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pending Template  Vital Sign Observation

Template 2.16.840.1.113883.10.20.22.4.27 - VitalSignObservation
Id 2.16.840.1.113883.10.20.22.4.27
Version valid from 2013‑01‑31 status pending Under pre-publication review
Classification CDA Entry Level Template
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.27
Open/Closed Open (other than defined elements are allowed)
Description Vital signs are represented as are other results, with additional vocabulary constraints.
Used by / Uses
Used by / Uses 8 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.4.26 Containment VitalSignsOrganizer Vital Signs Organizer 2013‑01‑31
2.16.840.1.113883.10.20.22.2.4 link VitalSignsSectionentriesoptional Vital Signs Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.2 link ContinuityofCareDocumentCCD Continuity of Care Document (CCD) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.3 link HistoryandPhysical History and Physical 2013‑01‑31
2.16.840.1.113883.10.20.22.1.4 link ConsultationNote Consultation Note 2013‑01‑31
2.16.840.1.113883.10.20.22.1.8 link DischargeSummary Discharge Summary 2013‑01‑31
2.16.840.1.113883.10.20.22.1.9 link ProgressNote Progress Note 2013‑01‑31
2.16.840.1.113883.10.20.22.2.4.1 link VitalSignsSectionentriesrequired Vital Signs Section (entries required) 2013‑01‑31
Item DT Card Conf Description Label
cda:observation
(VitalSignObservation)
treetree @classCode
1 .. 1 F OBS
treetree @moodCode
1 .. 1 F EVN
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:7299) such that it conf‑7299
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.27
treetree cda:id
1 .. * M SHALL contain at least one [1..*] id (CONF:7300). conf‑7300
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Vital Sign Result 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301). conf‑7301
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.80.62 Vital Sign Result (DYNAMIC)
treetree cda:text
0 .. 1 R SHOULD contain zero or one [0..1] text (CONF:7302). conf‑7302
treeblank treetree cda:reference
0 .. 1 R The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15943).

This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)
conf‑15943
treeblank treeblank treetree @value
0 .. 1  
  Schematron assert role red error
  test count(cda:text/cda:reference[@value])=0 or starts-with(cda:text/cda:reference/@value, '#')
  Message This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)
treetree cda:statusCode
1 .. 1 M SHALL contain exactly one [1..1] statusCode (CONF:7303). conf‑7303
treeblank treetree @code
1 .. 1 F completed
treetree cda:effectiveTime
1 .. 1 M SHALL contain exactly one [1..1] effectiveTime (CONF:7304). conf‑7304
treetree cda:value
PQ 1 .. 1 M SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305). conf‑7305
treetree cda:interpretationCode
0 .. 1 MAY contain zero or one [0..1] interpretationCode (CONF:7307). conf‑7307
treetree cda:methodCode
CE 0 .. 1 MAY contain zero or one [0..1] methodCode (CONF:7308). conf‑7308
treetree cda:targetSiteCode
CD 0 .. 1 MAY contain zero or one [0..1] targetSiteCode (CONF:7309). conf‑7309
treetree cda:author
0 .. 1 MAY contain zero or one [0..1] author (CONF:7310). conf‑7310