1.3.6.1.4.1.19376.1.5.3.1.4.13.2

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Trial.gif Vital Signs Observation 1.3.6.1.4.1.19376.1.5.3.1.4.13.2

A vital signs observation is a simple observation that uses a specific vocabulary, and inherits constraints from CCD.


Uses

See Templates using Vital Signs Observation

Specification
Vital Signs Observation Example

<observation classCode='OBS' moodCode='EVN'>
 <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
 <templateId root='2.16.840.1.113883.10.20.1.31'/>
 <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.2'/>
 <id root=' ' extension=' '/>
 <code code=' ' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
 <text><reference value='#xxx'/></text>
 <statusCode code='completed'/>
 <effectiveTime value=' '/>
 <repeatNumber value=' '/>
 <value xsi:type='PQ' value=' ' unit=' '/>
 <interpretationCode code=' ' codeSystem=' ' codeSystemName=' '/>
 <methodCode code=' ' codeSystem=' ' codeSystemName=' '/>
 <targetSiteCode code=' ' codeSystem=' ' codeSystemName=' '/>
</observation>


<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
  <templateId root='2.16.840.1.113883.10.20.1.31'/>
  <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.2'/>

A vital signs observation shall have the <templateId> elements shown above to indicate that it inherits constraints from the ASTM/HL7 CCD Specification for Vital signs, and the constraints of this specification.

<code code=' ' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>

A vital signs observation entry shall use one of the following LOINC codes, with the specified data types and units.

Vital Signs Codes
LOINC Description Units Type
9279-1 RESPIRATION RATE /min PQ
8867-4 HEART BEAT
2710-2 OXYGEN SATURATION %
8480-6 INTRAVASCULAR SYSTOLIC mm[Hg]
8462-4 INTRAVASCULAR DIASTOLIC
8310-5 BODY TEMPERATURE Cel or [degF]
8302-2 BODY HEIGHT (MEASURED) m, cm,[in_us] or [in_uk]
8306-3 BODY HEIGHT^LYING
8287-5 CIRCUMFRENCE.OCCIPITAL-FRONTAL (TAPE MEASURE)
3141-9 BODY WEIGHT (MEASURED) kg, g, [lb_av] or [oz_av]
<value xsi:type='PQ' value=' ' unit=' '/>

The <value> element shall be present, and shall be of the appropriate data type specified for measure in the table above.

<interpretationCode code=' ' codeSystem=' ' codeSystemName=' '/>

The interpretation code may be present to provide an interpretation of the vital signs measure (e.g., High, Normal, Low, et cetera).

<methodCode code=' ' codeSystem=' ' codeSystemName=' '/>

The <methodCode> element may be present to indicate the method used to obtain the measure. Note that method used is distinct from, but possibly related to the target site.

<targetSiteCode code=' ' codeSystem=' ' codeSystemName=' '/>

The target site of the measure may be identified in the <targetSiteCode> element (e.g., Left arm [blood pressure], oral [temperature], et cetera).