Derivation Of The HL7 RIM Ontology A Top A Top--Down
Derivation of the HL7 RIMOntologyA Top-Down Methodology
Concept - “a thing in the minds eye”Hmmm “Frankneeds anace ofhearts”
The Concept Challenge marine animal eats smaller things nice to eat Concept (1)ConceptThing (1)Symbols(Many)“Frank the Shark” (in English)Can’t put the “thing”on this slideThingsince the instanceexists onlyin physical spaceAdapted from Charlie Mead& the Semantic Triangle
Predicate Logic inRDF, RIM, and bjectPatienthasFinding SiteStructureof Neck ofFemurRIM:ObservationSNOMED:FractureofFemur
SNOMED in the HL7 onSubjectPatientHL7 RIMhasResultFractureofFemurhasFinding SiteStructure ofNeck NOMED
Propositions & Assertions Propositions in RDF triplesSubject Predicate Object Propositions may be true or false Assertions are believed by the author to be tionSubjectPatienthasResultFracture ofFemurHL7 RIMhasFinding SiteStructure ofNeck NOMED
Ontologies: Mass & EnergyProposition:e mc2
Mass and Energy (e mc2)MassEnergyEnergy
Analogy: Mass to Entity/Energy to ActEntityid : SET II classCode : CSdeterminerCode : CSimportanceStatusText : EDqty : SET PQ telecom : SET TEL description : EDstatusCode : CScode : CEnm : SET EN riskCode : CE0 *Act0 *id : SET II moodCode : CSclassCode : CStxt : EDstatusCode : CSactivityTime : GTSeffectiveTime : GTSconfidentialityCode : SET CV repeatNumber : IVL INT interruptible ind : BLpriorityCode : SET CV independent ind : BLavailability dttm : GTScode : CDtransfer reasonCode : CV
Ontologies: Materials & Labor
Proposition:Cost Materials LaborEntityid : SET II classCode : CSdeterminerCode : CSimportanceStatusText : EDqty : SET PQ telecom : SET TEL description : EDstatusCode : CScode : CEnm : SET EN riskCode : CE0 *Act0 *id : SET II moodCode : CSclassCode : CStxt : EDstatusCode : CSactivityTime : GTSeffectiveTime : GTSconfidentialityCode : SET CV repeatNumber : IVL INT interruptible ind : BLpriorityCode : SET CV independent ind : BLavailability dttm : GTScode : CDtransfer reasonCode : CV
Association ClassEntityid : SET II classCode : CSdeterminerCode : CSimportanceStatusText : EDqty : SET PQ telecom : SET TEL description : EDstatusCode : CScode : CEnm : SET EN riskCode : CE0 *ActAssociations Class0 *id : SET II moodCode : CSclassCode : CStxt : EDstatusCode : CSactivityTime : GTSeffectiveTime : GTSconfidentialityCode : SET CV repeatNumber : IVL INT interruptible ind : BLpriorityCode : SET CV independent ind : BLavailability dttm : GTScode : CDtransfer reasonCode : CV
RIM - Backbone Entity Associations People, Places, Physical ThingsRoles & RelationshipsAct Collections of Events
Entityid : SET II classCode : CSdeterminerCode : CSimportanceStatusText : EDqty : SET PQ telecom : SET TEL description : EDstatusCode : CScode : CEnm : SET EN riskCode : assCode : CSeffectiveTime : IVL TS id : SET II statusCode : CSpositionNumber : LIST INT qty : PQcertificateText : EDaddr : SET AD telecom : SET TEL code : CE10.*ActParticipationtypeCode : CStmr : IVL TS note text : EDsignatureCode : CVfunctionCode : CDawarenessCode : CVsignatureText : EDencounter accommodationCode : CVstatusCode : CSmodeCode : CV0.*1id : SET II moodCode : CSclassCode : CStxt : EDstatusCode : CSactivityTime : GTSeffectiveTime : GTSconfidentialityCode : SET CV repeatNumber : IVL INT interruptible ind : BLpriorityCode : SET CV independent ind : BLavailability dttm : GTScode : CDtransfer reasonCode : CVAssociativeClasses
