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ref Template  Vital Signs Observation

Id 2.16.756.5.30.1.1.10.4.21
ref
ch-pcc-
 		Effective Date 2016‑11‑11
Status pending Under pre-publication review Version Label 2016
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).
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.21
Label IHE PCC TF2 Rev.11, 6.3.4.22
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 3 templates, Uses 1 template
Used by as Name Version
2.16.756.5.30.1.1.10.4.20 Containment pending Vital Signs Organizer Entry (2016) 2016‑11‑11
2.16.756.5.30.1.1.10.3.4 link pending Vital Signs Section - coded (2016) 2016‑11‑11
2.16.756.5.30.1.127.10.1.3 link retired Laborbefund Transplantationsprozesss 2016‑07‑02
Uses as Name Version
2.16.756.5.30.1.1.10.9.14 Include active 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" displayName="Body height Measured"/>  <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
 IHE PCC TF2 Rev.11, 6.3.4.22
@classCode
 cs 1 … 1 F OBS
@moodCode
 cs 1 … 1 F EVN
hl7:templateId
 II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.22
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.13
hl7:templateId
 II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.22
@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 IHE PCC TF2 Rev.11, 6.3.4.22
@root
 uid 1 … 1 F 2.16.840.1.113883.10.20.1.31
hl7:templateId
 II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.22
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.4.21
hl7:id
 II 1 … 1 M An ID for this item MAY be filled for traceability. IHE PCC TF2 Rev.11, 6.3.4.22
@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.
@extension
 st 0 … 1   Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:code
 CD 1 … 1 R IHE PCC TF2 Rev.11, 6.3.4.22
@code
 cs 1 … 1 R
@codeSystem
 oid 1 … 1 F 2.16.840.1.113883.6.1
@codeSystemName
 st 1 … 1 F LOINC
@displayName
 st 1 … 1 R
  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 CDA‑CH V2
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'] CDA‑CH V2
@value
 1 … 1 R Reference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding 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.  
  Variable let Name idvalue  
  Value substring-after(@value,'#')  
  Schematron assert role red error  
  test ancestor::hl7:structuredBody//*[@ID=$idvalue]  
  Message No narrative text found for this reference (no content element within this document has an ID that corresponds to '<value-of select="$idvalue"/>').  
hl7:statusCode
 CS 1 … 1 M

The status 'completed' indicates that the observation is final.

 IHE PCC TF2 Rev.11, 6.3.4.22
  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 IHE PCC TF2 Rev.11, 6.3.4.22
hl7:value
 ANY 1 … 1 R According to table in [IHE PCC TF-2], 6.3.4.22.3 IHE PCC TF2 Rev.11, 6.3.4.22
hl7:interpretationCode
 CE 0 … * R IHE PCC TF2 Rev.11, 6.3.4.22
hl7:methodCode
 CE 0 … * R IHE PCC TF2 Rev.11, 6.3.4.22
hl7:targetSiteCode
 CD 0 … * R IHE PCC TF2 Rev.11, 6.3.4.22