International Committee 00/09/10September 00 - International Committee September 2000 Jane Curry - Liaison to: Modeling and Methodology TC Architecture

00/09/10 September 00 - International Committee

InternationalCommittee

September 2000

Jane Curry - Liaison to: •Modeling and Methodology TC•Architecture Review Board



Agenda:

• Architecture Review Board report

• Harmonization since Cleveland

• Current state of RIM - RIMV99

• Current Methodology focus

• Where to from here

• Request to resolve “Person Language”



Architecture Review Board Report

• Review substantive changes for Standards going to ballot– Currently working on definition of

“substantive”

• Reviewing Mission and Charter for new or changed TCs or SIGs– Board to review ARB Mission and Charter



Report on Summer 2000 Harmonization

• Meeting held in Burlington, Vermont• Reviewed initial work from the LHSR fast track

project• Produced RIM-V098• More work identified for LHSR project• LHSR met following the Burlington meeting as

well as the following weekend• LHSR work was integrated into V098a• Additional Harmonization Meeting held in

Chicago• Version RIM-V099 is now the current RIM



RIM V.96



Champus_coverage

handicapped_program_cd : CEnon_avail_cert_on_file_ind : BLretirement_dttm : TSstation_id : II

Referral

authorized_visits_qty : REALdesc : EDreason_txt : ED

Healthcare_finances

Message_control

Acts (Services)

Appointments & scheduling

Roles

HEALTH LEVEL 7 REFERENCE INFORMATION MODEL RIM_0099

released September, 2000 reflects RIM changes through Harmonization on 8/31/2000

Observation

value : ANYderivation_expr : ST

Medication

form_cd : CDroute_cd : CDdose_qty : PQstrength_qty : PQrate_qty : PQdose_check_qty : PQ

Procedure

entry_site_cd : SET<CD>

Supply

qty : PQ

Diet

energy_qty : PQcarbohydrate_qty : PQ

Condition_node

Consent

Enitites

Document_service

completion_cd : CVset_id : IIstorage_cd : CVversion_nbr : INTcopy_dttm : TSorigination_dttm : TS

Billboard produced by:Rochester Outdoor Advertising

Healthcare_provider

specialty_cd : CV

Container

capacty_qty : PQheight_qty : PQdiameter_qty : PQbarrier_delta_qty : PQbottom_delta_qty : PQseperator_type_cd : CDcap_type_cd : CD

Access

gauge_qty : PQentry_site_cd : CDbody_site_cd : CD

Device_slot

Device_request

requested_qty : REALtype_cd : CE

Device_group

id : II

0..*

0..1

requests 0..*

is_requested_by 0..1

Device

slot_size_increment_qty : PQmanufacturer_model_nm : STlast_calibration_dttm : TS

0..*

1

is_scheduleable_unit_for

0..*

is_scheduled_by1

0..*

1

requests0..*

is_requested_by1

0..*

1..*

contains0..*

belongs_to1..*

Notary_public

notary_county_cd : CEnotary_state_cd : CE

Employee_Employer

addr : ADhazard_exposure_txt : EDjob_class_cd : CVjob_title_nm : STtelecom : TELprotective_equipment_txt : EDsalary_qty : MOsalary_type_cd : CVstatus_cd : SET<CS>occupation_cd : CEjob_status_cd : CV

Sample

body_site_cd : CEcategory_cd : CVcontent_category_cd : CVdescription_txt : ED

Living_subject

birth_dttm : TSdeceased_dttm : TSdeceased_ind : BLeye_color_cd : CEqty : REALdiet_category_cd : CS Material_relationship

type_cd : CSinversion_ind : BLeffective_tmr : IVL<TS>position_nbr : LIST<INT>qty : PQ

Material

form_cd : CVdanger_cd : CEdesc : EDqty : SET<PQ>status_cd : SET<CS>effective_tmr : IVL<TS>handling_cd : CEcategory_cd : CE

0..* 1

has_source

0..* is_source_for 1

0..* 1

has_target

0..*

is_target_for

1

Patient_service_location_group

id : II

Patient_service_location_request

type_cd : CV

0..1

0..*

is_requested_by

0..1

requests0..*

Patient_service_location_slot

Facility

mobility_ind : BLaddr : ADdesc : EDlicensed_bed_nbr : REALtelecom : TELstatus_cd : SET<CS>category_cd : CVslot_size_increment_qty : PQ

1..*

0..*

belongs_to

1..*

contains

0..*

1

0..*

is_requested_by

1

requests0..*

0..*

1

is_scheduleable_unit_for 0..*

is_scheduled_by1

Inpatient_encounter

length_of_stay_qty : PQ

Practitioner_provider

position_cd : CVprimary_care_ind : BLslot_size_increment_qty : PQ

Practitioner_Certifier

board_certification_type_cd : CVcertification_dttm : TSrecertification_dttm : TSresidency_field_cd : CE

Military_person

military_branch_of_service_cd : CVmilitary_rank_nm : STmilitary_status_cd : CV

Location

gps_txt : ST

Software_module

software_version_nm : ST

Logical_entity

logical_entity_type_cd : CSdefinition : ED

Bad_debt_billing_account

bad_debt_recovery_qty : MObad_debt_transfer_qty : MOtransfer_to_bad_debt_dttm : TStransfer_to_bad_debt_reason_cd : CV

Encounter_drg

approval_ind : BLassigned_dttm : TSconfidential_ind : BLcost_outlier_qty : MOdesc : EDgrouper_review_cd : CEgrouper_version_id : IIoutlier_days_nbr : REALoutlier_reimbursement_qty : MOoutlier_type_cd : CV

