1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4

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Development Only

The PCC Wiki Content is used only for development of IHE PCC Content. The Normative content of the PCC Technical Framework and the current supplements can be found at http://www.ihe.net/Technical_Framework/index.cfm#PCC

Trial.gif Nursing Assessments Battery 1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4

This entry describes a single row in the Nursing Assessment flowsheet. The single observation date/time and provider is applied to all other observations.


Uses

See Templates using Nursing Assessments Battery

Specification
Nursing Assessments Battery Example

<entry>
  <organizer classCode='BATTERY' moodCode='EVN'>
    <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4'/>
    <id root=' ' extension=' '/>
    <code code='X-ASSESS' displayName='Nursing Assessments Battery'
          codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
    <statusCode code='completed'/>
    <author>
       <time value=' '/>
       <assignedAuthor>
          <id root=' ' extension=' '/>
       </assignedAuthor>
    </author>
    <component>
       <observation classCode='OBS' moodCode='EVN'>
          <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
          :
       </observation>
    </component>
    <component>
       <observation classCode='OBS' moodCode='EVN'>
          <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
           :
       </observation>
    </component>
    :
  </organizer>
</entry>



<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4'/>

The <templateId> element specifies that this organizer entry conforms to the Nursing Interventions battery. The root attribute SHALL contain the value "1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4"

<organizer classCode='BATTERY' moodCode='EVN'>

Each row in the Nursing Interventions battery SHALL be represented by an organizer with the classCode of 'BATTERY' and the moodCode of 'EVN'

<id root=' ' extension=' '/>

Each battery SHALL have a globally unique identifier.

<code code='X-ASSESS' codeSystem='2.16.840.1.113883.6.1'/>

The <code> element specifies the Loinc code that represents the content of the battery. The codeSystem attribute SHALL contain the value '2.16.840.1.113883.6.1'. The code attribute SHALL contain the value='X-ASSESS'. It is good practice to include displayName and codeSystemName for clarity and debugging. The corresponding values are 'Nursing Assessments battery' and 'LOINC' respectively.

<author/><time/><assignedAuthor><id/></assignedAuthor></author>

The <author> relation element points at the author that records the visit battery. This assignedAuthor may be different than the author of the document. The time element is used to record when the assigned author recorded the battery.

<statusCode code='completed'/>

The status code for all batteries SHALL be 'completed'

<component>

The battery is made of several component Simple Observations. The following table lists the allowable LOINC codes, displayNames, and observation types, and unit of measures for these observations.

code displayName xsi:type value set
9269-2 GLASGOW COMA SCORE.TOTAL CO 3..15
9268-4 GLASGOW COMA SCORE.MOTOR CO 1..6
11454-6 LEVEL OF RESPONSIVENESS CO ALERT
VERBAL RESPONSE
PAINFUL RESPONSE
UNRESPONSIVE
38208-5 PAIN SEVERITY CO 0-10
48767-8 (COMMENT FIELD) ED