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Id2.16.840.1.113883.3.1937.99.60.5.10.1Effective Date2014‑07‑08
StatusKyellow.png DraftVersion Label
NameVitalSignsCDAdocumentDisplay NameVital Signs Summary CDA document
Description
A minimal CDA Release 2 document, that contains only a few attributes and relationships for the ClinicalDocument class:
  • typeId: fixed
  • id: unique id of the document instance
  • code: type of document
  • effectiveTime: creation date of the document
  • confidentialityCode: confidentiality level indication for this document
  • recordTarget: the record target (e.g. patient)
  • author: author of this document
  • custodian: custodian for this document
  • component: contains (in this case) structured body
ContextPathname /
ClassificationCDA Document Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 9 templates
Uses as NameVersion
2.16.840.1.113883.3.1937.99.60.5.10.900001IncludeKgreen.png CDA typeIdDYNAMIC
2.16.840.1.113883.3.1937.99.60.5.10.900002IncludeKgreen.png CDA idDYNAMIC
2.16.840.1.113883.3.1937.99.60.5.10.900003IncludeKgreen.png CDA titleDYNAMIC
2.16.840.1.113883.3.1937.99.60.5.10.900004IncludeKgreen.png CDA effectiveTimeDYNAMIC
2.16.840.1.113883.3.1937.99.60.5.10.900005IncludeKgreen.png CDA confidentialityCodeDYNAMIC
2.16.840.1.113883.3.1937.99.60.5.10.2001IncludeKgreen.png CDA recordTargetDYNAMIC
2.16.840.1.113883.3.1937.99.60.5.10.2002IncludeKgreen.png CDA authorDYNAMIC
2.16.840.1.113883.3.1937.99.60.5.10.2003IncludeKgreen.png CDA custodianDYNAMIC
2.16.840.1.113883.3.1937.99.60.5.10.3001ContainmentKyellow.png Vital Signs Section2014‑07‑08
RelationshipSpecialization: template 2.16.840.1.113883.10.12.1 CDA ClinicalDocument (2005‑09‑07)
ref
ad1bbr-
Example
Example
<span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">ClinicalDocument</span><span class="ppsign">></span><br /><span style="display: block;">  <span style="color:green"><!-- CDA Header --><br /></span></span><span style="display: block;" class="explrendered">  <span class="ppsign"><</span><span class="ppelement">typeId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.1.3</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">POCD_HD000040</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered">  <span class="ppsign"><</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.3.1937.99.60.5.10.1</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered">  <span class="ppsign"><</span><span class="ppelement">id</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">38457384973598</span><span class="ppsign">"</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.3.1937.99.3.2.56754657.1</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered">  <span class="ppsign"><</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">51848-0</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">LOINC</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Assessment note</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered">  <span class="ppsign"><</span><span class="ppelement">effectiveTime</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">20140708123456</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered">  <span class="ppsign"><</span><span class="ppelement">confidentialityCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">N</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.5.25</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered">  <span class="ppsign"><</span><span class="ppelement">recordTarget</span><span class="ppsign">></span><br /><span style="display: block;">    <span style="color:green"><!-- .. --><br /></span></span>  <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">recordTarget</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered">  <span class="ppsign"><</span><span class="ppelement">author</span><span class="ppsign">></span><br /><span style="display: block;">    <span style="color:green"><!-- .. --><br /></span></span>  <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">author</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered">  <span class="ppsign"><</span><span class="ppelement">custodian</span><span class="ppsign">></span><br /><span style="display: block;">    <span style="color:green"><!-- .. --><br /></span></span>  <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">custodian</span><span class="ppsign">></span></span><span style="display: block;">  <span style="color:green"><!-- CDA Body --><br /></span></span><span style="display: block;" class="explrendered">  <span class="ppsign"><</span><span class="ppelement">component</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered">    <span class="ppsign"><</span><span class="ppelement">structuredBody</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered">      <span class="ppsign"><</span><span class="ppelement">component</span><span class="ppsign">></span><br /><span style="display: block;">        <span style="color:green"><!-- .. --><br /></span></span>      <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span></span>    <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">structuredBody</span><span class="ppsign">></span></span>  <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">component</span><span class="ppsign">></span></span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">ClinicalDocument</span><span class="ppsign">></span></span>
ItemDTCardConfDescriptionLabel
<strong>hl7:ClinicalDocument<br /></strong>
(Vit...ent)
Included from 2.16.840.1.113883.3.1937.99.60.5.10.900001 CDA typeId (DYNAMIC)
Treetree.png
<strong>hl7:typeId<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_II" alt="II">II</a>1 … 1MCDAtypeId
Treeblank.pngTreetree.png
<strong>@extension<br /></strong>
1 … 1FPOCD_HD000040
Treeblank.pngTreetree.png
<strong>@root<br /></strong>
1 … 1F2.16.840.1.113883.1.3
Treetree.png
<strong>hl7:templateId<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_II" alt="II">II</a>1 … 1MCDA document template id for this kind of document(Vit...ent)
Treeblank.pngTreetree.png
<strong>@root<br /></strong>
1 … 1F2.16.840.1.113883.3.1937.99.60.5.10.1
 Example
<span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.3.1937.99.60.5.10.1</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span>
Included from 2.16.840.1.113883.3.1937.99.60.5.10.900002 CDA id (DYNAMIC)
Treetree.png
<strong>hl7:id<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_II" alt="II">II</a>1 … 1M(Vit...ent)
Treetree.png
<strong>hl7:code<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_CE" alt="CE">CE</a>1 … 1M(Vit...ent)
Treeblank.pngTreetree.png
<strong>@code<br /></strong>
CONF1 … 1F51848-0
Treeblank.pngTreetree.png
<strong>@codeSystem<br /></strong>
1 … 1F2.16.840.1.113883.6.1 (LOINC)
Included0 … 1 from 2.16.840.1.113883.3.1937.99.60.5.10.900003 CDA title (DYNAMIC)
 Example
<span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">title</span><span class="ppsign">></span><span class="pptext">Assessment Note as of 8 July 2014</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">title</span><span class="ppsign">></span></span>
Treetree.png
<strong>hl7:title<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_ST" alt="ST">ST</a>0 … 1(Vit...ent)
Included from 2.16.840.1.113883.3.1937.99.60.5.10.900004 CDA effectiveTime (DYNAMIC)
Treetree.png
<strong>hl7:effectiveTime<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_TS.​DATE​TIME.​MIN" alt="TS.​DATE​TIME.​MIN">TS.​DATE​TIME.​MIN</a>1 … 1M(Vit...ent)
Included from 2.16.840.1.113883.3.1937.99.60.5.10.900005 CDA confidentialityCode (DYNAMIC)
Treetree.png
<strong>hl7:confidentialityCode<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_CE" alt="CE">CE</a>1 … 1M(Vit...ent)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 x_BasicConfidentialityKind (DYNAMIC)
Included from 2.16.840.1.113883.3.1937.99.60.5.10.2001 CDA recordTarget (DYNAMIC)
Treetree.png
<strong>hl7:recordTarget<br /></strong>
(Vit...ent)
 