Review of UML TermsEntityid : SET II classCode : CSdeterminerCode : CSimportanceStatusText : EDqty : SET PQ telecom : SET TEL description : EDstatusCode : CScode : CEnm : SET EN riskCode : CE“Classes”0 *“Attribute: value pair”“Datatype”Acthierarchyor ‘IsA’associationsymbolSimpleor ‘hasA’associationsymbol0 *‘cardinality’ or ‘multiplicity’ symbolid : SET II moodCode : CSclassCode : CStxt : EDstatusCode : CSactivityTime : GTSeffectiveTime : GTSconfidentialityCode : SET CV repeatNumber : IVL INT interruptible ind : BLpriorityCode : SET CV independent ind : BLavailability dttm : GTScode : CDtransfer reasonCode : CV
Entityid : SET II classCode : CSdeterminerCode : CSimportanceStatusText : EDqty : SET PQ telecom : SET TEL description : EDstatusCode : CScode : CEnm : SET EN riskCode : urceclassCode : CS1effectiveTime : IVL TS targetid : SET II 1statusCode : CSpositionNumber : LIST INT qty : PQcertificateText : EDaddr : SET AD telecom : SET TEL code : icipationtypeCode : CStmr : IVL TS note text : EDsignatureCode : CVfunctionCode : CDawarenessCode : CVsignatureText : EDencounter accommodationCode : CVstatusCode : CSmodeCode : CVeffectiveTime : IVL TS typeCode : CS0.*10.*RoleLinkoutboundLink0.*1id : SET II moodCode : CSclassCode : CStxt : EDstatusCode : CSactivityTime : GTSeffectiveTime : GTSconfidentialityCode : SET CV repeatNumber : IVL INT interruptible ind : BLpriorityCode : SET CV independent ind : BLavailability dttm : GTScode : CDtransfer reasonCode : CVActRelationshipis source for1target1outboundLink0.*has target0.*typeCode : CSinversion ind : BLsequenceNumber : INTpriorityNumber : INTpauseQty : PQcheckpointCode : CSsplitCode : CSjoinCode : CSnegation ind : BLconjunctionCode : CS
Entityid : SET II classCode : CSdeterminerCode : CSimportanceStatusText : EDqty : SET PQ telecom : SET TEL description : EDstatusCode : CScode : CEnm : SET EN riskCode : urceclassCode : CS1effectiveTime : IVL TS targetid : SET II 1statusCode : CSpositionNumber : LIST INT qty : PQcertificateText : EDaddr : SET AD telecom : SET TEL code : CE10.*0.*inboundLinkeffectiveTime : IVL TS typeCode : ode : CStmr : IVL TS note text : EDsignatureCode : CVfunctionCode : CDawarenessCode : CVsignatureText : EDencounter accommodationCode : CVstatusCode : CSmodeCode : CVRoleLinkoutboundLink0.*1id : SET II moodCode : CSclassCode : CStxt : EDstatusCode : CSactivityTime : GTSeffectiveTime : GTSconfidentialityCode : SET CV repeatNumber : IVL INT interruptible ind : BLpriorityCode : SET CV independent ind : BLavailability dttm : GTScode : CDtransfer reasonCode : CVActRelationshipis source for1target1outboundLink0.*has target0.*typeCode : CSinversion ind : BLsequenceNumber : INTpriorityNumber : INTpauseQty : PQcheckpointCode : CSsplitCode : CSjoinCode : CSnegation ind : BLconjunctionCode : CS
