Comments: External document provides link to informative data regarding the use of this order set; represents Resource link (DAM). UsageNotes: Example XML: <reference typeCode=”SPRT”> <externalDocument> <text mediaType=”text/html”> <reference value=”http://example.org/doc.html”/> </text> </externalDocument> </reference> |
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| classCode [1..1] (M) Document (CS) {CNE:V:ActClassDocument, root= "DOC"} |
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| moodCode [1..1] (M) Document (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| id [1..1] Document (II) |
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| text [1..1] (M) Document (ED) |
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| Summary |
Design Comments: Description.text provides a textual descrition of the purpose and content of the order set; representing Order set description (DAM). |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipSummarizedBy, root= "SUMM"} |
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| description [1..1] (Description) |
Design Comments: A textual descrition of the purpose and content of the order set; representing Description (DAM). |
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| Description |
Design Comments: A textual descrition of the purpose and content of the order set; representing Description (DAM). |
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| classCode [1..1] (M) Act (CS) {CNE:V:ActClassRoot, root= "ACT"} |
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| moodCode [1..1] (M) Act (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| text [1..1] Act (ST) |
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| Component1 | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasComponent, root= "COMP"} |
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| contextConductionInd [1..1] (M) ActRelationship (BL){default= "true"} |
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| orderSetBody [1..1] (OrderSetBody) | |||||||||
| OrderSetBody | |||||||||
| classCode [1..1] (M) ContextStructure (CS) {CNE:V:ActClassComposition, root= "COMPOSITION"} |
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| moodCode [1..1] (M) ContextStructure (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| reason [0..*] (Reason) | |||||||||
| precondition [0..*] (Precondition1) | |||||||||
| component [1..*] (Component) |
Design Comments: conjunctionCode: The allowed values for conjunctionCode are ‘AND’, ‘OR’, & ‘XOR’. |
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| Reason | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipReason, root= "RSON"} |
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| useCase [1..1] (UseCase) | |||||||||
| UseCase | |||||||||
| classCode [1..1] (M) Act (CS) {CNE:V:ActClassRoot, root= "ACT"} |
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| moodCode [1..1] (M) Act (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| text [0..1] Act (ED) |
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| Precondition1 | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasPre-condition, root= "PRCN"} |
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| conjunctionCode [0..1] ActRelationship (CS) {CNE:V:RelationshipConjunction} |
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| criterionChoice [1..1] (CriterionChoice) | |||||||||
| CriterionChoice | |||||||||
| choice of AcuityCriterion |
Design Comments: Specifies the acuity class for usual employment of this order set. Order set acuity (DAM) is represented in AcuityCriterion.code |
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| or CriterionGroup |
Design Comments: Specifies criteria for employment of the order set (such as population of use or relevant conditions foruse) not represented by ProblemContext or SessionContext. |
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| or ConcernCriterion |
Design Comments: This is used to specify a coded concept which identifies the clinical focus of this order set. Order set problem code (DAM) == ProblemContext.code. |
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| or SessionCriterion |
Design Comments: This is used to capture a concept defining the order session of relevance within the larger episode of a protocol, care plan or guideline. Examples include "Admission to hospital" or "Evaluation and Management of a new outpatient". Order set session code (DAM) == SessionContext.code. |
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| AcuityCriterion |
Design Comments: Specifies the acuity class for usual employment of this order set. Order set acuity (DAM) is represented in AcuityCriterion.code |
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| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodEventCriterion, root= "EVN.CRT"} |
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| code [1..1] Observation (CD) {CWE:D:ActCode} |
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| actionNegationInd [0..1] Observation (BL) |
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| CriterionGroup |
Design Comments: Specifies criteria for employment of the order set (such as population of use or relevant conditions foruse) not represented by ProblemContext or SessionContext. |
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| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodEventCriterion, root= "EVN.CRT"} |
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| code [0..1] Observation (CD) {CWE:D:ActCode} |
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| actionNegationInd [0..1] Observation (BL) |
