Id1.3.6.1.4.1.19376.1.5.3.1.4.13Effective Date2013‑12‑20
Statusdraft DraftVersion Label
NameEntrySimpleObservationDisplay NameSimple Observation
Description

The simple observation entry is meant to be an abstract representation of many of the observations used in this specification. It can be made concrete by the specification of a few additional constraints, namely the vocabulary used for codes, and the value representation. A simple observation may also inherit constraints from other specifications (e.g., ASTM/HL7 Continuity of Care Document).

2017-07-18 Reverted to the original IHE specification of this template.

Note that this template was specified by IHE PCC. Find the referenced specification here: 
https://art-decor.ihe-europe.net/art-decor/decor-templates--IHE-PCC-?section=templates&id=1.3.6.1.4.1.19376.1.5.3.1.4.13

ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.13
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 9 templates, Uses 0 templates
Used by as NameVersion
1.3.6.1.4.1.19376.1.5.3.1.1.9.2Containmentactive IHE EBS Estimated Blood Loss Section (2016)2017‑03‑27 08:59:43
1.3.6.1.4.1.19376.1.5.3.1.1.11.2.2.2Containmentactive IHE Antepartum Visit Summary Flowsheet Section (2016)2017‑03‑24 09:15:16
1.3.6.1.4.1.19376.1.5.3.1.3.2Containmentactive IHE Coded Reason for Referral Section (2014)2016‑09‑26 08:43:40
1.3.6.1.4.1.19376.1.5.3.1.3.28Containmentactive IHE Coded Results Section (2014)2015‑10‑05 17:52:06
1.3.6.1.4.1.19376.1.7.3.1.1.13.4Containmentactive IHE Psychomotor Development Section (2016)2017‑03‑24 14:25:47
1.3.6.1.4.1.19376.1.7.3.1.1.13.5Containmentactive IHE Eating and Sleeping Assessment Section (2016)2017‑03‑24 14:20:46
1.3.6.1.4.1.19376.1.7.3.1.1.13.7Containmentactive IHE Coded Event Outcomes (2016)2017‑03‑24 14:16:18
1.3.6.1.4.1.19376.1.7.3.1.1.15.3.2Containmentactive IHE Hearing Screening Coded Results (2016)2017‑03‑24 12:33:27
2.16.756.5.30.1.1.10.3.31Containmentpending Results Section - coded (2016)2016‑11‑11
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>  <id root="" extension=""/>  <code code="" displayName="" codeSystem="" codeSystemName=""/>  <text>
    <reference value="#xxx"/>  </text>  <statusCode code="completed"/>  <effectiveTime value=""/>  <repeatNumber value=""/>  <value xsi:type=""/>  <interpretationCode code="" codeSystem="" codeSystemName=""/>  <methodCode code="" codeSystem="" codeSystemName=""/>  <targetSiteCode code="" codeSystem="" codeSystemName=""/>  <author typeCode="AUT">
    <assignedAuthor typeCode="ASSIGNED">
      <id root="" extension=""/>    </assignedAuthor>  </author></observation>
ItemDTCardConfDescriptionLabel
hl7:observation
1 … 1R

These acts are simply observations that have occurred, and so are recored using the <observation> element as shown above.

Entrdotstion
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
hl7:templateId
II.EPSOS1 … 1MEntrdotstion
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.13
hl7:id
II.EPSOS1 … 1M

Each observation shall have an identifier.

Entrdotstion
hl7:code
CD1 … 1R

Observations shall have a code describing what was measured. The code system used is determined by the vocabulary constraints on the types of measurements that might be recorded in a section. Content modules that are derived from the Simple Observation content module may restrict the code system and code values used for the observation.

Entrdotstion
hl7:text
ED1 … 1M

Each observation measurement entry may contain a <text> element providing the free text that provides the same information as the observation within the narrative portion of the document with a <text> element. For CDA based uses of Simple Observations, this element SHALL be present, and SHALL contain a <reference> element that points to the related string in the narrative portion of the document. For HL7 Version 3 based uses, the <text> element MAY be included.

Entrdotstion
hl7:statusCode
CS1 … 1M

The status code of all observations shall be completed.

Entrdotstion
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS1 … 1R

The <effectiveTime> element shall be present in standalone observations , and shall record the date and time when the measurement was taken. This element should be precise to the day. If the date and time is unknown, this element should record that using the nullFlavor attribute.

Entrdotstion
hl7:value
ANY1 … *R

The value of the observation shall be recording using a data type appropriate to the observation. Content modules derived from the Simple Observation content module may restrict the allowable data types used for the observation.

Entrdotstion