CSCR-041 Add Control Act

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Submitted by: Heath Frankel	Revision date:
Submitted date: 6 Feb. 2006	Change request Id: 041

Issue

There is the need to record audit details on different versions of a Clinical Statement. There is currently no mechanism to record both a longitudinal Id and snapshot Id for a Clinical Statement along with details about who made the change, when and why.

Recomendation

• Add ActRelationship (SUBJ) with target of ActChoice and subject, Control Act (CACT) navigating towards the subject with cardinality 0..1 optional.
  • Add contextControlCode [1..1] required and fixed value AN
  • Add contextConductionInd [11] required and default value false
• Add the following attributes and relationships to ControlAct class:
  • add id: II [0..1] optional (Revision/version/snapshot Id)
  • add code: CV [1..1] required <= HL7TriggerEventCode
  • add statusCode [1..1] required with fixed value completed
  • add effectiveTime: TS [1..1] required
  • add reasonCode: CV CWE [0..1] optional
  • add author partipation [1..*] required as a shadow of existing Author class
  • add responsibleParty particpation [0..1] with role R_AssignedPerson [indentified/confirmable]

Control Act

Rationale

Each Clinical Statement is associated with a Control Act when the Clinical Statement is created or modified either directly or via conduction from the Control Act Wrapper. When representing version history, these control acts can be used to represented the data about each specific version of a Clinical Statement including the snapshot id, who and when it was created/modified, and why because they may already exist and would be consistant with the trigger event approach used when a clinical statement is the focus of a message type.

Resolution

23/2/06 - NB diagram not updated at this time to reflect resolution (Action Item for CB) Recommendation; 1st DR 2nd CB Against 0 Abstain 0 For 6 (Dan Rusler, Hans Buitendijk, Isobel Frean (minutes), Andrew Perry, Charlie Bishop, Rick Smithies) Approved.

• Add ActRelationship (SUBJ) with target of ActChoice and subject, Control Act (CACT) navigating towards the subject with cardinality 0..1 optional.
  • Add contextControlCode [1..1] required and fixed value AN
  • Add contextConductionInd [11] required and default value false
• Add the following attributes and relationships to ControlAct class:
  • add id: II [0..1] optional (Revision/version/snapshot Id)
  • add code: CV [1..1] required <= HL7TriggerEventCode
  • add statusCode [1..1] required with fixed value completed
  • add effectiveTime: TS [1..1] required
  • add reasonCode: CV CWE [0..1] optional
  • add author partipation [0..*] optional required as a shadow of existing Author class
  • add responsibleParty particpation [0..1] with role R_AssignedPerson [indentified/confirmable]