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| value [0..1] Observation (ANY) {CWE:D:ObservationValue} |
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| interpretationCode [0..*] Observation (DSET<CD>) {CWE:D:ObservationInterpretation} |
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| precondition [1..*] (Precondition2) | |||||||||
| Precondition2 | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasPre-condition, root= "PRCN"} |
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| conjunctionCode [0..1] ActRelationship (CS) {CNE:V:RelationshipConjunction} |
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| criterionChoice [1..1] (CriterionChoice) | |||||||||
| ConcernCriterion |
Design Comments: This is used to specify a coded concept which identifies the clinical focus of this order set. Order set problem code (DAM) == ProblemContext.code. |
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| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodEventCriterion, root= "EVN.CRT"} |
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| code [1..1] Observation (CD) {CWE:D:ActCode} |
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| actionNegationInd [0..1] Observation (BL) |
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| SessionCriterion |
Design Comments: This is used to capture a concept defining the order session of relevance within the larger episode of a protocol, care plan or guideline. Examples include "Admission to hospital" or "Evaluation and Management of a new outpatient". Order set session code (DAM) == SessionContext.code. |
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| classCode [1..1] (M) Procedure (CS) {CNE:V:ActClassProcedure, root= "PROC"} |
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| moodCode [1..1] (M) Procedure (CS) {CNE:V:ActMoodEventCriterion, root= "EVN.CRT"} |
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| code [1..1] Procedure (CD) {CWE:D:ActCode} |
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| actionNegationInd [0..1] Procedure (BL) |
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| Component |
Design Comments: conjunctionCode: The allowed values for conjunctionCode are ‘AND’, ‘OR’, & ‘XOR’. |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasComponent, root= "COMP"} |
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| contextConductionInd [1..1] (M) ActRelationship (BL){default= "true"} |
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| conjunctionCode [0..1] ActRelationship (CS) {CNE:V:RelationshipConjunction} |
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| orderSetSection [1..1] (OrderSetSection) |
Design Comments: This class organizes the body of the order set into distinct components for display and computable management |
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| OrderSetSection |
Design Comments: This class organizes the body of the order set into distinct components for display and computable management |
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| classCode [1..1] (M) Act (CS) {CNE:} |
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| moodCode [1..1] (M) Act (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| id [1..1] Act (II) |
Design Comments: Unique identifier of a group of orders |
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| title [1..1] Act (ST) |
Design Comments: Order display group (DAM). |
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| support [0..*] (Support3) | |||||||||
| entry [0..*] (Entry) |
Design Comments: Boolean collective (DAM) for the group of orders. Act choice elements each constitute one Order Item (DAM) in the body of the order set. The individual orders may be for Observations (moods may equal RQO, EVN or GOL), SubstanceAdministrations (mood equal RQO), Procedures (mood RQO), Supply (mood RQO), Encounter (mood RQO) or may be references to external order sets. Act specializations in this RMIM are informed in part by compliance with the Clinical Statements Model. |
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| component [0..*] (Component4) | |||||||||
| subjectOf [0..*] (Subject) |
Design Comments: links alerting text to an OrderSetSection or an ActChoice (OrderSetItem). Order section alert or Order item alert (DAM) can be found in OrderxxxAlert.text |
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| Support3 | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasSupport, root= "SPRT"} |
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| orderSetSectionExternalReference [1..1] (OrderSetSectionExternalReference) | |||||||||
| OrderSetSectionExternalReference | |||||||||
| classCode [1..1] (M) Document (CS) {CNE:V:ActClassDocument, root= "DOC"} |
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| moodCode [1..1] (M) Document (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| id [1..1] Document (II) |
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| text [1..1] (M) Document (ED) |
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| Entry |
Design Comments: Boolean collective (DAM) for the group of orders. Act choice elements each constitute one Order Item (DAM) in the body of the order set. The individual orders may be for Observations (moods may equal RQO, EVN or GOL), SubstanceAdministrations (mood equal RQO), Procedures (mood RQO), Supply (mood RQO), Encounter (mood RQO) or may be references to external order sets. Act specializations in this RMIM are informed in part by compliance with the Clinical Statements Model. |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:x_ActRelationshipEntry} |