0..*

1

is_assigned_to0..*

is_assigned 1

Language_ability

mode_cd : CVproficiency_level_cd : CV

Manufactured_material

expiration_dttm : TSlot_nbr : ST

Health_chart

status_cd : SET<CS>

Health_chart_deficiency

assessment_dttm : TSdesc : EDlevel_cd : CVtype_cd : CV

1

0..*

has_an_assessment_of

1

is_assessed_against

0..*

Bad_debt_collection_agency

0..*

1

is_assigned_to0..*

is_assigned

1

Diagnostic_related_group_definition

base_rate_qty : MOcapital_reimbursement_qty : MOcost_weight_qty : MOid : IImajor_diagnostic_category_cd : CEoperating_reimbursement_qty : MOreimbursement_qty : MOstandard_day_qty : PQstandard_total_charge_qty : MOtrim_high_day_qty : PQtrim_low_day_qty : PQ

1

0..*

defines 1

is_defined_by0..*

Guarantor

financial_class_cd : CEhousehold_annual_income_qty : MOhousehold_size_nbr : REAL

Insurance_certification_contact

participation_type_cd : CE

Healthcare_benefit_product_purchaser

Act_collection

name : STdesc : EDeffective_tmr : IVL<TS>

Organization

org_nm : SET<ON>standard_industry_class_cd : CEaddr : SET<AD>telecom : SET<TEL>

0..1

1

is_a_role_of0..1

takes_on_role_of 1

1..1

0..*

establ ishes

1..1

is_established_by

0..*

Billing_information_item

condition_cd : CEoccurrence_cd : CEoccurrence_dttm : TSoccurrence_span_cd : CEoccurrence_span_from_dttm : TSoccurrence_span_thru_dttm : TSquantity_nbr : REALquantity_type_cd : CVvalue_amtvalue_cd : CE

Guarantor_contract

billing_hold_ind : BLbilling_media_cd : CEcharge_adjustment_cd : CEcontract_duration_cd : CEcontract_type_cd : CEeffective_tmr : IVL<TS>interest_rate_nbr : REALperiodic_payment_qty : MOpriority_ranking_cd : CV

1

1..*

guarantees_payment_under

1

has_payment_guaranteed_by

1..*

Patient_Provider

Act_relationship

type_cd : CSinversion_ind : BLsequence_nbr : INTpriority_nbr : INTpause_qty : PQcheckpoint_cd : CSsplit_cd : CSjoin_cd : CSnegation_ind : BLconjunction_cd : CS

Act_act_collection_relationship

sequence_nbr : REALpriority_nbr : REALnote_txt : ED

1

0..*

has_parts

1

is_part_of

0..*

Patient_billing_account

account_id : IIadjustment_cd : CVauthorization_information_txt : EDbilling_status_cd : CVcertification_required_ind : BLcurrent_unpaid_balance_qty : MOdelete_dttm : TSdeleted_account_reason_cd : CVexpected_insurance_plan_qty : REALexpected_payment_source_cd : CVnotice_of_admission_dttm : TSnotice_of_admission_ind : BLpatient_financial_class_cd : CVprice_schedule_id : IIpurge_status_cd : CVpurge_status_dttm : TSreport_of_eligibility_dttm : TSretention_ind : BLsignature_on_file_dttm : TSspecial_program_cd : CVstoploss_limit_ind : BLsuspend_charges_ind : BLtotal_adjustment_qty : MOtotal_charge_qty : MOtotal_payment_qty : MOseparate_bill_ind : BL

0..*

1pertains_to

0..* has

1

0..1

0..1

is_the_prior_account_for

0..1

has_as_a_prior_account

0..1

0..*

0..*

has_payment_guaranteed_by0..*

provides_payment_guarantee_for

0..*

0..*

1belongs_to

0..*

has 1

Act

id : SET<II>mood_cd : CSservice_cd : CDtxt : EDstatus_cd : SET<CS>activity_time : GTScritical_time : GTSmethod_cd : SET<CV>body_site_cd : SET<CD>interpretation_cd : SET<CS>confidentiality_cd : SET<CV>max_repeat_nmr : IVL<INT>interruptible_ind : BLsubstitution_cd : CVpriority_cd : SET<CV>orderable_ind : BLavailability_dttm : TS

0..* 1

has_source

0..*

is_source_for

1

0..*1

has_target

0..*is_target_for 1

10..*

is_collected_by

1

col lects

0..*

0..*

0..1

is_charged_to

0..*

has_charges_for

0..1

Participation

type_cd : CStmr : IVL<TS>note_text : EDsignature_cd : CVfunction_cd : CDawareness_cd : CV

0..*

1

for0..*

has1

Role_role_relationship

type_cd : CSeffective_tmr : IVL<TS>id : SET<II>status_cd : SET<CS>responsibility_cd : CS

1..1

0..*

is_root_for

1..1

is_leaf_of

0..*

Transportation

Encounter_facility_association

accommodation_cd : CVeffective_tmr : IVL<TS>status_cd : SET<CS>transfer_reason_cd : CV

1

0..*

is_si te_for

1

is_si ted_at

0..*

Person_Language

0..*

1

specifies_abi lity_in 0..*

is_speci fied_by1

Person_name

effective_tmr : IVL<TS>nm : PNtype_cd : CV

Patient_appointment_request

Patient_slot

Financial_transaction

alternate_desc : EDdesc : EDextended_qty : MOfee_schedule_cd : CEinsurance_qty : MOposting_dttm : TSqty : MOtransaction_batch_id : IItransaction_cd : CEtransaction_dttm : TStransaction_id : IItransaction_type_cd : CEunit_qty : MOunit_cost_qty : MO

