Difference between revisions of "1.3.6.1.4.1.19376.1.5.3.1.4.13.5"

From IHE Wiki
Jump to navigation Jump to search
m
 
(7 intermediate revisions by 2 users not shown)
Line 1: Line 1:
{{HL7V3|Pregnancy Observation|1.3.6.1.4.1.19376.1.5.3.1.4.13.5|Comment|
+
{{HL7V3|Pregnancy Observation|1.3.6.1.4.1.19376.1.5.3.1.4.13.5|Trial|Parent=1.3.6.1.4.1.19376.1.5.3.1.4.13|ParentName=Simple Observation|
A pregnancy observation is a {{ILink|1.3.6.1.4.1.19376.1.5.3.1.4.13.5|1.3.6.1.4.1.19376.1.5.3.1.4.13|Simple Observation}} that uses a specific vocabulary to record observations about a patient's pregnancy history.
+
A pregnancy observation is a Simple Observation that uses a specific vocabulary to record observations about a patient's pregnancy history.
 
|Example=<br/>
 
|Example=<br/>
  <font color='#808080'><observation typeCode='OBS' moodCode='EVN'>
+
  <font color='#808080'><observation classCode='OBS' moodCode='EVN'>
 
   <font color='black'><templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
 
   <font color='black'><templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
 
   <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.5'/></font>
 
   <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.5'/></font>
Line 13: Line 13:
 
   <font color='black'><value xsi:type='&nbsp;' .../></font>
 
   <font color='black'><value xsi:type='&nbsp;' .../></font>
 
   <strike><interpretationCode code='&nbsp;' codeSystem='&nbsp;' codeSystemName='&nbsp;'/>
 
   <strike><interpretationCode code='&nbsp;' codeSystem='&nbsp;' codeSystemName='&nbsp;'/>
   <methodCode code='&nbsp;' codeSystem='&nbsp;' codeSystemName=''/>
+
   <methodCode code='&nbsp;' codeSystem='&nbsp;' codeSystemName='&nbsp;'/>
 
   <targetSiteCode code='&nbsp;' codeSystem='&nbsp;' codeSystemName='&nbsp;'/></strike>
 
   <targetSiteCode code='&nbsp;' codeSystem='&nbsp;' codeSystemName='&nbsp;'/></strike>
 
  </observation></font>
 
  </observation></font>
Line 20: Line 20:
 
These <templateId> elements identify this <observation> as a pregnancy observation, allowing for validation of the content.  The <templateId> elements shall be recorded as shown above.
 
These <templateId> elements identify this <observation> as a pregnancy observation, allowing for validation of the content.  The <templateId> elements shall be recorded as shown above.
 
=====&lt;code code='&nbsp;' displayName='&nbsp;' <br/>&nbsp;&nbsp;codeSystem='2.16.840.1.113883.6.1'<br/>&nbsp;&nbsp;codeSystemName='LOINC'/>=====
 
=====&lt;code code='&nbsp;' displayName='&nbsp;' <br/>&nbsp;&nbsp;codeSystem='2.16.840.1.113883.6.1'<br/>&nbsp;&nbsp;codeSystemName='LOINC'/>=====
A pregnancy observations shall have a LOINC code describing what facet of patient's pregnancy history is being recorded.  These codes should come from the list of codes shown below.  Additional codes may be used to reflect additional information about the pregnancy history.
+
A pregnancy observation shall have a code describing what facet of patient's pregnancy history is being recorded.  These codes should come from the list of codes shown below.  Additional codes may be used to reflect additional information about the pregnancy history.
  
{|border=1
+
{{:1.3.6.1.4.1.19376.1.5.3.1.4.13.5/Pregnancy Observation Codes}}
|+Pregnancy Observation Codes
 
|-bgcolor='#D9D9D9'
 
!LOINC CODE!!Description!!Type!!Units or Vocabulary
 
|-
 
|11449-6 ||PREGNANCY STATUS||rowspan=2|CE||SNOMED CT, ICD-9-CM (V22)
 
|-
 
|8678-5 ||MENSTRUAL STATUS||SNOMED CT
 
|-
 
|8665-2 ||DATE LAST MENSTRUAL PERIOD||TS||rowspan=9|<center>N/A</center>
 
|-
 
|11636-8||BIRTHS LIVE (REPORTED)||rowspan=5|QTY
 
|-
 
|11637-6||BIRTHS PRETERM (REPORTED)
 
|-
 
|11638-4||BIRTHS STILL LIVING (REPORTED)
 
|-
 
|11639-2||BIRTHS TERM (REPORTED)
 
|-
 
|11640-0||BIRTHS TOTAL (REPORTED)
 
|-
 
|11778-8||DELIVERY DATE (CLINICAL ESTIMATE)||rowspan=3|TS
 
|-
 
|11779-6||DELIVERY DATE (ESTIMATED FROM LAST MENSTRUAL PERIOD)
 
|-
 
|11780-4||DELIVERY DATE (ESTIMATED FROM OVULATION DATE)
 
|-
 
|11884-4||FETUS, GESTATIONAL AGE (CLINICAL ESTIMATE)||rowspan=4|PQ||rowspan=4|d, wk or mo
 
|-
 
|11885-1||FETUS, GESTATIONAL AGE (ESTIMATED FROM LAST MENSTRUAL PERIOD)
 
|-
 
|11886-9||FETUS, GESTATIONAL AGE (ESTIMATED FROM OVULATION DATE)
 
|-
 
|11887-7||FETUS, GESTATIONAL AGE (ESTIMATED FROM SELECTED DELIVERY DATE)
 
|}
 
  
 
