1.3.6.1.4.1.19376.1.5.3.1.4.13.2/static-2020-04-16T132934

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Id1.3.6.1.4.1.19376.1.5.3.1.4.13.2
ref
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Gültigkeit ab2020‑04‑16 13:29:34
StatusKvalidblue.png ObsoletVersions-Label
NameeHDSIVitalSignsObservationBezeichnungeHDSI Vital Signs Observation
Beschreibung
EN-US.png

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.  


KontextElternknoten des Template-Element mit Id 1.3.6.1.4.1.19376.1.5.3.1.4.13.2
KlassifikationCDA Entry Level Template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Beispiel
Beispiel
<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 type="PQ" value=" " unit=" "/>  <interpretationCode code=" " codeSystem=" " codeSystemName=" "/>  <methodCode code=" " codeSystem=" " codeSystemName=" "/>  <targetSiteCode code=" " codeSystem=" " codeSystemName=" "/></observation>
ItemDTKardKonfBeschreibungLabel
hl7:observation
1 … 1REN-US.png
Treetree.pnghl7:templateId
II.EPSOS1 … 1M
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.13
Treetree.pnghl7:templateId
II.EPSOS1 … 1M
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.20.1.31
Treetree.pnghl7:templateId
II.EPSOS1 … 1M
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.13.2
Treetree.pnghl7:id
II0 … *R
Treetree.pnghl7:code
CE.EPSOS1 … 1MEN-US.png

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

<TBODY> </TBODY>
LOINC Display Name Unit Datatype
8480-6 INTRAVASCULAR SYSTOLIC mm[Hg] PQ
8462-4 INTRAVASCULAR DIASTOLIC mm[Hg] PQ

 CONF
Der Wert von @code MUSS gewählt werden aus dem Value Set 1.3.6.1.4.1.12559.11.10.1.3.1.42.21 eHDSIBloodPressure (DYNAMIC)
Treetree.pnghl7:text
ED0 … 1R
Treeblank.pngTreetree.pnghl7:reference
TEL1 … 1M
Treeblank.pngTreeblank.pngTreetree.png@value
1 … 1REN-US.png Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
Treetree.pnghl7:statusCode
CS1 … 1M
Treeblank.pngTreetree.png@code
CONF1 … 1Fcompleted
Treetree.pnghl7:effectiveTime
TS1 … 1REN-US.png Date when the measurement was done.
This date shall be the same as the effective time for the Vital Signs organizer element.
 Beispiel<effectiveTime value="20180327"/>
Treetree.pnghl7:value
PQ1 … 1REN-US.png

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

 CONF
@unit ist "mm[Hg]"
Treetree.pnghl7:interpretationCode
CE0 … *REN-US.png

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.  


Treetree.pnghl7:methodCode
CE0 … *REN-US.png

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.

Treetree.pnghl7:target​Site​Code
CD0 … *REN-US.png

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.