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draft Template  Pregnancy Observation

Id 1.3.6.1.4.1.19376.1.5.3.1.4.13.5 Effective Date 2013‑12‑20
Status draft Draft Version Label
Name EntryPregnancyObservation Display Name Pregnancy Observation
Description

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

The parent of this template is Simple Observation . This template is compatible with the ASTM/HL7 Continuity of Care Document template: 2.16.840.1.113883.10.20.1.33

Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.13.5
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 1 concept
Id Name Data Set
epsos-dataelement-116 draft Expected date of delivery draft epSOS Data Set
Used by / Uses
Used by 0 transactions and 4 templates, Uses 0 templates
Used by as Name Version
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4 Containment draft Section Pregnancy History 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 link draft epSOS-Patient Summary 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.4 link draft epSOS-Health Care Encounter Report 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.5 link draft epSOS-Medication Related Overview 2013‑12‑20
Relationship Specialization: template 2.16.840.1.113883.10.20.1.33 (DYNAMIC)
Example
Example
<observation typeCode="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="11778-8" codeSystem="2.16.840.1.113883.6.1" displayName="Delivery date estimated (clinical)" codeSystemName="LOINC"/>  <text>
    <reference value="#xxx"/>  </text>  <statusCode code="completed"/>  <effectiveTime value="20150819"/>  <value xsi:type="TS" value="20160414"/></observation>
notice There are open issues with this item:
Item DT Card Conf Description Label
hl7:observation
 R (Entdotsion)
hl7:templateId
 II.EPSOS 1 … 1 R (Entdotsion)
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.13
hl7:templateId
 II.EPSOS 1 … 1 R (Entdotsion)
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.13.5
hl7:id
 II 1 … * R Each observation shall have an identifier.
 (Entdotsion)
hl7:code
 CD (extensible) 1 … 1 M

A pregnancy observation shall have a code describing what facet of patient's pregnancy history is being recorded. These codes should come from the value set listed above, namely epSOSPregnancyInformation, OID 1.3.6.1.4.1.12559.11.10.1.3.1.42.9.

Code

Description

Data Type

11778-8

Delivery date estimated (clinical)

TS

11779-6

Delivery date estimated from last menstrual period

11780-4

Delivery date estimated from ovulation

(Entdotsion)
 
target
epsos-dataelement-116 draft Expected date of delivery draft epSOS Data Set
  CONF
The value of @code should be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.9 epSOSPregnancyInformation (DYNAMIC)
hl7:statusCode
 CS 1 … 1 R (Entdotsion)
@code
 CONF 0 … 1 F completed
hl7:effectiveTime
 IVL_TS 1 … 1 R The <effectiveTime> element shall be present in standalone observations (those observations not appearing in an organizer that contains an effective time of its own), and shall record the clinically effective time of the observation. This element should be precise to the day. If the date and time is unknown, this element should record that using the nullFlavor attribute. It shall be recorded using the appropriate data type, which means that it may denote a single point in time or an interval containing a <low> and <high> element
 (Entdotsion)
hl7:repeatNumber
 NP

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

(Entdotsion)
hl7:value
 TS 1 … 1 R

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

(Entdotsion)
 
target
epsos-dataelement-116 draft Expected date of delivery draft epSOS Data Set
hl7:interpretationCode
 NP

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

(Entdotsion)
hl7:methodCode
 NP

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

(Entdotsion)
hl7:targetSiteCode
 NP

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

(Entdotsion)