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ref Template  Vital Signs Observation

Id 2.16.756.5.30.1.1.10.4.21
ref
(from repository: ch-pcc-)
Effective Date valid from 2017‑03‑24 16:48:39
Status draft Draft Version Label 2017
Name chpcc_entry_VitalSignsObservation Display Name Vital Signs Observation
Description Structured notation of a measured value resp. an observation of a single vital sign (such as body height, weight, blood pressure).
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 5 templates, Uses 1 template
Used by as Name Version
2.16.756.5.30.1.1.10.4.20 Containment draft Vital Signs Organizer Entry (2017) 2017‑03‑28 22:50:52
2.16.756.5.30.1.1.10.3.4 link draft Vital Signs Section - coded (2017) 2017‑03‑28 22:53:28
2.16.756.5.30.1.127.10.1.3 link retired Laborbefund Transplantationsprozesss 2016‑07‑02
2.16.756.5.30.1.1.10.3.4 link active CDA-CH Coded Vital Signs Section 2016‑07‑02
2.16.756.5.30.1.1.10.4.20 Containment active CDA-CH Vital Signs Organizer Entry 2016‑07‑02
Uses as Name Version
2.16.756.5.30.1.1.10.9.14 Include draft Narrative text reference (2017) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.13 (2016‑09‑26 08:43:40)
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.756.5.30.1.1.10.4.21"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.2"/>  <templateId root="2.16.840.1.113883.10.20.1.31"/>  <id root="3B9A88CF-E868-490B-B0BF-DA25E7D2F9FA"/>  <code code="3137-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>  <text>
    <reference value="#o1"/>  </text>
  <statusCode code="completed"/>  <effectiveTime value="20081118"/>  <value xsi:type="PQ" value="178" unit="cm"/>  <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>  <methodCode nullFlavor="NA"/>  <targetSiteCode nullFlavor="NA"/></observation>
Item DT Card Conf Description Label
hl7:observation
(chpdotsion)
@classCode
cs 1 … 1 F OBS
@moodCode
cs 1 … 1 F EVN
hl7:templateId
II 1 … 1 M (chpdotsion)
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.4.21
hl7:templateId
II 1 … 1 M (chpdotsion)
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.13
hl7:templateId
II 1 … 1 M (chpdotsion)
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.13.2
hl7:templateId
II 1 … 1 M (chpdotsion)
@root
uid 1 … 1 F 2.16.840.1.113883.10.20.1.31
hl7:id
II 1 … 1 M An ID for this item CAN be filled for traceability. (chpdotsion)
@extension
st 1 … 1 R MUST contain the ID itself. The ID MUST be unique within the system that issued the ID.
@root
uid 1 … 1 R MUST contain the OID of the system that issued the ID. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
hl7:code
CD 1 … 1 R (chpdotsion)
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.5 Vital Signs Observation (DYNAMIC)
Included 1 … 1 from 2.16.756.5.30.1.1.10.9.14 Narrative text reference (DYNAMIC)
The reference to the text in the narrative section of the section MUST be specified.
hl7:text
ED 1 … 1 M (chpdotsion)
hl7:reference
TEL 1 … 1 M The reference to the corresponding text in the human readable part must be specified by reference to content[@ID]: reference[@value='#xxx'] (chpdotsion)
@value
1 … 1 R Reference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding <content> element.
  Schematron assert role red error  
  test starts-with(@value,'#')  
  Message The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding <content> element.  
  Schematron assert role red error  
  test //*[content/@ID=substring-after(@value,'#')]  
  Message No narrative text found for this reference (no content element within this document has an ID that corresponds to @value).  
hl7:statusCode
CS 1 … 1 M The status 'completed' indicates that the observation is final. (chpdotsion)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20025 ActStatusCompleted (DYNAMIC)
hl7:effectiveTime
IVL_TS.CH.TZ 1 … 1 R (chpdotsion)
hl7:value
ANY 1 … 1 R According to table in [IHE PCC TF-2], 6.3.4.22.3 (chpdotsion)
hl7:interpretationCode
CE 0 … * R (chpdotsion)
hl7:methodCode
CE 0 … * R (chpdotsion)
hl7:targetSiteCode
CD 0 … * R (chpdotsion)