0..1

0..*

categorizes

0..1

is_categorized_by0..*0..*

1

is_associated_wi th 0..*

has1

0..*

1

pertains_to

0..*

is_associated_wi th

1

Healthcare_benefit_coverage_item

service_category_cd : CVservice_cd : CEservice_modifier_cd : CEauthorization_ind : BLnetwork_ind : BLassertion_cd : CEcovered_parties_cd : CEqty : REALquantity_qualifier_cd : CEtime_period_qualifier_cd : CErange_low_qty : PQrange_high_qty : PQrange_units_cd : CVassertion_effective_tmr : IVL<TS>eligibility_cd : CEpolicy_source_cd : CEeligibility_source_cd : CEcopay_limit_ind : BL

0..1

0..*

has_as_components

0..1

is_a_component_of

0..*

1..*

0..*

is_covered_by

1..*

provides_coverage_for

0..*

Resource_slot

offset_qty : PQallocated_qty : REALresource_type_cd : CVstatus_cd : SET<CS>start_dttm : TS

Schedule

id : II10..*

manages

1is_managed_by0..*

Patient_encounter

discharge_disposition_cd : CVacuity_level_cd : CVadministrative_outcome_txt : EDbirth_encounter_ind : BLcancellation_reason_cd : CVclassification_cd : CVencounter_classification_cd : CVfirst_similar_illness_dttm : TSfollow_up_type_cd : CVpractice_setting_cd : CVvaluables_desc : EDpre_admit_test_ind : BLpublicity_constraint_cd : CVreadmission_ind : BLreason_cd : CVsource_cd : CVreferral_cd : CVspecial_courtesies_cd : CVstatus_cd : SET<CS>triage_classification_cd : CVurgency_cd : CVvaluables_location_desc : ED

0..*

1

is_util ized_during

0..*

uti l izes

1

0..*

1

is_used_by 0..*

uses1

Person

disability_cd : CEethnic_group_cd : CErace_cd : CEadministrative_gender_cd : CEambulatory_status_cd : CVbirth_order_nbr : INTeducation_level_cd : CVliving_arrangement_cd : CVmarital_status_cd : CVmultiple_birth_ind : BLorgan_donor_ind : BLreligious_affiliation_cd : CVstudent_cd : CVstatus_cd : SET<CS>credit_rating_cd : CVaddr : SET<AD>telecom : SET<TEL>special_accommodation_cd : SET<CV>

1

0..*

communicates_in

1

is_communicated_by

0..*

1

0..*

has1

is_for

0..*

1

0..*

is_requested_by

1

requests 0..*

0..*

1

is_a_scheduleable_uni t_for

0..*

is_scheduled_by

1

0..* 1is_entered_by0..* enters 1

1

0..*

has

1

pertains_to0..*

Resource_request

allowable_substitutions_cd : CVduration_qty : PQstart_dttm : TSstart_offset_qty : PQstatus_cd : SET<CS>

Service_scheduling_request


Appointment

appointment_duration_qty : PQnotification_reason_cd : CVexpected_service_desc : EDscheduled_time : GTSid : IIstatus_cd : SET<CS>urgency_cd : CE

0..* 0..*is_reserved_by0..* reserves0..*

1..* 0..*

books

1..* is_booked_in0..*

0..1

0..*

is_parent_of

0..1

is_child_of 0..*

0..1

0..1

is_scheduled_by

0..1

schedules

0..1

Entering_person

0..*

1

is_entered_by0..*

enters

1

1

0..1

takes_on_role_of

1

is_a_role_of

0..1

Scheduling_parameter

type_cd : CVnm : STvalue : ANY

Appointment_request

reason_cd : CEadministrative_type_cd : CEid : IIpriority_cd : CVchange_reason_cd : CEduration_qty : PQrequested_time : GTSappointment_rqst_category_cd : CEstatus_cd : SET<CS>dttm : TS

0..*1 is_requested_by 0..*requests1

1

0..*

requests1

is_requested_by 0..*

0..1

0..*

requests

0..1

is_requested_by0..*

0..1

0..*

enters0..1

is_entered_by0..*

0..*

1

parameterizes 0..*

has_as_parameter1

Query_response_message_type

Tabular_row_data

FileorBatch

control_id : IIname : STcreation_dttm : TSreference_control_id : IIsending_application_id : IIreceiving_application_id : IIsecurity : STfile_batch_count : INTfile_comment : SET<ST>

Application_response_message_type

Query_ack

query_tag : IIquery_status_cd : CVmessage_query_name : CVhit_count_total : INThit_count_current : INThit_count_remaining : INT

1

0..*

has_response

1

is_response_wi th0..*

1

0..*

has_response

1


Response_control

quantity_limited : PQresponse_modality : CV

Response_field

field_id : STdata_type : CVlength : INT

TBL_response_control

0..*

1

returns_to 0..*

has 1

TBL_sort_control

name : STdirection : CV

1

0..*

has1

is_for0..*

Element_sort_control

element_name : STdirection : CV

Element_response_control

name : SET<CV>

0..*

1

is_for0..*

has1

Query_by_parameter

Query_spec_message_type

1

1

contains1

appl ies_to1

Non_Person_living_subject

taxonomic_classification_cd : CEbreed_txt : EDstrain_txt : EDcoat_or_feather_coloring_txt : EDeuthanasia_ind : BLproduction_class_cd : CEgender_status_cd : CE

