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draft Template  Vital Signs Organizer

Template 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 - EntryVitalSignsOrganizer
Id 1.3.6.1.4.1.19376.1.5.3.1.4.13.1
Version valid from 2013‑12‑20 status draft Under develeopment
Classification CDA Entry Level Template
Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.13.1
Open/Closed Open (other than defined elements are allowed)
Description

A vital signs organizer collects vital signs observations.

Used by / Uses
Used by / Uses 5 templates
Used by Template id as Name Version
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 Containment SectionCodedVitalSigns Section Coded Vital Signs 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 link epSOS-PS epSOS-Patient Summary 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.4 link epSOS-HCER epSOS-Health Care Encounter Report 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.5 link epSOS-MRO epSOS-Medication Related Overview 2013‑12‑20
Uses Template id as Name Version
1.3.6.1.4.1.19376.1.5.3.1.4.13.2 Containment EntryVitalSignsObservation DYNAMIC
Item DT Card Conf Description Label
hl7:organizer
1 .. 1 M

The vital signs organizer is a cluster of vital signs observations.

(EntryVitalSignsOrganizer)
  Example <organizer classCode="CLUSTER" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.20.1.32"/>
  <templateId root="2.16.840.1.113883.10.20.1.35"/>
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.1"/>
  <id root="" extension=""/>
  <code code="46680005" displayName="Vital signs" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
  <statusCode code="completed"/>
  <effectiveTime value=""/>
  <!-- one or more vital signs observations -->
  <component typeCode="COMP">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.2"/>
      <!-- ... -->
    </observation>  </component></organizer>
treetree hl7:templateId
II.EPSOS 1 .. 1 M (EntryVitalSignsOrganizer)
treeblank treetree @root
1 .. 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.13.1
treetree hl7:templateId
II.EPSOS 1 .. 1 M (EntryVitalSignsOrganizer)
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.1.32
treetree hl7:templateId
II.EPSOS 1 .. 1 M (EntryVitalSignsOrganizer)
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.1.35
treetree hl7:id
II.EPSOS 1 .. 1 M

The organizer shall have an <id> element.

(EntryVitalSignsOrganizer)
treetree hl7:code
CD 1 .. 1 M

The <code> element shall be recorded as shown above to indicate that this organizer captures information about patient vital signs.

(EntryVitalSignsOrganizer)
treeblank treetree @code
1 .. 1 F 46680005
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.96 (SNOMED-CT)
treeblank treetree @displayName
1 .. 1 F Vital signs
treetree hl7:statusCode
CD 1 .. 1 M

The observations have all been completed.

(EntryVitalSignsOrganizer)
treeblank treetree @code
1 .. 1 F completed
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.5.14 (ActStatus)
treetree hl7:effectiveTime
IVL_TS 1 .. 1 M

The effective time element shall be present to indicate when the measurement was taken.

(EntryVitalSignsOrganizer)
treetree hl7:component
where
[hl7:observation [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.13' and hl7:templateId/@root='2.16.840.1.113883.10.20.1.31' and hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.13.2']]
1 .. * M

The organizer shall have one or more <component> elements that are <observation> elements using the Vital Signs Observation template.

(EntryVitalSignsOrganizer)
  Contains 1.3.6.1.4.1.19376.1.5.3.1.4.13.2 Vital Signs Observation (DYNAMIC)