hl7:observation
|
|
|
R |
|
(eHDion) |
@classCode
|
cs |
1 … 1 |
F |
OBS |
@moodCode
|
cs |
1 … 1 |
F |
EVN |
|
Example |
<observation typeCode="OBS" moodCode="EVN"> <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.23"/> <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.3.20"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.4"/> <templateId root="2.16.840.1.113883.10.20.1.33"/> <id root=" " extension=" "/> <code code=" " displayName=" " codeSystem=" " codeSystemName=" "/> <text> <reference value="#xxx"/> </text> <statusCode code="completed"/> <effectiveTime> <low value=" "/> <high value=" "/> </effectiveTime> <value type=" "/></observation> |
hl7:templateId
|
II.EPSOS |
1 … 1 |
R |
eHDSI Social History Observation |
(eHDion) |
@root
|
uid |
1 … 1 |
F |
1.3.6.1.4.1.12559.11.10.1.3.1.3.23 |
hl7:templateId
|
II.EPSOS |
1 … 1 |
R |
eHDSI Simple Observation |
(eHDion) |
@root
|
uid |
1 … 1 |
F |
1.3.6.1.4.1.12559.11.10.1.3.1.3.20 |
hl7:templateId
|
II.EPSOS |
1 … 1 |
R |
IHE Simple Observation (IHE PCC) |
(eHDion) |
@root
|
uid |
1 … 1 |
F |
1.3.6.1.4.1.19376.1.5.3.1.4.13 |
hl7:templateId
|
II.EPSOS |
1 … 1 |
R |
IHE Social History Observation (IHE PCC) |
(eHDion) |
@root
|
uid |
1 … 1 |
F |
1.3.6.1.4.1.19376.1.5.3.1.4.13.4 |
hl7:templateId
|
II.EPSOS |
1 … 1 |
R |
Social history observation (CCD) |
(eHDion) |
@root
|
uid |
1 … 1 |
F |
2.16.840.1.113883.10.20.1.33 |
hl7:id
|
II.EPSOS |
1 … 1 |
M |
Since a Social History Observation is fulfilling the rules of a Simple Observation
pattern, each Social History Observation shall have an identifier.
|
(eHDion) |
hl7:code
|
CD |
1 … 1 |
M |
The <code> element identifies the type social history observation.
The first two columns of following table describe the value set to be used for this
attribute, derived from the code systeme SNOMED CT (2.16.840.1.113883.6.96). For each
used concept the data type of the “value” attribute, and the related unit, is reported.
CODE
|
VALUE
|
Code
|
displayName
|
xsi:type
|
unit
|
229819007
|
Smoking
|
PQ
|
{pack}/d or {pack}/wk or {pack}/a
|
256235009
|
Exercise
|
|
{times}/wk
|
160573003
|
ETOH (Alcohol) Use
|
|
{drink}/d or {drink}/wk
|
364393001
|
Nutritional observable
|
CD
|
N/A
|
364703007
|
Employment detail
|
|
|
425400000
|
Toxic exposure status
|
|
|
363908000
|
Details of drug misuse behavior
|
|
|
228272008
|
Health-related behavior
|
ANY
|
|
|
(eHDion) |
|
|
|
CONF |
|
hl7:text
|
ED |
1 … 1 |
M |
Since a Social History Observation is fulfilling the rules of a Simple Observation
pattern, each Social History Observation shall have a text element.
|
(eHDion) |
|
|
hl7:statusCode
|
CS |
1 … 1 |
R |
|
(eHDion) |
@code
|
CONF |
0 … 1 |
F |
completed |
hl7:effectiveTime
|
IVL_TS |
1 … 1 |
R |
The effectiveTime element contains a required low and an optional high subelement
representing the start date and potential end date of the smoking habit, alcohol consumption
or diet. The low subelement represents the start date of the habit/consumption. The high subelement represents the date the patient stopped the habit/consumption
if applicable. This element shall not be present when observation is still active.
|
(eHDion) |
|
|
hl7:low
|
|
1 … 1 |
R |
The
element shall be present.
|
(eHDion) |
hl7:high
|
|
0 … 1 |
C |
The element shall be present for completed or stopped habits/consumptions, and shall
not be present otherwise.
|
(eHDion) |
hl7:repeatNumber
|
|
|
NP |
The <repeatNumber> element should not be used in a social history observation.
|
(eHDion) |
hl7:value
|
ANY |
1 … * |
R |
The <value> element reports the value associated with the social history observation.
The data type to use for each observation should be drawn from the table above.
Observations in the table above using the PQ data type have a unit in the form {xxx}/d,
{xxx}/wk or {xxx}/a represent the number of items per day, week or year respectively.
The value attribute indicates the number of times of the act performed, and the units
represent the frequency. The example below shows how to represent 1 drink per day.
:
<code code='160573003'
displayName='ETOH Use'
codeSystem='2.16.840.1.113883.6.96'
codeSystemName='SNOMED CT'/>
:
<value xsi:type='PQ' value='1' unit='{drink}/d'/>
:
Observations in the table using the CD data type should include coded values from
an appropriate vocabulary to represent the social history item. The example below
shows the encoding to indicate drug use of cannabis.
:
<code code='363908000'
displayName='Drug Use'
codeSystem='2.16.840.1.113883.6.96'
codeSystemName='SNOMED CT'/>
:
<value xsi:type='CD'
code='398705004'
displayName='cannabis'
codeSystem='2.16.840.1.113883.6.96'
codeSystemName='SNOMED CT'/>
:
Other social history observations may use any appropriate data type.
|
(eHDion) |
|
|
hl7:interpretationCode
|
|
|
NP |
The <interpretationCode>, <methodCode>, and <targetSiteCode> elements should not be
used in a social history observation.
|
(eHDion) |
hl7:methodCode
|
|
|
NP |
The <interpretationCode>, <methodCode>, and <targetSiteCode> elements should not be
used in a social history observation.
|
(eHDion) |
hl7:targetSiteCode
|
|
|
NP |
The <interpretationCode>, <methodCode>, and <targetSiteCode> elements should not be
used in a social history observation.
|
(eHDion) |