Target.png
demo5-data​element-10Kyellow.png Person Kyellow.png Demo 5 dataset
Treeblank.pngTreetree.png
<strong>@typeCode<br /></strong>
0 … 1FRCT
Treeblank.pngTreetree.png
<strong>@context​Control​Code<br /></strong>
0 … 1FOP
Treeblank.pngTreetree.png
<strong>hl7:patientRole<br /></strong>
1 … 1(Vit...ent)
Treeblank.pngTreeblank.pngTreetree.png
<strong>@classCode<br /></strong>
0 … 1FPAT
Included1 … 1R from 2.16.840.1.113883.3.1937.99.60.5.10.900207 Burgerservicenummer (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.png
<strong>hl7:id<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_II.NL.BSN" alt="II.NL.BSN">II.NL.BSN</a>1 … 1R(Vit...ent)
 
Target.png
demo5-data​element-110Kyellow.png National Patient Identifier Kyellow.png Demo 5 dataset
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>@root<br /></strong>
1 … 1F2.16.840.1.113883.2.4.6.3
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>@extension<br /></strong>
1 … 1RNational Patient Identifier (Burgerservicenummer)
Treeblank.pngTreeblank.pngTreetree.png
<strong>hl7:patient<br /></strong>
1 … 1R(Vit...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>@classCode<br /></strong>
0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>@determiner​Code<br /></strong>
0 … 1FINSTANCE
 Example
<span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">patient</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">PSN</span><span class="ppsign">"</span> <span class="ppattribute">determinerCode</span><span class="ppsign">="</span><span class="ppcontent">INSTANCE</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered">  <span class="ppsign"><</span><span class="ppelement">name</span><span class="ppsign">></span><br /><span style="display: block;">    <span style="color:green"><!-- ... --><br /></span></span>  <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">name</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered">  <span class="ppsign"><</span><span class="ppelement">administrativeGenderCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">M</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.5.1</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered">  <span class="ppsign"><</span><span class="ppelement">birthTime</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">19620219</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">patient</span><span class="ppsign">></span></span>
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:name<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_PN" alt="PN">PN</a>1 … *R(Vit...ent)
 
Target.png
demo5-data​element-100Kyellow.png Name Kyellow.png Demo 5 dataset
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:administrative​Gender​Code<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_CE" alt="CE">CE</a>1 … 1R(Vit...ent)
 