ActRelationship Recursions*Classes, Instances of Classes, & Instance DiagramsActActRelationshipis source forid : SET II moodCode : Eventcode : Chem 4outboundLinkis source foroutboundLinktypeCode :has componentActtargethas targetid : SET II moodCode : Eventcode : GlucoseActRelationshiptypeCode :has componentActtargethas targetid : SET II moodCode : Eventcode : Total CholesterolActRelationshipis source foroutboundLinktypeCode :has componentActtargethas targetid : SET II moodCode : Eventcode : SodiumActRelationshipis source foroutboundLinktypeCode :has componentActtargethas targetid : SET II moodCode : Eventcode : Potassium
Entityid : SET II classCode : CSdeterminerCode : CSimportanceStatusText : EDqty : SET PQ telecom : SET TEL description : EDstatusCode : CScode : CEnm : SET EN riskCode : urceclassCode : CS1effectiveTime : IVL TS targetid : SET II 1statusCode : CSpositionNumber : LIST INT qty : PQcertificateText : EDaddr : SET AD telecom : SET TEL code : CERoleLinkoutboundLink0.*inboundLinkeffectiveTime : IVL TS typeCode : CS0.*InfiniteNesting10.*ActParticipationtypeCode : CStmr : IVL TS note text : EDsignatureCode : CVfunctionCode : CDawarenessCode : CVsignatureText : EDencounter accommodationCode : CVstatusCode : CSmodeCode : CV0.*1id : SET II moodCode : CSclassCode : CStxt : EDstatusCode : CSactivityTime : GTSeffectiveTime : GTSconfidentialityCode : SET CV repeatNumber : IVL INT interruptible ind : BLpriorityCode : SET CV independent ind : BLavailability dttm : GTScode : CDtransfer reasonCode : CVActRelationshipis source for1target1outboundLink0.*has target0.*typeCode : CSinversion ind : BLsequenceNumber : INTpriorityNumber : INTpauseQty : PQcheckpointCode : CSsplitCode : CSjoinCode : CSnegation ind : BLconjunctionCode : CS
HL7 RIM Act Hierarchy0.*1Actid : SET II moodCode : CSclassCode : CScode : CDtext : EDstatusCode : CS1 confidentialityCode : SET CE effectiveTime : GTSactivityTime : GTSinterruptibleInd : BLavailabilityTime : TScontextLockInd : BLindependentInd : BLinterruptibleInd : BLnegationInd : BLpriorityCode : SET CE repeatNumber : IVL INT reasonCode : SET CE substitutionConditionCode : CElevelCode : CEuncertaintyCode : CEWorkingListownershipLevelCode : CESubstanceAdministrationrouteCode : CEapproachSiteCode : SET CD doseQuantity : IVL PQ rateQuantity : IVL PQ doseCheckQuantity : SET RTO maxDoseQuantity : SET RTO potencyQuantity : PQsubstitutionCode : CEPatientEncounteracuityLevelCode : CEadmissionSourceCode : CEbirthEncounterInd : BLdischargeDispositionCode : CElengthOfStayQuantity : PQpreAdmitTestInd : BLreferralSourceCode : CEspecialAccommodationCode : SET CE specialCourtesiesCode : SET CE urgencyCode : CEControlActstructureTypeId : IIresponseCode : CSDeviceTaskparameterValue : LIST ANY ProceduremethodCode : SET CE approachSiteCode : SET CD targetSiteCode : SET CD Supplyquantity : PQexpectedUseTime : IVL TS FinancialActnetAmt : MOFinancialContractpaymentTermsCode : CEObservationvalue : ANYinterpretationCode : SET CE methodCode : SET CE targetSiteCode : SET CD derivationExpr : STDietenergyQuantity : PQcarbohydrateQuantity : PQFinancialTransactioncreditExchangeRateQuantity : REALdebitExchangeRateQuantity : REALinterestRateQuantity : RTOPublicHealthCasedetectionMethodCode : CEtransmissionModeCode : CEdiseaseImportedCode : CEDiagnosticImagesubjectOrientationCode : CEInvoiceElementmodifierCode : SET CE unitQuantity : RTO PQ,PQ unitPriceAmt : RTO MO,PQ factorNumber : REALpointsNumber : REALcoverageSourceCode : CEnotifySubjectInd : BLAccountname : STcurrencyCode : CEinterestRateQuantity : RTO MO,PQ allowedBalanceQuantity : IVL MO
