Draft| Description |
This template represents measurement of common vital signs. Vital signs are represented with additional vocabulary constraints for type of vital sign and unit of measure. The following is a list of recommended units for common types of vital sign measurements: || Name || Unit | PulseOx | % | Height/Head Circumf | cm | Weight | kg | Temp | Cel | BP | mm[[]Hg[]] | Pulse/Resp Rate | /min | BMI | kg/m2 | BSA | m2 |
| Used by 8 transactions and 18 templates, Uses 1 template | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Transfer Summary (V2)
Health Concern Act (harmonized) (0.1)
ref
ad1bbr-
Version: template 2.16.840.1.113883.10.20.22.4.27 Vital Sign Observation (2013‑01‑31)
| Item | DT | Card | Conf | Description | Label | |
|---|---|---|---|---|---|---|
| cda:observation | Vita onV2 | |||||
| @classCode | cs | 1 … 1 | F | OBS | CONF7297 | |
| SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7297). | ||||||
| @moodCode | cs | 1 … 1 | F | EVN | CONF7298 | |
| SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7298). | ||||||
| cda:templateId | II | 1 … 1 | M | C-CDA R1.1 templateId root without an extension | CONF2936 | |
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.27 | ||
| cda:templateId | II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId (CONF:1098-7299) such that it | CONF7299 | |
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.27 | CONF0527 | |
| SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.27" (CONF:1098-10527). | ||||||
| @extension | st | 1 … 1 | F | 2014-06-09 | CONF2574 | |
| SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32574). | ||||||
| cda:id | II | 1 … * | SHALL contain at least one [1..*] id (CONF:1098-7300). | CONF7300 | ||
| cda:code | CD (extensible) | 1 … 1 | R | SHALL contain exactly one [1..1] code (CONF:1098-7301) This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Vital Sign Result urn:oid:2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:1098-32934)." | CONF7301 | |
| CONF |
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| cda:statusCode | CS | 1 … 1 | M | SHALL contain exactly one [1..1] statusCode (CONF:1098-7303). | CONF7303 | |
| @code | CONF | 1 … 1 | F | completed | ||
| cda:effectiveTime | IVL_TS | 1 … 1 | SHALL contain exactly one [1..1] effectiveTime (CONF:1098-7304). | CONF7304 | ||
| cda:value | PQ | 1 … 1 | SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:1098-7305). | CONF7305 | ||
| @unit | cs | 1 … 1 | R | This value SHALL contain exactly one [1..1] @unit, which SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1098-31579). | CONF1579 | |
| CONF |
| |||||
| cda:interpretationCode | 0 … 1 | MAY contain zero or one [0..1] interpretationCode (CONF:1098-7307). | CONF7307 | |||
| @code | 1 … 1 | R | The interpretationCode, if present, SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Observation Interpretation (HL7) urn:oid:2.16.840.1.113883.1.11.78 DYNAMIC (CONF:1098-32886). | CONF2886 | ||
| cda:methodCode | CE | 0 … * | MAY contain zero or one [0..1] methodCode (CONF:1098-7308). | CONF7308 | ||
| cda:targetSiteCode | CD | 0 … 1 | MAY contain zero or one [0..1] targetSiteCode (CONF:1098-7309). | CONF7309 | ||
| cda:author | 0 … * | R | SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-7310). Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13) | CONF7310 | ||