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| contextConductionInd [1..1] (M) ActRelationship (BL){default= "true"} |
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| conjunctionCode [0..1] ActRelationship (CS) {CNE:V:RelationshipConjunction} |
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| actChoice [1..1] (ActChoice) | |||||||||
| ActChoice | |||||||||
| trigger [0..1] (Trigger) |
Design Comments: SelectionStatus.code == Preselection flag (DAM). |
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| support [0..*] (Support2) |
Design Comments: Order item resource link (DAM). |
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| referenceRange [0..1] (ReferenceRange) |
Design Comments: StrengthofRecommendation.code == Strength of Recommendation (DAM). |
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| subjectOf [0..*] (Subject2) |
Design Comments: links alerting text to an OrderSetSection or an ActChoice (OrderSetItem). Order section alert or Order item alert (DAM) can be found in OrderxxxAlert.text |
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| referencedBy [0..*] (Reference) |
Design Comments: Note.text == Order item note (DAM). |
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| choice of ObservationRequest | |||||||||
| or SubstanceAdministrationRequest | |||||||||
| or SupplyRequest | |||||||||
| or ProcedureRequest | |||||||||
| or ExternalOrderSetDocument | |||||||||
| or EncounterRequest | |||||||||
| or ObservationEvent | |||||||||
| or GoalAssertion | |||||||||
| Trigger |
Design Comments: SelectionStatus.code == Preselection flag (DAM). |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasTrigger, root= "TRIG"} |
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| selectionStatus [1..1] (SelectionStatus) |
Design Comments: Code attribute will be bound to a domain still to be requested through RIM harmonization |
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| SelectionStatus |
Design Comments: Code attribute will be bound to a domain still to be requested through RIM harmonization |
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| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| code [1..1] (M) Observation (CD) {CNE:D:ActCode} |
Design Comments: Defines whether the order item is nor pre-selected, preselected, or mandatory. |
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| Support2 |
Design Comments: Order item resource link (DAM). |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasSupport, root= "SPRT"} |
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| orderItemExternalReference [1..1] (OrderItemExternalReference) | |||||||||
| OrderItemExternalReference | |||||||||
| classCode [1..1] (M) Document (CS) {CNE:V:ActClassDocument, root= "DOC"} |
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| moodCode [1..1] (M) Document (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| id [1..1] Document (II) |
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| text [1..1] (M) Document (ED) |
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| ReferenceRange |
Design Comments: StrengthofRecommendation.code == Strength of Recommendation (DAM). |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasReferenceValues, root= "REFV"} |
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| strengthOfRecommendation [1..1] (StrengthOfRecommendation) | |||||||||
| StrengthOfRecommendation | |||||||||
| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| code [1..1] Observation (CD) {CWE:D:ActCode} |
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| value [1..1] Observation (ANY) {CWE:D:ObservationValue} |
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| Subject2 |
Design Comments: links alerting text to an OrderSetSection or an ActChoice (OrderSetItem). Order section alert or Order item alert (DAM) can be found in OrderxxxAlert.text |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasSubject, root= "SUBJ"} |
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| orderItemAlert [1..1] (OrderItemAlert) | |||||||||
| OrderItemAlert | |||||||||
| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassDetectedIssue, root= "ALRT"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| text [0..1] Observation (ED) |
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| priorityCode [0..*] Observation (DSET<CD>) {CWE:D:ActPriority} |
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| Reference |
Design Comments: Note.text == Order item note (DAM). |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipRefersTo, root= "REFR"} |
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| note [1..1] (Note) | |||||||||
| Note | |||||||||
| classCode [1..1] (M) Document (CS) {CNE:V:ActClassDocument, root= "DOC"} |
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| moodCode [1..1] (M) Document (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| text [1..1] Document (ST) |
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| ObservationRequest | |||||||||
| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodDefinition, root= "DEF"} |
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| id [1..1] Observation (II) |
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| code [0..1] Observation (CD) {CWE:D:ObservationType} |
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| text [1..1] Observation (ED) |
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| effectiveTime [1..1] Observation (QSET<TS>) |
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| priorityCode [0..1] Observation (CD) {CWE:D:ActPriority} |
