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| Id | 1.3.6.1.4.1.19376.1.5.3.1.4.13.2 ref ? | Gültigkeit ab | 2020‑04‑16 13:29:34 |
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| Status | Obsolet | Versions-Label | |
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| Name | eHDSIVitalSignsObservation | Bezeichnung | eHDSI Vital Signs Observation |
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| Beschreibung |
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.
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| Kontext | Elternknoten des Template-Element mit Id 1.3.6.1.4.1.19376.1.5.3.1.4.13.2 |
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| Klassifikation | CDA Entry Level Template |
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| Offen/Geschlossen | Offen (auch andere als die definierten Elemente sind erlaubt) |
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| 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> |
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| Item | DT | Kard | Konf | Beschreibung | Label |
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| | 1 … 1 | R | | |  | hl7:templateId
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| II.EPSOS | 1 … 1 | M | | |  |  | @root
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| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.13 |  | hl7:templateId
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| II.EPSOS | 1 … 1 | M | | |  |  | @root
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| uid | 1 … 1 | F | 2.16.840.1.113883.10.20.1.31 |  | hl7:templateId
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| II.EPSOS | 1 … 1 | M | | |  |  | @root
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| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.13.2 |  | hl7:id
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| II | 0 … * | R | | |  | hl7:code
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| CE.EPSOS | 1 … 1 | M |
A vital signs observation entry shall use one of the following LOINC codes, with the specified data types and units.
<TBODY>
| LOINC |
Display Name |
Unit |
Datatype |
| 8480-6 |
INTRAVASCULAR SYSTOLIC |
mm[Hg] |
PQ |
| 8462-4 |
INTRAVASCULAR DIASTOLIC |
mm[Hg] |
PQ |
</TBODY>
| | | | 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) |
|  | hl7:text
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| ED | 0 … 1 | R | | |  |  | hl7:reference
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| TEL | 1 … 1 | M | | | | | 1 … 1 | R | Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1 |  | hl7:statusCode
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| CS | 1 … 1 | M | | |  |  | @code
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| CONF | 1 … 1 | F | completed |  | hl7:effectiveTime
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| TS | 1 … 1 | R | 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"/> |  | hl7:value
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| PQ | 1 … 1 | R |
The <value> element shall be present, and shall be of the appropriate data type specified for measure in the table above.
| | | | CONF | |  | hl7:interpretationCode
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| CE | 0 … * | 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.
| |  | hl7:methodCode
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| CE | 0 … * | 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.
| |  | hl7:targetSiteCode
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| CD | 0 … * | 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.
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