Bottom-Up Modeling ArtifactsEntityid : SET II classCode : CSdeterminerCode : CSimportanceStatusText : EDqty : SET PQ telecom : SET TEL description : EDstatusCode : CScode : CEnm : SET EN riskCode : CE“Classes”0 *“Attribute: value pair”“Datatype”Acthierarchyor ‘IsA’associationsymbolSimpleor ‘hasA’associationsymbol0 *‘cardinality’ or ‘multiplicity’ symbolid : SET II moodCode : CSclassCode : CStxt : EDstatusCode : CSactivityTime : GTSeffectiveTime : GTSconfidentialityCode : SET CV repeatNumber : IVL INT interruptible ind : BLpriorityCode : SET CV independent ind : BLavailability dttm : GTScode : CDtransfer reasonCode : CV
The Meaning of Hierarchy0.*1Actid : SET II moodCode : CSclassCode : CScode : CDtext : EDstatusCode : CS1 confidentialityCode : SET CE effectiveTime : GTSactivityTime : GTSinterruptibleInd : BLavailabilityTime : TScontextLockInd : BLindependentInd : BLinterruptibleInd : BLnegationInd : BLpriorityCode : SET CE repeatNumber : IVL INT reasonCode : SET CE substitutionConditionCode : CElevelCode : CEuncertaintyCode : CEWorkingListownershipLevelCode : CESubstanceAdministrationrouteCode : CEapproachSiteCode : SET CD doseQuantity : IVL PQ rateQuantity : IVL PQ doseCheckQuantity : SET RTO maxDoseQuantity : SET RTO potencyQuantity : PQsubstitutionCode : CEPatientEncounteracuityLevelCode : CEadmissionSourceCode : CEbirthEncounterInd : BLdischargeDispositionCode : CElengthOfStayQuantity : PQpreAdmitTestInd : BLreferralSourceCode : CEspecialAccommodationCode : SET CE specialCourtesiesCode : SET CE urgencyCode : CEControlActstructureTypeId : IIresponseCode : CSDeviceTaskparameterValue : LIST ANY ProceduremethodCode : SET CE approachSiteCode : SET CD targetSiteCode : SET CD Supplyquantity : PQexpectedUseTime : IVL TS FinancialActnetAmt : MOFinancialContractpaymentTermsCode : CEObservationvalue : ANYinterpretationCode : SET CE methodCode : SET CE targetSiteCode : SET CD derivationExpr : STDietenergyQuantity : PQcarbohydrateQuantity : PQFinancialTransactioncreditExchangeRateQuantity : REALdebitExchangeRateQuantity : REALinterestRateQuantity : RTOPublicHealthCasedetectionMethodCode : CEtransmissionModeCode : CEdiseaseImportedCode : CEDiagnosticImagesubjectOrientationCode : CEInvoiceElementmodifierCode : SET CE unitQuantity : RTO PQ,PQ unitPriceAmt : RTO MO,PQ factorNumber : REALpointsNumber : REALcoverageSourceCode : CEnotifySubjectInd : BLAccountname : STcurrencyCode : CEinterestRateQuantity : RTO MO,PQ allowedBalanceQuantity : IVL MO
Act-Supply-Diet Hierarchy1Actid : SET II moodCode : CSclassCode : CScode : CDtext : EDstatusCode : CS1 confidentialityCode : SET CE effectiveTime : GTSactivityTime : GTSinterruptibleInd : BLavailabilityTime : TScontextLockInd : BLindependentInd : BLinterruptibleInd : BLnegationInd : BLpriorityCode : SET CE repeatNumber : IVL INT reasonCode : SET CE substitutionConditionCode : CElevelCode : CEuncertaintyCode : CESupplyquantity : PQexpectedUseTime : IVL TS DietenergyQuantity : PQcarbohydrateQuantity : PQ0.*
