Permalink
Branch: master
Find file Copy path
6eb07fd Jan 12, 2019
1 contributor

Users who have contributed to this file

196 lines (195 sloc) 7.69 KB
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.4.1"/>
<templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/>
<code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="Vital Signs"/>
<title>Vital Signs (Last Filed)</title>
<text>
<table>
<thead>
<tr>
<th>Date</th>
<th>Blood Pressure</th>
<th>Pulse</th>
<th>Temperature</th>
<th>Respiratory Rate</th>
<th>Height</th>
<th>Weight</th>
<th>BMI</th>
<th>SpO2</th>
</tr>
</thead>
<tbody>
<tr>
<td>05/20/2014 7:36pm</td>
<!-- You can consolidate Systolic and Diastolic in human view if desired but should retain separate references-->
<td>
<content ID="SystolicBP_1">120</content>/<content ID="DiastolicBP_1"
>80</content>mm[Hg] </td>
<td ID="Pulse_1">80 /min</td>
<td ID="Temp_1">37.2 C</td>
<td ID="RespRate_1">18 /min</td>
<td ID="Height_1">170.2 cm</td>
<td ID="Weight_1">108.8 kg</td>
<td ID="BMI_1">37.58 kg/m2</td>
<td ID="SPO2_1">98%</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<!-- When a set of vital signs are recorded together, include them in single clustered organizer-->
<organizer classCode="CLUSTER" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.26"/>
<templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01"/>
<id root="e6c800c4-4a71-41bf-80e2-e741dd1168e9"/>
<code code="46680005" displayName="Vital Signs" codeSystem="2.16.840.1.113883.6.96"
codeSystemName="SNOMED CT">
<translation code="74728-7"
displayName="Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel "
codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
</code>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<!-- Each vital sign should be its own component. Note that systolic and diastolic BP must be separate components-->
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="fdbd831b-5919-4f06-9467-76b07022f8e8"/>
<code code="8480-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="SYSTOLIC BLOOD PRESSURE"/>
<text>
<!-- This reference identifies content in human readable formatted text-->
<reference value="#SystolicBP_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<!-- Example of Value with UCUM unit. Note that metric units used in this example-->
<value xsi:type="PQ" value="120" unit="mm[Hg]"/>
<!-- Additional information of interpretation and/or reference range may be included but are optional-->
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="553f3f45-9046-4659-b3e7-5de904003550"/>
<code code="8462-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="DIASTOLIC BLOOD PRESSURE"/>
<text>
<reference value="#DiastolicBP_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<value xsi:type="PQ" value="80" unit="mm[Hg]"/>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="77bfe276-a1dd-4372-9072-e603905acc07"/>
<code code="8867-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="HEART RATE"/>
<text>
<reference value="#Pulse_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<value xsi:type="PQ" value="80" unit="/min"/>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="24faa204-db62-4610-864f-cb50b650d0fa"/>
<code code="8310-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="BODY TEMPERATURE"/>
<text>
<reference value="#Temp_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<value xsi:type="PQ" value="37.2" unit="Cel"/>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="79f25395-8ec6-488b-8c05-becc97f79995"/>
<code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="RESPIRATORY RATE"/>
<text>
<reference value="#RespRate_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<value xsi:type="PQ" value="18" unit="/min"/>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="6d3fa9f8-6049-41bd-b0c3-b0196bb6bd37"/>
<code code="8302-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="HEIGHT"/>
<text>
<reference value="#Height_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<value xsi:type="PQ" value="170.2" unit="cm"/>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="2594e631-2189-4e72-9dd1-d6769ee2a7be"/>
<code code="3141-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="WEIGHT"/>
<text>
<reference value="#Weight_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<value xsi:type="PQ" value="108.863" unit="kg"/>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="5858e765-2ffe-413f-9197-260f2c6e7aa8"/>
<code code="39156-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="BODY MASS INDEX"/>
<text>
<reference value="#BMI_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<value xsi:type="PQ" value="37.58" unit="kg/m2"/>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.27"/>
<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
<id root="4ce6046c-f6e3-41b0-91fc-2d5325f2bbc3"/>
<code code="2710-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="OXYGEN SATURATION"/>
<text>
<reference value="#SPO2_1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20140520193605-0500"/>
<value xsi:type="PQ" value="98" unit="%"/>
</observation>
</component>
</organizer>
</entry>
</section>