MESSAGE CONTROL

Role

type_cd : CSeffective_tmr : IVL<TS>addr : SET<AD>telecom : SET<TEL>

0..*

0..1

has_as_participant0..*

participates_in

0..1

0..*

1

has_as_target0..*

is_target_for1

1

0..*

is_source_of

1

has_as_source0..*

Entity_relationship

relationship_cd : CS

Attention_line

key_word_txt : STvalue : ST

Batch

control_id : IIname : STcreation_dttm : TSreference_control_id : IIsending_application_id : IIreceiving_application_id : IIsecurity : STmessage_count : INTbatch_totals : SET<INT>batch_comment : SET<ST>

0..10..*

contains

0..1

is_contained_by

0..*

TC_defined_message_type

Acknowledgement

type_cd : CVnote_txt : EDerror_detail_cd : CVexpected_sequence_nbr : INT

1

0..1

occurs_wi th 1

has

0..11

0..1

has

1

occurs_wi th0..1

Query

message_query_name : CVquery_tag : IIpriority : CVmodify_indicator : CVexecution_and_delivery_time : TS

1

1

has

1

is_for 1

Message

sending_application_id : IIid : SET<II>creation_dttm : TSinteraction_id : IIevent_dttm : TSversion_id : STprofile_id : SET<OID>processing_cd : CVsequence_nbr : INTreply_to_com : TELreceiving_application_id : SET<II>

0..*1

can_accompany

0..*

can_include

1

0..1

0..* contains

0..1is_contained_by

0..*

0..1

1

occurs_wi th0..1

has1

1..*

1

acknowledges1..*

has 1

0..1

1

occurs_wi th0..1

has1

0..1

1 occurs_wi th

0..1has

1

Entity

id : SET<II>type_cd : CSprimary_nm : STdeterminer_cd : CSprimary_name_type_cd : CEimportance_status_txt : ED

10..*

plays_a_role

1

is_played_by

0..*

0..*

1has_as_target

0..* is_target_for

1

1

0..*

is_source_of

1has_as_source

0..*

0..*

1..*

has_recipient0..*

shall_receive

1..*

0..*

1..1

has_sender

0..*

sends

1..1

Query_by_selection

Selection_criteria

name : STrelational_operator_cd : CVvalue : STrelational_conjunction_cd : CV

1

1..*

contains 1

appl ies_to 1..* 0..1

0..*

is_father_to0..1

is_son_of

0..*

Preauthorization

authorized_encounters_qty : REALauthorized_period_begin_tmr : IVL<TS>id : IIissued_dttm : TSrequested_dttm : TSrestriction_desc : EDstatus_cd : SET<CS>status_change_dttm : TS

1

0..1

is_authorized_by1

authorizes

0..1

Insurance_certification

appeal_reason_cd : CEcertification_duration_qty : PQeffective_tmr : IVL<TS>id : IIinsurance_verification_dttm : TSmodification_dttm : TSnon_concur_cd : CEnon_concur_effective_dttm : TSpenalty_qty : MOreport_of_eligibility_dttm : TSreport_of_eligibility_ind : BL

1

1..*

has_contact

1

is_contact_for 1..*

10..*

has_coverage_affi rmed_by

1

affirms_insurance_coverage_for

0..*

0..*

1

provides_validation_for0..*

is_validated_by1

Insurer1

0..*

issues1

is_issued_by

0..*

1

0..*

issues

1

is_issued_by

0..*

Master_healthcare_benefit_product

assignment_of_benefits_ind : BLbenefit_product_desc : EDid : IIbenefit_product_nm : STbenefit_product_type_cd : CEbenefits_coordination_ind : BLcob_priority_nbr : REALcombine_baby_bill_ind : BLeffective_tmr : IVL<TS>group_benefit_ind : BLmail_claim_party_cd : CErelease_information_cd : CEstatus_cd : SET<CS>coverage_type_cd : CEagreement_type_cd : CEpolicy_category_cd : CEaccess_protocol_desc : ED 0..*

0..1

is_child_of

0..*

is_parent_of

0..1

1..1

0..*

is_the_purchaser_of 1..1

has_as_purchaser0..*

0..*

0..1

is_covered_by 0..*

covers0..1

0..*

1

is_a_instance_of

0..*

is_instantiated_as1

0..*

0..*

insures0..*

is_insured_by

0..*

1

0..*

offers

1

is_offered_by 0..*

Clinical_document_header

availability_status_cd : CVchange_reason_cd : CVcompletion_status_cd : CVconfidentiality_status_cd : CVcontent_presentation_cd : CVdocument_creation_dttm : TSfile_nm : STlast_edit_dttm : TSreporting_priority_cd : CEresults_report_dttm : TSstorage_status_cd : CVtranscription_dttm : TSdocument_change_cd : CVversion_nbr : INTversion_dttm : TS

Clinical_document

1

1

is_part_of1

has_parts1

Individual_healthcare_practitioner_slot

Individual_healthcare_practitioner_pool

id : II

Individual_healthcare_practitioner_request

practitioner_type_cd : CE

0..1

0..*


requests 0..*

Certification_additional_opinion

effective_dttm : TSstatus_cd : SET<CS>

0..*

1

provides_opinion_on0..*

includes1

Individual_healthcare_practitioner

fellowship_field_cd : CEgraduate_school_nm : ONgraduation_dttm : TSboard_certified_ind : BLpractitioner_type_cd : CE

1

0..*

is_scheduled_by1


0..*

1..*

0..*

belongs_to1..*

contains

0..*

1

0..*

is_requested_by1

requests 0..*

0..*

1

is_provided_by0..*

provides

1

Role-role relationships

RIM V.99



RIM Change Highlights

• Data Types section dropped• Integrates LHSR and USAM• Entity hierarchy structure includes a life cycle

type code clarifying whether the entity is “real” or a “definition”

• Financial Services and Appointments sections have groups assigned to integrate into new generalized structures

• Heavy reliance on Vocabulary to refine generic structures



Current Methodology Focus

• MDF-Lite– harvest tacit knowledge in domain TCs to

identify trigger events– focus on interaction diagrams and related

Refined-Message Information Model– work on related vocabulary domains



Where to from Here?