Diet Act Combines Attributes in Hierarchy0.*1Diet ActFrom Supplyid : SET II moodCode : CSclassCode : CScode : CDtext : EDstatusCode : CS1 confidentialityCode : SET CE effectiveTime : GTSactivityTime : GTSinterruptibleInd : BLavailabilityTime : TScontextLockInd : BLindependentInd : BLinterruptibleInd : BLnegationInd : BLpriorityCode : SET CE repeatNumber : IVL INT reasonCode : SET CE substitutionConditionCode : CElevelCode : CEuncertaintyCode : CEquantity : PQexpectedUseTime : IVL TS energyQuantity : PQcarbohydrateQuantity : PQFrom Diet
The Meaning of Hierarchy0.*1Actid : SET II moodCode : CSclassCode : CScode : CDtext : EDstatusCode : CS1 confidentialityCode : SET CE effectiveTime : GTSactivityTime : GTSinterruptibleInd : BLavailabilityTime : TScontextLockInd : BLindependentInd : BLinterruptibleInd : BLnegationInd : BLpriorityCode : SET CE repeatNumber : IVL INT reasonCode : SET CE substitutionConditionCode : CElevelCode : CEuncertaintyCode : CEWorkingListownershipLevelCode : CESubstanceAdministrationrouteCode : CEapproachSiteCode : SET CD doseQuantity : IVL PQ rateQuantity : IVL PQ doseCheckQuantity : SET RTO maxDoseQuantity : SET RTO potencyQuantity : PQsubstitutionCode : CEPatientEncounteracuityLevelCode : CEadmissionSourceCode : CEbirthEncounterInd : BLdischargeDispositionCode : CElengthOfStayQuantity : PQpreAdmitTestInd : BLreferralSourceCode : CEspecialAccommodationCode : SET CE specialCourtesiesCode : SET CE urgencyCode : CEControlActstructureTypeId : IIresponseCode : CSDeviceTaskparameterValue : LIST ANY ProceduremethodCode : SET CE approachSiteCode : SET CD targetSiteCode : SET CD Supplyquantity : PQexpectedUseTime : IVL TS FinancialActnetAmt : MOFinancialContractpaymentTermsCode : CEObservationvalue : ANYinterpretationCode : SET CE methodCode : SET CE targetSiteCode : SET CD derivationExpr : STDietenergyQuantity : PQcarbohydrateQuantity : PQFinancialTransactioncreditExchangeRateQuantity : REALdebitExchangeRateQuantity : REALinterestRateQuantity : RTOPublicHealthCasedetectionMethodCode : CEtransmissionModeCode : CEdiseaseImportedCode : CEDiagnosticImagesubjectOrientationCode : CEInvoiceElementmodifierCode : SET CE unitQuantity : RTO PQ,PQ unitPriceAmt : RTO MO,PQ factorNumber : REALpointsNumber : REALcoverageSourceCode : CEnotifySubjectInd : BLAccountname : STcurrencyCode : CEinterestRateQuantity : RTO MO,PQ allowedBalanceQuantity : IVL MO
Observation Act Act Attributes Observation Attributes0.*1Observation ActFrom Observationid : SET II moodCode : CSclassCode : CScode : CDtext : EDstatusCode : CS1 confidentialityCode : SET CE effectiveTime : GTSactivityTime : GTSinterruptibleInd : BLavailabilityTime : TScontextLockInd : BLindependentInd : BLinterruptibleInd : BLnegationInd : BLpriorityCode : SET CE repeatNumber : IVL INT reasonCode : SET CE substitutionConditionCode : CElevelCode : CEuncertaintyCode : CEvalue : ANYinterpretationCode : SET CE methodCode : SET CE targetSiteCode : SET CD derivationExpr : ST
Observation.code / Observation.value0.*What is the Question? / What is the Answer?1Observation ActFrom Observationid : SET II moodCode : CSclassCode : CScode : CDtext : EDstatusCode : CS1 confidentialityCode : SET CE effectiveTime : GTSactivityTime : GTSinterruptibleInd : BLavailabilityTime : TScontextLockInd : BLindependentInd : BLinterruptibleInd : BLnegationInd : BLpriorityCode : SET CE repeatNumber : IVL INT reasonCode : SET CE substitutionConditionCode : CElevelCode : CEuncertaintyCode : CEvalue : ANYinterpretationCode : SET CE methodCode : SET CE targetSiteCode : SET CD derivationExpr : ST‘White BloodCount’CTP Dcode‘14657009’‘Malig Tumorof Breast’SNOMEDcode‘254837009’