Target.png
demo5-data​element-130Kyellow.png Gender Kyellow.png Demo 5 dataset
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:birthTime<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_TS" alt="TS">TS</a>1 … 1R(Vit...ent)
 
Target.png
demo5-data​element-120Kyellow.png Date of birth Kyellow.png Demo 5 dataset
Included from 2.16.840.1.113883.3.1937.99.60.5.10.2002 CDA author (DYNAMIC)
Treetree.png
<strong>hl7:author<br /></strong>
1 … *M(Vit...ent)
Treeblank.pngTreetree.png
<strong>@typeCode<br /></strong>
0 … 1FAUT
Treeblank.pngTreetree.png
<strong>hl7:time<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_TS.​DATE.​MIN" alt="TS.​DATE.​MIN">TS.​DATE.​MIN</a>1 … 1M(Vit...ent)
Treeblank.pngTreetree.png
<strong>hl7:assignedAuthor<br /></strong>
1 … 1M(Vit...ent)
Treeblank.pngTreeblank.pngTreetree.png
<strong>@classCode<br /></strong>
0 … 1FASSIGNED
Treeblank.pngTreeblank.pngTreetree.png
<strong>hl7:id<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_II" alt="II">II</a>1 … 1R(Vit...ent)
Treeblank.pngTreeblank.pngTreetree.png
<strong>hl7:assigned​Person<br /></strong>
0 … 1(Vit...ent)
Included from 2.16.840.1.113883.3.1937.99.60.5.10.900200 CDA Person Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>@classCode<br /></strong>
0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>@determiner​Code<br /></strong>
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:name<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_PN" alt="PN">PN</a>1 … 1M(Vit...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:family<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_ST" alt="ST">ST</a>1 … 1M(Vit...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:given<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_ST" alt="ST">ST</a>1 … 1M(Vit...ent)
Treeblank.pngTreeblank.pngTreetree.png
<strong>hl7:represented​Organization<br /></strong>
0 … 1(Vit...ent)
Included from 2.16.840.1.113883.3.1937.99.60.5.10.900201 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>@classCode<br /></strong>
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>@determiner​Code<br /></strong>
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:id<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_II" alt="II">II</a>0 … *(Vit...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:name<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_ON" alt="ON">ON</a>1 … 1M(Vit...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:telecom<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_TEL" alt="TEL">TEL</a>0 … *(Vit...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:addr<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_AD" alt="AD">AD</a>0 … 1(Vit...ent)
Included from 2.16.840.1.113883.3.1937.99.60.5.10.2003 CDA custodian (DYNAMIC)
Treetree.png
<strong>hl7:custodian<br /></strong>
1 … 1M(Vit...ent)
Treeblank.pngTreetree.png
<strong>@typeCode<br /></strong>
0 … 1FCST
Treeblank.pngTreetree.png
<strong>hl7:assignedCustodian<br /></strong>
1 … 1M(Vit...ent)
Treeblank.pngTreeblank.pngTreetree.png
<strong>@classCode<br /></strong>
0 … 1FASSIGNED
Treeblank.pngTreeblank.pngTreetree.png
<strong>hl7:represented​Custodian​Organization<br /></strong>
0 … 1(Vit...ent)
Included from 2.16.840.1.113883.3.1937.99.60.5.10.900201 CDA Organization Elements (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>@classCode<br /></strong>
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>@determiner​Code<br /></strong>
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:id<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_II" alt="II">II</a>0 … *(Vit...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:name<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_ON" alt="ON">ON</a>1 … 1M(Vit...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:telecom<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_TEL" alt="TEL">TEL</a>0 … *(Vit...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>hl7:addr<br /></strong>
<a href="https://art-decor.org/mediawiki/index.php?title=DTr1_AD" alt="AD">AD</a>0 … 1(Vit...ent)
Treetree.png
<strong>hl7:component<br /></strong>
(Vit...ent)
Treeblank.pngTreetree.png
<strong>@typeCode<br /></strong>
0 … 1FCOMP
Treeblank.pngTreetree.png
<strong>@context​Conduction​Ind<br /></strong>
0 … 1Ftrue
Treeblank.pngTreetree.png
<strong>hl7:structuredBody<br /></strong>
(Vit...ent)
Treeblank.pngTreeblank.pngTreetree.png
<strong>@classCode<br /></strong>
0 … 1FDOCBODY
Treeblank.pngTreeblank.pngTreetree.png
<strong>@moodCode<br /></strong>
0 … 1FEVN
Treeblank.pngTreeblank.pngTreetree.png
<strong>hl7:component<br /></strong>
1 … 1MContains 2.16.840.1.113883.3.1937.99.60.5.10.3001 Vital Signs Section (2014‑07‑08)(Vit...ent)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>@typeCode<br /></strong>
0 … 1FCOMP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png
<strong>@context​Conduction​Ind<br /></strong>
0 … 1Ftrue