• Recommend continuing with “Strategy 1”, working directly with the relevant SIGs and TCs to meet information needs

• Liaison can help organize communication and facilitate resolution of issues



Request from Harmonization• The RIM structure supporting Person

Language is deficient

• The members present at the Chicago harmonization meeting felt the International Committee members would have the best insight into this issue

• Looking for someone to lead work group to resolve



Person Language Model Fragment

Champus_coverage

handicapped_program_cd : CEnon_avail_cert_on_file_ind : BLretirement_dttm : TSstation_id : II

Referral

authorized_visits_qty : REALdesc : EDreason_txt : ED

Healthcare_finances

Message_control

Acts (Services)

Appointments & scheduling

Roles

HEALTH LEVEL 7 REFERENCE INFORMATION MODEL RIM_0099

released September, 2000 reflects RIM changes through Harmonization on 8/31/2000

Observation

value : ANYderivation_expr : ST

Medication

form_cd : CDroute_cd : CDdose_qty : PQstrength_qty : PQrate_qty : PQdose_check_qty : PQ

Procedure

entry_site_cd : SET<CD>

Supply

qty : PQ

Diet

energy_qty : PQcarbohydrate_qty : PQ

Condition_node

Consent

Enitites

Document_service

completion_cd : CVset_id : IIstorage_cd : CVversion_nbr : INTcopy_dttm : TSorigination_dttm : TS

Billboard produced by:Rochester Outdoor Advertising

Healthcare_provider

specialty_cd : CV

Container

capacty_qty : PQheight_qty : PQdiameter_qty : PQbarrier_delta_qty : PQbottom_delta_qty : PQseperator_type_cd : CDcap_type_cd : CD

Access

gauge_qty : PQentry_site_cd : CDbody_site_cd : CD

Device_slot

Device_request

requested_qty : REALtype_cd : CE

Device_group

id : II

0..*

0..1

requests 0..*


Device

slot_size_increment_qty : PQmanufacturer_model_nm : STlast_calibration_dttm : TS

0..*

1


0..*

is_scheduled_by1

0..*

1

requests0..*

is_requested_by1

0..*

1..*

contains0..*

belongs_to1..*

Notary_public

notary_county_cd : CEnotary_state_cd : CE

Employee_Employer

addr : ADhazard_exposure_txt : EDjob_class_cd : CVjob_title_nm : STtelecom : TELprotective_equipment_txt : EDsalary_qty : MOsalary_type_cd : CVstatus_cd : SET<CS>occupation_cd : CEjob_status_cd : CV

Sample

body_site_cd : CEcategory_cd : CVcontent_category_cd : CVdescription_txt : ED

Living_subject

birth_dttm : TSdeceased_dttm : TSdeceased_ind : BLeye_color_cd : CEqty : REALdiet_category_cd : CS Material_relationship

type_cd : CSinversion_ind : BLeffective_tmr : IVL<TS>position_nbr : LIST<INT>qty : PQ

Material

form_cd : CVdanger_cd : CEdesc : EDqty : SET<PQ>status_cd : SET<CS>effective_tmr : IVL<TS>handling_cd : CEcategory_cd : CE

0..* 1

has_source

0..* is_source_for 1

0..* 1

has_target

0..*

is_target_for

1

Patient_service_location_group

id : II

Patient_service_location_request

type_cd : CV

0..1

0..*

is_requested_by

0..1

requests0..*

Patient_service_location_slot

Facility

mobility_ind : BLaddr : ADdesc : EDlicensed_bed_nbr : REALtelecom : TELstatus_cd : SET<CS>category_cd : CVslot_size_increment_qty : PQ

1..*

0..*

belongs_to

1..*

contains

0..*

1

0..*

is_requested_by

1

requests0..*

0..*

1

is_scheduleable_unit_for 0..*

is_scheduled_by1

Inpatient_encounter

length_of_stay_qty : PQ

Practitioner_provider

position_cd : CVprimary_care_ind : BLslot_size_increment_qty : PQ

Practitioner_Certifier

board_certification_type_cd : CVcertification_dttm : TSrecertification_dttm : TSresidency_field_cd : CE

Military_person

military_branch_of_service_cd : CVmilitary_rank_nm : STmilitary_status_cd : CV

Location

gps_txt : ST

Software_module

software_version_nm : ST

Logical_entity

logical_entity_type_cd : CSdefinition : ED

Bad_debt_billing_account

bad_debt_recovery_qty : MObad_debt_transfer_qty : MOtransfer_to_bad_debt_dttm : TStransfer_to_bad_debt_reason_cd : CV

Encounter_drg

approval_ind : BLassigned_dttm : TSconfidential_ind : BLcost_outlier_qty : MOdesc : EDgrouper_review_cd : CEgrouper_version_id : IIoutlier_days_nbr : REALoutlier_reimbursement_qty : MOoutlier_type_cd : CV

