CSCR-039 Add Responsible party participation

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Submitted by: Heath Frankel	Revision date:
Submitted date: 6 Feb. 2006	Change request Id: 039

Issue

Need to record the care provider that is responsible for supervising the work of a less qualified care provider. The responsible care provider may not perform any action associated with the subject.

Recomendation

• Add particpation (RESP) from ActChoice to R_AssignedPerson [indetified/confirmable] CMET
  • Include optional [1..] contextControlCode attribute with fixed value of AP

Issue

Taken from Lloyd's email to Patient Care, 2/2/06, "Use-case for RESP on allergy model"

There are many circumstances where people who are not fully licensed care providers will make decisions "under the supervision" of another care provider. Examples include:

Pharmacy technician recording a reported patient allergy to penecillin "under the supervision" of the pharmacist on duty at the time.

Medical student revises an allergy record changing from "allergy" to "intolerance" after hearing additional description of the reaction. The recording of the allergy is "under the supervision" of a licensed physician.

Note that "RESP" does not necessarily indicate that the provider took any concrete action, or even reviewed the data being recorded. It merely indicates "professional responsibility" for the action taken.