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RM Class

Attribute

Description

Lab request/referral

Lab result/report

Encounter

Consultant report

CONTRIBUTION

time

Time composition(s) were
added to this system. Equals
COMPOSITION commit time
with locally authored
compositions

Request received locally

Report received locally

Record received locally

Report received locally

COMPOSITION ORIGINAL_VERSION

Commit time (mandatory)

Time composition data, usually a COMPOSITION, is saved
in original system

Request sent

Report issued

Note recorded

Report issued

(Event related
compositions COMPOSITIONs)

EVENT CONTEXT.Start time
(mandatory)

The time (or start time)
of the event or process

Request created/recorded

Report created/recorded

Patient encounter begins

Report created/recorded (may relate
to patient encounter if done at time
of seeing patient)

 

EVENT CONTEXT.End time
(optional)

End time of the event or
process

Not usually recorded

Not usually recorded

End time of the
encounter

Not usually recorded unless at the
same time as an encounter

PARTICIPATION

Start time/End time

The time that a person
took a role that has been
recorded

Duration of other
participants' functions

Duration of other
participants' functions

Duration of other
participants' functions

Duration of other
participants' functions

ATTESTATION

Time

The time this COMPOSITION
or part thereof was signed

Time of signing the request/referral or any part thereof

Time of clinician or
technician signing the
report or any part
thereof

Time of signing the
encounter note or any
part thereof

Time of signing the encounter note
or any part thereof

OBSERVATION

EVENT.Start time

The clinically relevant time
of the observation

N/A

Time the sample was
collected

Time of the observation

Time of the observation

ACTION

Time

The time this action was completed

Time of the action
* Order effective date/time (on the order set)
* Quantity/timing start date/time (same as Date/time requested on the order item)
* Specimen received date/time

Time of the action
* Order effective date/time (on the order set)
* Result report/status change date/time (on the order item - the date/time the order item status changed, or it could also be 'Report created/recorded' - the date/time the results are composed into a report and released)
* Quantity/timing start date/time (same as Date/time requested on the order item)
* Date/time of observation (same as observation EVENT.Start time)
* Specimen received date/time

Time of this action

Time of this action

INSTRUCTION

expiry time

 

Time this request/referral expires

Time this request/referral expires (as per original Instruction if Instruction is also required in the report (otherwise refer to the Instruction in the referral/request Composition). If the Instruction has been changed by the filler, then the changed Instruction may be included in the report, and its expiry time will be used).

 

 

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