Sample GlossarySource TermTerm SourceChristineStoryboard rd: Single-word Christine, age 46, wasTermrecently diagnosed withstage II breast cancer.not applicableNot ApplicableWhat was thename?diagnosedStoryboard: Single-word Christine, age 46, was diagnosisTermrecently diagnosed withstage II breast cancer.The act or processof determining thenature and causeof a disease orinjury throughexamination of thepatientEstablish-eddiagnosis14657009breast cancerStoryboard: Multi-wordTermnoneThe act orWhat was theprocess ofdiagnosis?identifying ordetermining thenature andcause of adisease orinjury throughevaluation ofpatient history,examination,and review oflaboratory datanoneWhat was thediagnosis?RNActivity Diagram: Role224535009Registerednursereviews chartActivity Diagram: ActionStatechart reviewA nurse whohas graduatedfrom anaccreditedschool ofnursing andlicensed topractice by astate authorityChart: Arecording, intabular form, ofclinical datarelating to acaserequests educationappointmentActivity Diagram: ity Diagram: FlowClassChristine, age 46, wasrecently diagnosed withstage II breast cancer.A graduate trainednurse who haspassed a stateregistrationexamination andhas been licensedto practice nursingReview: Aninspection orexamination forpurposes ofevaluationSNOMED LexicalCTMatchMeaningMatch254837009Malignanttumour ofbreastReview of55210009 01005
What is an Information Model? Describes Relationships Between Concepts (in UML) Provides Data-type Links to Vocabulary Concepts Class conceptsAttribute conceptsAssociation conceptsData-type conceptsSNOMEDLOINCICNP .Not a Data Model! Not concerned with application performance in a relational databaseNot concerned with ease of application programmingIs concerned with communicating knowledge of domain
What is an Information Model? Describes Relationships Between Concepts (in UML) Class conceptsAttribute conceptsAssociation conceptsData-type conceptsAction timing-code-vocabulary-vtext-stextIndirect des Data-type Links to Vocabulary Concepts SNOMEDLOINCICNP .
Building an Information Model--an iterative process Identify Basic ConceptsDefine Basic Concepts in GlossaryIdentify Relationships Between ConceptsAttributes Multiplicities Associations Abstract Basic Concepts into HierarchiesIdentify attributes that can be shared Define Abstract Concepts in Glossary
Identify Basic Concepts Subjects (actors) PatientNursePhysicianPatient care aide Verbs balizedAssess Objects PatientStrategiesBreast cancerNauseaVomitingInterventionVideo
Identify Abstract ConceptsSubjects “Persons”Subjects “Do’ers” Subjects (actors) PatientNursePhysicianPatient care aide Verbs “Actions” Verbs balizedAssess Objects “?” Objects PatientStrategiesBreast cancerNauseaVomitingInterventionVideo
Define Abstract Concepts in Glossary Do’er is someone who performs an actionAction is a word that describes what a do’er isdoing to the objectObject is a direct object or an indirect object ofa sentenceA direct object of a sentence is the thing beingdone toAn indirect object of a sentence is the .
