Panel of Vital Signs (Oxygen Concentration Included)

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 12/10/2020
  • SDWG: 12/17/2020

C-CDA 2.1 Example:

  • 2.16.840.1.113883.10.20.22.2.4.1:2015-08-01
  • Vital Sign Organizer 2.16.840.1.113883.10.20.22.4.26:2015-08-01
  • 2.16.840.1.113883.10.20.22.4.119
  • Vital Sign Observation 2.16.840.1.113883.10.20.22.4.27:2014-06-09

Reference to full CDA sample:

  • Vital Signs in empty CCD

Validation location

Comments

  • This is panel of the nine common vital signs collected on an adult in metric units, with the additional inclusion of oxygen concentration as a separate observation.

Custodian

  • Matt Szczepankiewicz mszczepa@epic.com (GitHub: mjszczep)

Keywords

  • Vital Signs

Permalink

  • TBD

Links

  • TBD

 

Example: download example view on GitHub 

<section>
	<!--
		Vital signs example with oxygen concentration included.
		Note that this is almost identical to the Panel of Vital Signs in Metric Units example[1],
		with the exception that this example contains a demonstration of the Structured Docs
		Workgroup's recommendation for sending oxygen concentration. However, since this
		recommendation generates a schematron warning against CONF:1098-32934, it should be
		considered a weaker recommendation than the example it's based on, and implementers
		who are certain that receivers support some alternate means of structuring O2
		concentration (for instance, by nesting it within an entryRelationship linked to
		SpO2, akin to the approach in FHIR US Core[2]) may choose to send this differently.
		
		[1]: http://cdasearch.hl7.org/examples/view/713669406c546a843ed2b78cfd99080f87834191
		[2]: http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry
	-->
	<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>
					<th>O2 Concentration</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>
					<td ID="O2Conc_1">36%</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="Body 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="29463-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
						displayName="Body 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 (BMI) [Ratio]"/>
					<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>
			<!-- O2 concentration may be included as a Vital Sign Observation within a separate 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="07b1fa74-eb88-4331-944f-880704ca7467" />
					<!-- Per CONF:1098-32934, the code for a Vital Sign Observation SHOULD be selected
						 from ValueSet Vital Sign Result Type (urn:oid:2.16.840.1.113883.3.88.12.80.62),
						 which does NOT contain the LOINC code 3150-0 (Inhaled oxygen concentration).
						 However, because this template is the most widely supported way to send and
						 receive vitals observations, senders may still choose to send O2 concentration
						 in this way. -->
					<code code="3150-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
						displayName="Inhaled oxygen concentration" />
					<text>
						<reference value="#O2Conc_1" />
					</text>
					<statusCode code="completed" />
					<effectiveTime value="20140520193605-0500" />
					<value xsi:type="PQ" unit="%" value="36" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" />
				</observation>
			</component>
			<!-- Other components like inhaled oxygen flow rate (3151-8) may also be included similarly to the component above... -->
		</organizer>
	</entry>
</section>

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