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final Value Set x_ActMoodOrderEvent 2013‑09‑09

Id 2.16.840.1.113883.3.1937.99.61.26.11.58 Effective Date valid from 2013‑09‑09
Status final Final Version Label
Name x_ActMoodOrderEvent Display Name x_ActMoodOrderEvent
Source Code System
2.16.840.1.113883.5.1001 - Act Mood
Level/ Type Code Display Name Code System Designations
0‑L
EVN
event (occurrence)
Act Mood A service that actually happens, may be an ongoing service or a documentation of a past service. Historical note: in previous RIM versions, the event mood was captured as a separate class hierarchy, called Patient_service_event, and later Service_event.
0‑L
PRMS
promise
Act Mood An intent to perform a service that has the strength of a commitment, i.e., other parties may rely on the originator of such promise that said originator will see to it that the promised act will be fulfilled. A promise can be either solicited or unsolicited.
0‑L
RQO
request
Act Mood A request or order for a service is an intent directed from a placer (request author) to a fulfiller (service performer).
Rationale: The concepts of a 'request' and an 'order' are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. 'Orders' are commonly refused for a variety of clinical and business reasons, and the notion of a 'request' obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is 'request.'
Thus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the 'local' business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.
The critical distinction here, is the difference between this concept and an 'intent', of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.

 
Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear in @nullFlavor attribute instead of @code.
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