=====<strike><repeatNumber value='&nbsp;'/></strike>=====
 
=====<strike><repeatNumber value='&nbsp;'/></strike>=====
Line 64: Line 30:
 
The value of the observation shall be recording using a data type appropriate to the coded observation according to the table above.
 
The value of the observation shall be recording using a data type appropriate to the coded observation according to the table above.
  
=====<strike><interpretationCode code='&nbsp;' codeSystem='&nbsp;' codeSystemName='&nbsp;'/><br/><methodCode code='&nbsp;' codeSystem='&nbsp;' codeSystemName=''/><br/><targetSiteCode code='&nbsp;' codeSystem='&nbsp;' codeSystemName='&nbsp;'/></strike>=====
+
=====<strike><interpretationCode code='&nbsp;' codeSystem='&nbsp;' codeSystemName='&nbsp;'/><br/><methodCode code='&nbsp;' codeSystem='&nbsp;' codeSystemName='&nbsp;'/><br/><targetSiteCode code='&nbsp;' codeSystem='&nbsp;' codeSystemName='&nbsp;'/></strike>=====
 
The <interpretationCode>, <methodCode>, and <targetSiteCode> should not be present in a pregnancy observation.
 
The <interpretationCode>, <methodCode>, and <targetSiteCode> should not be present in a pregnancy observation.

Latest revision as of 22:59, 3 May 2009

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 Pregnancy Observation 1.3.6.1.4.1.19376.1.5.3.1.4.13.5

A pregnancy observation is a Simple Observation that uses a specific vocabulary to record observations about a patient's pregnancy history.


Parent Template

The parent of this template is Simple Observation.

Uses

See Templates using Pregnancy Observation

Specification
Pregnancy Observation Example

<observation classCode='OBS' moodCode='EVN'>
 <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
 <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.5'/>
 <id root=' ' extension=' '/>
 <code code=' ' displayName=' ' 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=' ' .../>
 <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='1.3.6.1.4.1.19376.1.5.3.1.4.13.5'/>

These <templateId> elements identify this <observation> as a pregnancy observation, allowing for validation of the content. The <templateId> elements shall be recorded as shown above.

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

A pregnancy observation shall have a code describing what facet of patient's pregnancy history is being recorded. These codes should come from the list of codes shown below. Additional codes may be used to reflect additional information about the pregnancy history.

Pregnancy Observation Codes
LOINC CODE Description Type Units or Vocabulary
Summary over All Pregnancies
11636-8 BIRTHS LIVE (REPORTED) INT
N/A
11637-6 BIRTHS PRETERM (REPORTED)
11638-4 BIRTHS STILL LIVING (REPORTED)
11639-2 BIRTHS TERM (REPORTED)
11640-0 BIRTHS TOTAL (REPORTED)
11612-9 ABORTIONS (REPORTED)
11613-7 ABORTIONS INDUCED (REPORTED)
11614-5 ABORTIONS SPONTANEOUS (REPORTED)
33065-4 ECTOPIC PREGNANCY (REPORTED)
Detailed Pregnancy Data
11449-6 PREGNANCY STATUS CE SNOMED CT, ICD-9-CM (V22)
8678-5 MENSTRUAL STATUS SNOMED CT
8665-2 DATE LAST MENSTRUAL PERIOD TS
N/A
11778-8 DELIVERY DATE (CLINICAL ESTIMATE) TS
11779-6 DELIVERY DATE (ESTIMATED FROM LAST MENSTRUAL PERIOD)
11780-4 DELIVERY DATE (ESTIMATED FROM OVULATION DATE)
11884-4 FETUS, GESTATIONAL AGE (CLINICAL ESTIMATE) PQ d, wk or mo
11885-1 FETUS, GESTATIONAL AGE (ESTIMATED FROM LAST MENSTRUAL PERIOD)
11886-9 FETUS, GESTATIONAL AGE (ESTIMATED FROM OVULATION DATE)
11887-7 FETUS, GESTATIONAL AGE (ESTIMATED FROM SELECTED DELIVERY DATE)
45371‑2 MULTIPLE PREGNANCY
<repeatNumber value=' '/>

The <repeatNumber> element should not be present in a pregancy observation.

<value xsi:type=' ' .../>

The value of the observation shall be recording using a data type appropriate to the coded observation according to the table above.

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

The <interpretationCode>, <methodCode>, and <targetSiteCode> should not be present in a pregnancy observation.