Action timing-code-vocabulary-vtext-stext Data-TypesWhat “kinds of” values can an attribute have?Timing (date-timestamps; frequency text; etc) Code (alphanumeric text strings from code field ofpublished vocabulary) Vocabulary (string with official identifier forpublished vocabulary) Vtext (string with English text corresponding tocode in published vocabulary) Stext (string with exact text from storyboard)
Identify Relationships BetweenConceptsObject of ActionDo’er-name-role-code-vocabulary-vtext -code-vocabulary-vtext-stext-actsOnAction timing-code-vocabulary-vtext-stextDo’ers Patient Nurse Physician Patient care aide Indirect ObjectDirect -vtext-stextActions Asked Reviewed Decided Printed Moved Documented Spoke Verbalized Assess Objects (direct & indirect) Patient Strategies Breast cancer Nausea Vomiting Intervention Video
Identify Relationships BetweenConceptsObject of -vocabulary-vtext-stext-actsOnAction timing-code-vocabulary-vtext-stextIndirect Object-code-vocabulary-vtext-stext-onBehalfOf Do’ers Patient Nurse Physician Patient care aide Actions Asked Reviewed Decided Printed Moved Documented Spoke Verbalized Assess Objects (direct & indirect) Patient Strategies Breast cancer Nausea Vomiting Intervention Video
Storyboard Information ModelInstance Diagrams Test the combination of Information Model andvocabularies against the storyboard Use the Storyboard Glossary to provide thevocabulary for the instance diagrams
Nursing Domain Information ModelObject of ActionProvider RoleRecipient of CareAction-hasRecipientOfCare -stextFinding includes theconcepts of Goal andOutcome dependingon relationship timingand other uity-timing-hasJudgementDiagnosisSubject of informationSubject is coded forindividual, family,or other physical entity-code-vocabulary-vtext-stextfocusType Value Set -hasSubjectOfInformation Patient Functioning Environment ICF and other similarconcepts in othervocabularies
Example Instance Diagram“Susan , an RN , reviews Christine's chart”Object of ActionProvider Role-name Susan-role RN-code 224535009-vocabulary S-vtext RegisteredNurse-hasSite-actsOnRecipient of CareAction-hasRecipientOfCare timing-code 55210009-vocabulary S-vtext Review of -hasSupply*-stext Reviews-name Christine-role Patient-code 2B.2.1.1.1.1.1.1.22-vocabulary ans-code-vocabulary-vtext-stext-code-vocabulary ICNP-vtext Record ltJudgement-hasSiteFinding includes theconcepts of Goal andOutcome dependingon relationship timingand other mentDiagnosisSubject of informationSubject is coded forindividual, family,or other physical entity-code-vocabulary-vtext-stextfocusType Value Set -hasSubjectOfInformation Patient Functioning Environment ICF and other similarconcepts in othervocabularies
Mapping from Nursing to HL7From Nursing DomainProvider RoleTo HL7 RIMEntity (Person) RoleCare RecipientEntity (Person) RoleAction Object of in.routeCode
Example Instance Diagram“Susan , an RN , reviews Christine's chart”Object of ActionProvider Role-name Susan-role RN-code 224535009-vocabulary S-vtext RegisteredNurse-hasSite-actsOnRecipient of CareAction-hasRecipientOfCare timing-code 55210009-vocabulary S-vtext Review of -hasSupply*-stext Reviews-name Christine-role Patient-code 2B.2.1.1.1.1.1.1.22-vocabulary ans-code-vocabulary-vtext-stext-code-vocabulary ICNP-vtext Record ltJudgement-hasSiteFinding includes theconcepts of Goal andOutcome dependingon relationship timingand other mentDiagnosisSubject of informationSubject is coded forindividual, family,or other physical entity-code-vocabulary-vtext-stextfocusType Value Set -hasSubjectOfInformation Patient Functioning Environment ICF and other similarconcepts in othervocabularies