0..*

1

is_assigned_to0..*

is_assigned 1

Language_ability

mode_cd : CVproficiency_level_cd : CV

Manufactured_material

expiration_dttm : TSlot_nbr : ST

Health_chart

status_cd : SET<CS>

Health_chart_deficiency

assessment_dttm : TSdesc : EDlevel_cd : CVtype_cd : CV

1

0..*

has_an_assessment_of

1

is_assessed_against

0..*

Bad_debt_collection_agency

0..*

1

is_assigned_to0..*

is_assigned

1

Diagnostic_related_group_definition

base_rate_qty : MOcapital_reimbursement_qty : MOcost_weight_qty : MOid : IImajor_diagnostic_category_cd : CEoperating_reimbursement_qty : MOreimbursement_qty : MOstandard_day_qty : PQstandard_total_charge_qty : MOtrim_high_day_qty : PQtrim_low_day_qty : PQ

1

0..*

defines 1

is_defined_by0..*

Guarantor

financial_class_cd : CEhousehold_annual_income_qty : MOhousehold_size_nbr : REAL

Insurance_certification_contact

participation_type_cd : CE

Healthcare_benefit_product_purchaser

Act_collection

name : STdesc : EDeffective_tmr : IVL<TS>

Organization

org_nm : SET<ON>standard_industry_class_cd : CEaddr : SET<AD>telecom : SET<TEL>

0..1

1

is_a_role_of0..1

takes_on_role_of 1

1..1

0..*

establ ishes

1..1

is_established_by

0..*

Billing_information_item

condition_cd : CEoccurrence_cd : CEoccurrence_dttm : TSoccurrence_span_cd : CEoccurrence_span_from_dttm : TSoccurrence_span_thru_dttm : TSquantity_nbr : REALquantity_type_cd : CVvalue_amtvalue_cd : CE

Guarantor_contract

billing_hold_ind : BLbilling_media_cd : CEcharge_adjustment_cd : CEcontract_duration_cd : CEcontract_type_cd : CEeffective_tmr : IVL<TS>interest_rate_nbr : REALperiodic_payment_qty : MOpriority_ranking_cd : CV

1

1..*

guarantees_payment_under

1

has_payment_guaranteed_by

1..*

Patient_Provider

Act_relationship

type_cd : CSinversion_ind : BLsequence_nbr : INTpriority_nbr : INTpause_qty : PQcheckpoint_cd : CSsplit_cd : CSjoin_cd : CSnegation_ind : BLconjunction_cd : CS

Act_act_collection_relationship

sequence_nbr : REALpriority_nbr : REALnote_txt : ED

1

0..*

has_parts

1

is_part_of

0..*

Patient_billing_account

account_id : IIadjustment_cd : CVauthorization_information_txt : EDbilling_status_cd : CVcertification_required_ind : BLcurrent_unpaid_balance_qty : MOdelete_dttm : TSdeleted_account_reason_cd : CVexpected_insurance_plan_qty : REALexpected_payment_source_cd : CVnotice_of_admission_dttm : TSnotice_of_admission_ind : BLpatient_financial_class_cd : CVprice_schedule_id : IIpurge_status_cd : CVpurge_status_dttm : TSreport_of_eligibility_dttm : TSretention_ind : BLsignature_on_file_dttm : TSspecial_program_cd : CVstoploss_limit_ind : BLsuspend_charges_ind : BLtotal_adjustment_qty : MOtotal_charge_qty : MOtotal_payment_qty : MOseparate_bill_ind : BL

0..*

1pertains_to

0..* has

1

0..1

0..1

is_the_prior_account_for

0..1

has_as_a_prior_account

0..1

0..*

0..*

has_payment_guaranteed_by0..*

provides_payment_guarantee_for

0..*

0..*

1belongs_to

0..*

has 1

Act

id : SET<II>mood_cd : CSservice_cd : CDtxt : EDstatus_cd : SET<CS>activity_time : GTScritical_time : GTSmethod_cd : SET<CV>body_site_cd : SET<CD>interpretation_cd : SET<CS>confidentiality_cd : SET<CV>max_repeat_nmr : IVL<INT>interruptible_ind : BLsubstitution_cd : CVpriority_cd : SET<CV>orderable_ind : BLavailability_dttm : TS

0..* 1

has_source

0..*

is_source_for

1

0..*1

has_target

0..*is_target_for 1

10..*

is_collected_by

1

col lects

0..*

0..*

0..1

is_charged_to

0..*

has_charges_for

0..1

Participation

type_cd : CStmr : IVL<TS>note_text : EDsignature_cd : CVfunction_cd : CDawareness_cd : CV

0..*

1

for0..*

has1

Role_role_relationship

type_cd : CSeffective_tmr : IVL<TS>id : SET<II>status_cd : SET<CS>responsibility_cd : CS

1..1

0..*

is_root_for

1..1

is_leaf_of

0..*

Transportation

Encounter_facility_association

accommodation_cd : CVeffective_tmr : IVL<TS>status_cd : SET<CS>transfer_reason_cd : CV

1

0..*

is_si te_for

1

is_si ted_at

0..*

Person_Language

0..*

1

specifies_abi lity_in 0..*

is_speci fied_by1

Person_name

effective_tmr : IVL<TS>nm : PNtype_cd : CV

Patient_appointment_request

Patient_slot

Financial_transaction

alternate_desc : EDdesc : EDextended_qty : MOfee_schedule_cd : CEinsurance_qty : MOposting_dttm : TSqty : MOtransaction_batch_id : IItransaction_cd : CEtransaction_dttm : TStransaction_id : IItransaction_type_cd : CEunit_qty : MOunit_cost_qty : MO

