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draft Template  Vital Signs Observation

Template 1.3.6.1.4.1.19376.1.5.3.1.4.13.2 - EntryVitalSignsObservation
Id 1.3.6.1.4.1.19376.1.5.3.1.4.13.2
Version valid from 2013‑12‑20 status draft Under develeopment
Classification CDA Entry Level Template
Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.13.2
Open/Closed Open (other than defined elements are allowed)
Description

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

Used by / Uses
Used by / Uses 5 templates
Used by Template id as Name Version
1.3.6.1.4.1.19376.1.5.3.1.4.13.1 Containment EntryVitalSignsOrganizer Vital Signs Organizer 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 link SectionCodedVitalSigns Section Coded Vital Signs 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 link epSOS-PS epSOS-Patient Summary 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.4 link epSOS-HCER epSOS-Health Care Encounter Report 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.5 link epSOS-MRO epSOS-Medication Related Overview 2013‑12‑20
Item DT Card Conf Description Label
hl7:observation
1 .. 1 R (EntryVitalSignsObservation)
  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>
treetree hl7:templateId
II.EPSOS 1 .. 1 M (EntryVitalSignsObservation)
treeblank treetree @root
1 .. 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.13
treetree hl7:templateId
II.EPSOS 1 .. 1 M (EntryVitalSignsObservation)
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.1.31
treetree hl7:templateId
II.EPSOS 1 .. 1 M (EntryVitalSignsObservation)
treeblank treetree @root
1 .. 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.13.2
treetree hl7:code
CD 1 .. 1 M

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

8480-6

INTRAVASCULAR SYSTOLIC

mm[Hg]

PQ

8462-4

INTRAVASCULAR DIASTOLIC

(EntryVitalSignsObservation)
treetree hl7:value
PQ 1 .. 1 M

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

(EntryVitalSignsObservation)
treetree hl7:interpretationCode
CE 1 .. * R

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

(EntryVitalSignsObservation)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
treetree hl7:methodCode
CE 1 .. * 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.

(EntryVitalSignsObservation)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
treetree hl7:targetSiteCode
CD 1 .. * R

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

(EntryVitalSignsObservation)
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.5.1052 (ActSite)