Entityid : SET II classCode : CSdeterminerCode : CSimportanceStatusText : EDqty : SET PQ telecom : SET TEL description : EDstatusCode : CScode : CEnm : SET EN SusanriskCode : urceclassCode : CS1effectiveTime : IVL TS targetid : SET II 1statusCode : CSpositionNumber : LIST INT qty : PQcertificateText : EDaddr : SET AD telecom : SET TEL code : CE RN 2245350090.*inboundLinkRegisteredNursePatient 2B.2.1.1.1.1.1.1.220.*ParticipationtypeCode : CStmr : IVL TS note text : EDsignatureCode : CVfunctionCode : CDawarenessCode : CVsignatureText : EDencounter accommodationCode : CVstatusCode : CSmodeCode : CV0.*1effectiveTime : IVL TS typeCode : CS0.*1ChristineRoleLinkoutboundLinkSMappingto theRIMICNPActActRelationshipis source for outboundLinkid : SET II typeCode : CSmoodCode : CS10.* inversion ind : BLclassCode : CSsequenceNumber : INTtxt : ED Reviewed ChartpriorityNumber : INTstatusCode : CStargethas target pauseQty : PQactivityTime : GTScheckpointCode : CSeffectiveTime : GTS10.* splitCode : CSconfidentialityCode : SET CV joinCode : CSrepeatNumber : IVL INT negation ind : BLinterruptible ind : BLconjunctionCode : CSpriorityCode : SET CV independent ind : BLavailability dttm : GTScode : CD 312853008 Medical Record ReviewStransfer reasonCode : CV--adapted from RIM V1.18
SNOMED in the HL7 RIM Subject Predicate Object Observ-ation has Participation Subject Patient Fracture of Femur has Finding Site Structure of Neck of Femur has Associated Morphology Compression Fracture hasResult HL7 RIM SNOMED
May 02, 2018 · D. Program Evaluation ͟The organization has provided a description of the framework for how each program will be evaluated. The framework should include all the elements below: ͟The evaluation methods are cost-effective for the organization ͟Quantitative and qualitative data is being collected (at Basics tier, data collection must have begun)
Silat is a combative art of self-defense and survival rooted from Matay archipelago. It was traced at thé early of Langkasuka Kingdom (2nd century CE) till thé reign of Melaka (Malaysia) Sultanate era (13th century). Silat has now evolved to become part of social culture and tradition with thé appearance of a fine physical and spiritual .
HL7 Messaging Tool - EHR Vendor All new products will be listed under Your Product List. To start validating products go to the Validating EHR Projects/Versions section under Validating HL7 Messages. Validating HL7 Messages This section will go into detail on how to validate each EHR Product, Group HL7 Messages, and Practice HL7 Messages.
(EHR) system, and creating a data model for that database is challenging due to the EHR system's special nature. Because of complexity, spatial, sparseness, interrelation, temporal, . Entry PACS Billing HL7 & DICOM HL7 HL7 HL7 HL7 HL7 IJCSI International Journal of Computer Science Issues, Vol. 9, Issue 5, No 1, September 2012
On an exceptional basis, Member States may request UNESCO to provide thé candidates with access to thé platform so they can complète thé form by themselves. Thèse requests must be addressed to esd rize unesco. or by 15 A ril 2021 UNESCO will provide thé nomineewith accessto thé platform via their émail address.
̶The leading indicator of employee engagement is based on the quality of the relationship between employee and supervisor Empower your managers! ̶Help them understand the impact on the organization ̶Share important changes, plan options, tasks, and deadlines ̶Provide key messages and talking points ̶Prepare them to answer employee questions
Dr. Sunita Bharatwal** Dr. Pawan Garga*** Abstract Customer satisfaction is derived from thè functionalities and values, a product or Service can provide. The current study aims to segregate thè dimensions of ordine Service quality and gather insights on its impact on web shopping. The trends of purchases have
TO GROUP WORK PRACTICE, 5/e. 64 3 Understanding Group Dynamics The forces that result from the interactions of group members are often referred to as group dynamics. Because group dynamics influence the behavior of both individual group mem-bers and the group as a whole, they have been of considerable interest to group workers for many years (Coyle, 1930, 1937; Elliott, 1928). A thorough .