0..1

0..*

categorizes

0..1

is_categorized_by0..*0..*

1

is_associated_wi th 0..*

has1

0..*

1

pertains_to

0..*

is_associated_wi th

1

Healthcare_benefit_coverage_item

service_category_cd : CVservice_cd : CEservice_modifier_cd : CEauthorization_ind : BLnetwork_ind : BLassertion_cd : CEcovered_parties_cd : CEqty : REALquantity_qualifier_cd : CEtime_period_qualifier_cd : CErange_low_qty : PQrange_high_qty : PQrange_units_cd : CVassertion_effective_tmr : IVL<TS>eligibility_cd : CEpolicy_source_cd : CEeligibility_source_cd : CEcopay_limit_ind : BL

0..1

0..*

has_as_components

0..1

is_a_component_of

0..*

1..*

0..*

is_covered_by

1..*

provides_coverage_for

0..*

Resource_slot

offset_qty : PQallocated_qty : REALresource_type_cd : CVstatus_cd : SET<CS>start_dttm : TS

Schedule

id : II10..*

manages

1is_managed_by0..*

Patient_encounter

discharge_disposition_cd : CVacuity_level_cd : CVadministrative_outcome_txt : EDbirth_encounter_ind : BLcancellation_reason_cd : CVclassification_cd : CVencounter_classification_cd : CVfirst_similar_illness_dttm : TSfollow_up_type_cd : CVpractice_setting_cd : CVvaluables_desc : EDpre_admit_test_ind : BLpublicity_constraint_cd : CVreadmission_ind : BLreason_cd : CVsource_cd : CVreferral_cd : CVspecial_courtesies_cd : CVstatus_cd : SET<CS>triage_classification_cd : CVurgency_cd : CVvaluables_location_desc : ED

0..*

1

is_util ized_during

0..*

uti l izes

1

0..*

1

is_used_by 0..*

uses1

Person

disability_cd : CEethnic_group_cd : CErace_cd : CEadministrative_gender_cd : CEambulatory_status_cd : CVbirth_order_nbr : INTeducation_level_cd : CVliving_arrangement_cd : CVmarital_status_cd : CVmultiple_birth_ind : BLorgan_donor_ind : BLreligious_affiliation_cd : CVstudent_cd : CVstatus_cd : SET<CS>credit_rating_cd : CVaddr : SET<AD>telecom : SET<TEL>special_accommodation_cd : SET<CV>

1

0..*

communicates_in

1

is_communicated_by

0..*

1

0..*

has1

is_for

0..*

1

0..*

is_requested_by

1

requests 0..*

0..*

1

is_a_scheduleable_uni t_for

0..*

is_scheduled_by

1

0..* 1is_entered_by0..* enters 1

1

0..*

has

1

pertains_to0..*

Resource_request


Service_scheduling_request


Appointment

appointment_duration_qty : PQnotification_reason_cd : CVexpected_service_desc : EDscheduled_time : GTSid : IIstatus_cd : SET<CS>urgency_cd : CE

0..* 0..*is_reserved_by0..* reserves0..*

1..* 0..*

books

1..* is_booked_in0..*

0..1

0..*

is_parent_of

0..1

is_child_of 0..*

0..1

0..1

is_scheduled_by

0..1

schedules

0..1

Entering_person

0..*

1

is_entered_by0..*

enters

1

1

0..1

takes_on_role_of

1

is_a_role_of

0..1

Scheduling_parameter

type_cd : CVnm : STvalue : ANY

Appointment_request

reason_cd : CEadministrative_type_cd : CEid : IIpriority_cd : CVchange_reason_cd : CEduration_qty : PQrequested_time : GTSappointment_rqst_category_cd : CEstatus_cd : SET<CS>dttm : TS

0..*1 is_requested_by 0..*requests1

1

0..*

requests1

is_requested_by 0..*

0..1

0..*

requests

0..1

is_requested_by0..*

0..1

0..*

enters0..1

is_entered_by0..*

0..*

1

parameterizes 0..*

has_as_parameter1

Query_response_message_type

Tabular_row_data

FileorBatch

control_id : IIname : STcreation_dttm : TSreference_control_id : IIsending_application_id : IIreceiving_application_id : IIsecurity : STfile_batch_count : INTfile_comment : SET<ST>

Application_response_message_type

Query_ack

query_tag : IIquery_status_cd : CVmessage_query_name : CVhit_count_total : INThit_count_current : INThit_count_remaining : INT

1

0..*

has_response

1


1

0..*

has_response

1


Response_control

quantity_limited : PQresponse_modality : CV

Response_field

field_id : STdata_type : CVlength : INT

TBL_response_control

0..*

1

returns_to 0..*

has 1

TBL_sort_control

name : STdirection : CV

1

0..*

has1

is_for0..*

Element_sort_control

element_name : STdirection : CV

Element_response_control

name : SET<CV>

0..*

1

is_for0..*

has1

Query_by_parameter

Query_spec_message_type

1

1

contains1

appl ies_to1

Non_Person_living_subject

taxonomic_classification_cd : CEbreed_txt : EDstrain_txt : EDcoat_or_feather_coloring_txt : EDeuthanasia_ind : BLproduction_class_cd : CEgender_status_cd : CE