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| repeatNumber [0..1] Observation (IVL<INT.NONNEG>) |
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| methodCode [0..*] Observation (DSET<CD>) {CWE:D:ObservationMethod} |
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| Inherits associations from ActChoice | |||||||||
| SubstanceAdministrationRequest | |||||||||
| classCode [1..1] (M) SubstanceAdministration (CS) {CNE:V:ActClassSubstanceAdministration, root= "SBADM"} |
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| moodCode [1..1] (M) SubstanceAdministration (CS) {CNE:V:ActMoodDefinition, root= "DEF"} |
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| id [1..1] SubstanceAdministration (II) |
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| code [0..1] SubstanceAdministration (CD) {CWE:D:ActSubstanceAdministrationCode} |
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| text [1..1] SubstanceAdministration (ED) |
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| effectiveTime [1..1] SubstanceAdministration (QSET<TS>) |
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| priorityCode [0..1] SubstanceAdministration (CD) {CWE:D:ActPriority} |
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| repeatNumber [0..1] SubstanceAdministration (IVL<INT.NONNEG>) |
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| approachSiteCode [0..*] SubstanceAdministration (DSET<CD>) {CWE:D:ActSite} |
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| routeCode [0..1] SubstanceAdministration (CD) {CWE:D:RouteOfAdministration} |
Design Comments: Coded value for the route of administration of the proposed treatment |
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| doseQuantity [0..1] SubstanceAdministration (URG<PQ>) |
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| rateQuantity [0..1] SubstanceAdministration (URG<PQ>) |
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| administrationUnitCode [0..1] SubstanceAdministration (CD) {CWE:D:AdministrableDrugForm} |
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| product [1..*] (Product) |
Design Comments: For medication orders (Substance Administration request) this links to the drug product being ordered; LabeledDrug.code == Medication or Treatment (DAM) |
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| Inherits associations from ActChoice | |||||||||
| Product |
Design Comments: For medication orders (Substance Administration request) this links to the drug product being ordered; LabeledDrug.code == Medication or Treatment (DAM) |
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| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationProduct, root= "PRD"} |
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| manufacturedProduct [1..1] (ManufacturedProduct) | |||||||||
| ManufacturedProduct | |||||||||
| classCode [1..1] (M) Role (CS) {CNE:V:RoleClassManufacturedProduct, root= "MANU"} |
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| id [0..*] Role (DSET<II>) |
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| manufacturedDrugOrOtherMaterial [1..1] (DrugOrOtherMaterial) | |||||||||
| manufacturerOrganization [0..1] (Organization) | |||||||||
| DrugOrOtherMaterial | |||||||||
| choice of LabeledDrug | |||||||||
| or Material | |||||||||
| LabeledDrug | |||||||||
| classCode [1..1] (M) ManufacturedMaterial (CS) {CNE:V:EntityClassManufacturedMaterial, root= "MMAT"} |
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| determinerCode [1..1] (M) ManufacturedMaterial (CS) {CNE:V:EntityDeterminerDetermined, root= "KIND"} |
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| code [0..1] ManufacturedMaterial (CD) {CWE:D:DrugEntity} |
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| name [1..1] ManufacturedMaterial (ST) |
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| Material | |||||||||
| classCode [1..1] (M) ManufacturedMaterial (CS) {CNE:V:EntityClassManufacturedMaterial, root= "MMAT"} |
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| determinerCode [1..1] (M) ManufacturedMaterial (CS) {CNE:V:EntityDeterminerDetermined, root= "KIND"} |
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| code [0..1] ManufacturedMaterial (CD) {CWE:D:MaterialEntityClassType} |
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| name [1..1] ManufacturedMaterial (ST) |
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| SupplyRequest | |||||||||
| classCode [1..1] (M) Supply (CS) {CNE:V:ActClassSupply, root= "SPLY"} |
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| moodCode [1..1] (M) Supply (CS) {CNE:V:ActMoodDefinition, root= "DEF"} |
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| id [1..1] Supply (II) |
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| code [0..1] Supply (CD) {CWE:D:ActCode} |
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| text [0..1] Supply (ED) |
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| effectiveTime [1..1] Supply (QSET<TS>) |
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| priorityCode [0..1] Supply (CD) {CWE:D:ActPriority} |
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| repeatNumber [0..1] Supply (IVL<INT.NONNEG>) |
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| quantity [0..1] Supply (PQ) |
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| consumable [1..1] (Consumable) |
Design Comments: For Supply Requests this specifies the material requested by the order item; Material.code == Supply (DAM) |
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| Inherits associations from ActChoice | |||||||||
| Consumable |
