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Template Vital Signs Observation 2013‑12‑20

Id1.3.6.1.4.1.19376.1.5.3.1.4.13.2Effective Date2013‑12‑20
Statusretired RetiredVersion Label
NameEntryVitalSignsObservationDisplay NameVital Signs Observation
Description

A vital signs observation is a simple observation that uses a specific vocabulary, and inherits constraints from CCD.

Note: Although interpretationCode, methodCode and targetSiteCode are foreseen by the parent template, and initially introduced also in the epSOS template, they are not supposed to be actually used in this version since they were not included in the functional specifications and therefore not validated from a functional point of view. Those element have been retained as optional elements, without vocabulary binding defined, only for future consideration.  


ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.13.2
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 2 concepts
IdNameData Set
epsos-dataelement-121draft Diastolic Blood Pressure draft epSOS Data Set
epsos-dataelement-120draft Systolic Blood Pressure draft epSOS Data Set
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>  <templateId root="2.16.840.1.113883.10.20.1.31"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.2"/>  <id root=" " extension=" "/>  <code code=" " codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>  <text>
    <reference value="#xxx"/>  </text>  <statusCode code="completed"/>  <effectiveTime value=" "/>  <repeatNumber value=" "/>  <value xsi:type="PQ" value=" " unit=" "/>  <interpretationCode code=" " codeSystem=" " codeSystemName=" "/>  <methodCode code=" " codeSystem=" " codeSystemName=" "/>  <targetSiteCode code=" " codeSystem=" " codeSystemName=" "/></observation>
ItemDTCardConfDescriptionLabel
hl7:observation
1 … 1REntrdotstion
hl7:templateId
II.EPSOS1 … 1MEntrdotstion
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.13
hl7:templateId
II.EPSOS1 … 1MEntrdotstion
@root
uid1 … 1F2.16.840.1.113883.10.20.1.31
hl7:templateId
II.EPSOS1 … 1MEntrdotstion
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.13.2
hl7:id
II0 … *REntrdotstion
hl7:code
CE.EPSOS1 … 1M

A vital signs observation entry shall use one of the following LOINC codes, with the specified data types and units.

LOINCDisplay NameUnitDatatype
8480-6INTRAVASCULAR SYSTOLICmm[Hg]PQ
8462-4INTRAVASCULAR DIASTOLICmm[Hg]PQ

Entrdotstion
 
target
epsos-dataelement-121draft Diastolic Blood Pressure draft epSOS Data Set
epsos-dataelement-120draft Systolic Blood Pressure draft epSOS Data Set
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.21 eHDSIBloodPressure (DYNAMIC)
hl7:text
ED0 … 1REntrdotstion
hl7:reference
TEL1 … 1MEntrdotstion
@value
1 … 1RReference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode
CS1 … 1MEntrdotstion
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
TS1 … 1RDate when the measurement was done.
This date shall be the same as the effective time for the Vital Signs organizer element.		Entrdotstion
 Example<effectiveTime value="20180327"/>
hl7:value
PQ1 … 1R

The <value> element shall be present, and shall be of the appropriate data type specified for measure in the table above.

Entrdotstion
 CONF
@unit is "mm[Hg]"
hl7:interpretationCode
CE0 … *R

The interpretation code may be present to provide an interpretation of the vital signs measure (e.g., High, Normal, Low, et cetera).

Not expected to be used in this version of the Patient Summary, retained as optional elements, without vocabulary binding defined, only for future consideration.  


Entrdotstion
hl7:methodCode
CE0 … *R

The <methodCode> element may be present to indicate the method used to obtain the measure. Note that method used is distinct from, but possibly related to the target site.

Not expected to be used in this version of the Patient Summary, retained as optional elements, without vocabulary binding defined, only for future consideration.

Entrdotstion
hl7:targetSiteCode
CD0 … *R

The target site of the measure may be identified in the <targetSiteCode> element (e.g., Left arm [blood pressure], oral [temperature], et cetera).

Not expected to be used in this version of the Patient Summary, retained as optional elements, without vocabulary binding defined, only for future consideration.

Entrdotstion