MESSAGE CONTROL

Role

type_cd : CSeffective_tmr : IVL<TS>addr : SET<AD>telecom : SET<TEL>

0..*

0..1

has_as_participant0..*

participates_in

0..1

0..*

1

has_as_target0..*

is_target_for1

1

0..*

is_source_of

1

has_as_source0..*

Entity_relationship

relationship_cd : CS

Attention_line

key_word_txt : STvalue : ST

Batch

control_id : IIname : STcreation_dttm : TSreference_control_id : IIsending_application_id : IIreceiving_application_id : IIsecurity : STmessage_count : INTbatch_totals : SET<INT>batch_comment : SET<ST>

0..10..*

contains

0..1

is_contained_by

0..*

TC_defined_message_type

Acknowledgement

type_cd : CVnote_txt : EDerror_detail_cd : CVexpected_sequence_nbr : INT

1

0..1

occurs_wi th 1

has

0..11

0..1

has

1

occurs_wi th0..1

Query

message_query_name : CVquery_tag : IIpriority : CVmodify_indicator : CVexecution_and_delivery_time : TS

1

1

has

1

is_for 1

Message

sending_application_id : IIid : SET<II>creation_dttm : TSinteraction_id : IIevent_dttm : TSversion_id : STprofile_id : SET<OID>processing_cd : CVsequence_nbr : INTreply_to_com : TELreceiving_application_id : SET<II>

0..*1

can_accompany

0..*

can_include

1

0..1

0..* contains

0..1is_contained_by

0..*

0..1

1

occurs_wi th0..1

has1

1..*

1

acknowledges1..*

has 1

0..1

1

occurs_wi th0..1

has1

0..1

1 occurs_wi th

0..1has

1

Entity

id : SET<II>type_cd : CSprimary_nm : STdeterminer_cd : CSprimary_name_type_cd : CEimportance_status_txt : ED

10..*

plays_a_role

1

is_played_by

0..*

0..*

1has_as_target

0..* is_target_for

1

1

0..*

is_source_of

1has_as_source

0..*

0..*

1..*

has_recipient0..*

shall_receive

1..*

0..*

1..1

has_sender

0..*

sends

1..1

Query_by_selection

Selection_criteria

name : STrelational_operator_cd : CVvalue : STrelational_conjunction_cd : CV

1

1..*

contains 1

appl ies_to 1..* 0..1

0..*

is_father_to0..1

is_son_of

0..*

Preauthorization

authorized_encounters_qty : REALauthorized_period_begin_tmr : IVL<TS>id : IIissued_dttm : TSrequested_dttm : TSrestriction_desc : EDstatus_cd : SET<CS>status_change_dttm : TS

1

0..1

is_authorized_by1

authorizes

0..1

Insurance_certification

appeal_reason_cd : CEcertification_duration_qty : PQeffective_tmr : IVL<TS>id : IIinsurance_verification_dttm : TSmodification_dttm : TSnon_concur_cd : CEnon_concur_effective_dttm : TSpenalty_qty : MOreport_of_eligibility_dttm : TSreport_of_eligibility_ind : BL

1

1..*

has_contact

1

is_contact_for 1..*

10..*

has_coverage_affi rmed_by

1

affirms_insurance_coverage_for

0..*

0..*

1

provides_validation_for0..*

is_validated_by1

Insurer1

0..*

issues1

is_issued_by

0..*

1

0..*

issues

1

is_issued_by

0..*

Master_healthcare_benefit_product

assignment_of_benefits_ind : BLbenefit_product_desc : EDid : IIbenefit_product_nm : STbenefit_product_type_cd : CEbenefits_coordination_ind : BLcob_priority_nbr : REALcombine_baby_bill_ind : BLeffective_tmr : IVL<TS>group_benefit_ind : BLmail_claim_party_cd : CErelease_information_cd : CEstatus_cd : SET<CS>coverage_type_cd : CEagreement_type_cd : CEpolicy_category_cd : CEaccess_protocol_desc : ED 0..*

0..1

is_child_of

0..*

is_parent_of

0..1

1..1

0..*

is_the_purchaser_of 1..1

has_as_purchaser0..*

0..*

0..1

is_covered_by 0..*

covers0..1

0..*

1

is_a_instance_of

0..*

is_instantiated_as1

0..*

0..*

insures0..*

is_insured_by

0..*

1

0..*

offers

1

is_offered_by 0..*

Clinical_document_header

availability_status_cd : CVchange_reason_cd : CVcompletion_status_cd : CVconfidentiality_status_cd : CVcontent_presentation_cd : CVdocument_creation_dttm : TSfile_nm : STlast_edit_dttm : TSreporting_priority_cd : CEresults_report_dttm : TSstorage_status_cd : CVtranscription_dttm : TSdocument_change_cd : CVversion_nbr : INTversion_dttm : TS

Clinical_document

1

1

is_part_of1

has_parts1

Individual_healthcare_practitioner_slot

Individual_healthcare_practitioner_pool

id : II

Individual_healthcare_practitioner_request

practitioner_type_cd : CE

0..1

0..*


requests 0..*

Certification_additional_opinion

effective_dttm : TSstatus_cd : SET<CS>

0..*

1

provides_opinion_on0..*

includes1

Individual_healthcare_practitioner

fellowship_field_cd : CEgraduate_school_nm : ONgraduation_dttm : TSboard_certified_ind : BLpractitioner_type_cd : CE

1

0..*

is_scheduled_by1


0..*

1..*

0..*

belongs_to1..*

contains

0..*

1

0..*

is_requested_by1

requests 0..*

0..*

1

is_provided_by0..*

provides

1

Role-role relationships

Documents

International Committee 00/09/10September 00 - International Committee September 2000 Jane Curry - Liaison to: Modeling and Methodology TC Architecture