Design Comments: For Supply Requests this specifies the material requested by the order item; Material.code == Supply (DAM) |
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| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationConsumable, root= "CSM"} |
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| manufacturedProduct [1..1] (ManufacturedProduct) | |||||||||
| ProcedureRequest | |||||||||
| classCode [1..1] (M) Procedure (CS) {CNE:V:ActClassProcedure, root= "PROC"} |
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| moodCode [1..1] (M) Procedure (CS) {CNE:V:ActMoodDefinition, root= "DEF"} |
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| id [1..*] Procedure (DSET<II>) |
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| code [0..1] Procedure (CD) {CWE:D:ActCode} |
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| text [1..1] Procedure (ED) |
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| effectiveTime [0..1] Procedure (IVL<TS>) |
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| priorityCode [0..1] Procedure (CD) {CWE:D:ActPriority} |
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| repeatNumber [0..1] Procedure (IVL<INT.NONNEG>) |
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| methodCode [0..1] Procedure (CD) {CWE:D:ProcedureMethod} |
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| approachSiteCode [0..1] Procedure (CD) {CWE:D:ActSite} |
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| Inherits associations from ActChoice | |||||||||
| ExternalOrderSetDocument | |||||||||
| classCode [1..1] (M) Document (CS) {CNE:V:ActClassDocument, root= "DOC"} |
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| moodCode [1..1] (M) Document (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| id [1..1] Document (II) |
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| text [1..1] Document (ED) |
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| versionNumber [0..1] Document (ST.SIMPLE) |
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| Inherits associations from ActChoice | |||||||||
| EncounterRequest | |||||||||
| classCode [1..1] (M) PatientEncounter (CS) {CNE:V:ActClassEncounter, root= "ENC"} |
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| moodCode [1..1] (M) PatientEncounter (CS) {CNE:V:ActMoodDefinition, root= "DEF"} |
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| id [1..1] PatientEncounter (II) |
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| code [0..1] PatientEncounter (CD) {CWE:D:ActCode} |
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| text [1..1] PatientEncounter (ED) |
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| effectiveTime [0..1] PatientEncounter (QSET<TS>) |
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| Inherits associations from ActChoice | |||||||||
| ObservationEvent | |||||||||
| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodDefinition, root= "DEF"} |
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| id [1..1] Observation (II) |
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| code [0..1] Observation (CD) {CWE:D:ActCode} |
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| text [1..1] Observation (ED) |
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| effectiveTime [0..1] Observation (QSET<TS>) |
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| value [0..1] Observation (ANY) {CWE:D:ObservationValue} |
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| Inherits associations from ActChoice | |||||||||
| GoalAssertion | |||||||||
| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodDefinition, root= "DEF"} |
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| id [1..1] Observation (II) |
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| code [0..1] Observation (CD) {CWE:D:ActCode} |
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| text [1..1] Observation (ED) |
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| effectiveTime [0..1] Observation (QSET<TS>) |
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| repeatNumber [0..1] Observation (IVL<INT.NONNEG>) |
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| value [0..1] Observation (ANY) {CWE:D:ObservationValue} |
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| Inherits associations from ActChoice | |||||||||
| Component4 | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasComponent, root= "COMP"} |
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| contextConductionInd [1..1] (M) ActRelationship (BL){default= "true"} |
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| conjunctionCode [0..1] ActRelationship (CS) {CNE:V:RelationshipConjunction} |
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| orderSetSection [1..1] (OrderSetSection) | |||||||||
| Subject |
Design Comments: links alerting text to an OrderSetSection or an ActChoice (OrderSetItem). Order section alert or Order item alert (DAM) can be found in OrderxxxAlert.text |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasSubject, root= "SUBJ"} |
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| orderSectionAlert [1..1] (OrderSectionAlert) | |||||||||
| OrderSectionAlert | |||||||||
| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassDetectedIssue, root= "ALRT"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodDefinition, root= "DEF"} |
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| text [0..1] Observation (ED) |
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| priorityCode [0..*] Observation (DSET<CD>) {CWE:D:ActPriority} |
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