# Logical Record Architecture for Health and Social Care
## Discharge Summary Release 0.02

Contents
The content of this release is not comprehensive and is not fully validated and must not be used in live system implementations.
# ENTRY Constrained Domain Model: AdmissionRelatedInformation
A constrained ENTRY containing a collection of data items required to represent the contemporary or retrospective activity of admitting a subject of care into a hospital provider spell. Comprises a single coded Admission Event item and optionally may contain: an unbounded representation of the method by which the subject of care was admitted the participation of an organisation or place entity as the location where the subject of care was admitted the participation of an organisation or place entity as the source location from where the subject of care arrived for admission. any coded representation of the reasons for admission which includes any presenting complaints, allergies or adverse reactions, procedures, or risks and goals. any coded representation of the complaints presented which may or may not result in the reason for admission a textual representation of the event ## Specializes ## GenericAdmissionEvent ## Attributes
Name | Data type | Occurs | Description | Value constraints
--- | --- | --- | --- | ---
name | SC | 1..1 | The name, expressed as a coded value or as plain text, specifies the clinical or administrative concept to which this EHR node corresponds, as labelled in the EHR system in which it was first committed. |
value
Literal value(s): ENTRY
rc_id | II.Uuid.Ref | 1..1 | The globally-unique identifier by which this node in the EHR hierarchy is referenced in the EHR system to which the data were first committed. This identifier shall be retained by the EHR Recipient and re-used whenever this RECORD_COMPONENT is subsequently included in another EHR_EXTRACT. |
synthesised | BL | 1..1 | This attribute value shall be TRUE if this RECORD_COMPONENT has been created in order to comply with this standard , but this point in the EHR hierarchy has no corresponding node in the EHR from which it was extracted. |
value
Default value: false
uncertainty_expressed | BL | 1..1 | This attribute is set to TRUE to advise the EHR Recipient that this ENTRY contains data that indicates some degree of uncertainty, and that care should be taken when using these data within automated processes and systems. |
nullFlavor
Literal value(s): NA
## Contained ELEMENTs ## Graphical Representation
Subject ELEMENT class | Related object classes
--- | ---
Name | ELEMENT Class | Occurs | Description | Relationship | Occurs | Class | Dependency
items | ReasonForAdmission | 0 .. * |  | HasAnnotation | 0..1 | Text | INDEPENDENT
IsConsequenceOf | 0..* | Diagnosis RiskGoalsAndExpectations ProcedureActivity CareIssues FindingObservation | INDEPENDENT
IsConsequenceOf | 0..* | Diagnosis CareIssues RiskGoalsAndExpectations FindingObservation ProcedureActivity | INDEPENDENT
items | CareIssues | 0 .. * |  | IsClinicalContextOf | 0..* | AdmissionEvent | INDEPENDENT
HasRecordRole | 0..* | ProblemsAndComplaintsTag | INDEPENDENT
HasClinicalContext | 0..* | ProcedureActivity Diagnosis FindingObservation | INDEPENDENT
IsIndicationOf | 0..* | StoppedMedicationActivity CurrentMedicationActivity | INDEPENDENT
IsMotivationOf | 0..* | ProcedureActivity AdmissionEvent | INDEPENDENT
HasAnnotation | 0..* | Text | INDEPENDENT
items | FindingObservation | 0 .. * |  | IsClinicalContextOf | 0..* | CareIssues | INDEPENDENT
IsIndicationOf | 0..* | StoppedMedicationActivity CurrentMedicationActivity ProcedureActivity | INDEPENDENT
HasAnnotation | 0..* | Text | INDEPENDENT
items | AdmissionEvent | 1 |  | HasClinicalContext | 0..* | CareIssues | INDEPENDENT
HasContext | 0..1 | AdmissionMethod | DEPENDENT_OBJECT
HasAnnotation | 0..* | Text | INDEPENDENT
HasMotivation | 0..* | CareIssues ProcedureActivity AllergiesOrAdverseReactionEvent RiskGoalsAndExpectations | INDEPENDENT
items | ProcedureActivity | 0 .. * |  | IsComplicatedBy | 0..* | ProcedureActivity FindingObservation | INDEPENDENT
HasIndication | 0..* | Diagnosis FindingObservation CareIssues | INDEPENDENT
IsIndicationOf | 0..* | StoppedMedicationActivity CurrentMedicationActivity | INDEPENDENT
HasAnnotation | 0..* | Text | INDEPENDENT
Complicates | 0..* | Diagnosis | INDEPENDENT
items | AdmissionMethod | 0 .. 1 |  |  |  |  |
items | AllergiesOrAdverseReactionEvent | 0 .. * |  | IsMotivationOf | 0..* | AdmissionEvent | INDEPENDENT
IsIndicationOf | 0..* | CurrentMedicationActivity StoppedMedicationActivity | INDEPENDENT
HasAnnotation | 0..* | Text | INDEPENDENT
IsInterpretationOf | 0..* | AllergiesOrAdverseReactionPropensity | INDEPENDENT
items | Text | 0 .. * |  |  |  |  |
items | PresentingComplaint | 0 .. * |  | HasAnnotation | 0..1 | Text | INDEPENDENT
items | Diagnosis | 0 .. * |  | IsComplicatedBy | 0..* | Diagnosis ProcedureActivity | INDEPENDENT
IsClinicalContextOf | 0..* | CareIssues | INDEPENDENT
IsIndicationOf | 0..* | CurrentMedicationActivity StoppedMedicationActivity | INDEPENDENT
HasRecordRole | 0..1 | DiagnosisStatus | INDEPENDENT
HasAnnotation | 0..* | Text | INDEPENDENT
items | RiskGoalsAndExpectations | 0 .. * |  | IsMotivationOf | 0..* | AdmissionEvent | INDEPENDENT
HasAnnotation | 0..* | Text | INDEPENDENT
## Participations ### Other Participations
Name | Class | Occurs | Description
--- | --- | --- | ---
other_participations | AdmissionLocationParticpationChoice | 0..1 | Represents a choice of FUNCTIONAL_ROLE classes used to describe the participation of a ROLE class in a COMPOSITION. The ROLE class shall participate as a non-specific 'other participation' representing the location where the subject of care was admitted.
other_participations | AdmissionSourceParticipationChoice | 0..1 | Represents a choice of FUNCTIONAL_ROLE classes used to describe the participation of a ROLE class in a COMPOSITION or an ENTRY. The ROLE class shall participate as a non-specific 'other participation' which states the roles that participate as the source location from where the subject of care arrived for admission.
## Content of COMPOSITION Models ### DischargeSummary ## Reference Model Type ## ENTRY