2.16.840.1.113883.3.1937.99.60.5.10.1/static-2014-07-08T000000

Id	2.16.840.1.113883.3.1937.99.60.5.10.1	Effective Date	2014‑07‑08
Status	Draft	Version Label
Name	VitalSignsCDAdocument	Display Name	Vital 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
Context	Pathname /
Classification	CDA Document Level Template
Open/Closed	Open (other than defined elements are allowed)
Uses	Uses 9 templates Uses as Name Version 2.16.840.1.113883.3.1937.99.60.5.10.900001 Include CDA typeId DYNAMIC 2.16.840.1.113883.3.1937.99.60.5.10.900002 Include CDA id DYNAMIC 2.16.840.1.113883.3.1937.99.60.5.10.900003 Include CDA title DYNAMIC 2.16.840.1.113883.3.1937.99.60.5.10.900004 Include CDA effectiveTime DYNAMIC 2.16.840.1.113883.3.1937.99.60.5.10.900005 Include CDA confidentialityCode DYNAMIC 2.16.840.1.113883.3.1937.99.60.5.10.2001 Include CDA recordTarget DYNAMIC 2.16.840.1.113883.3.1937.99.60.5.10.2002 Include CDA author DYNAMIC 2.16.840.1.113883.3.1937.99.60.5.10.2003 Include CDA custodian DYNAMIC 2.16.840.1.113883.3.1937.99.60.5.10.3001 Containment Vital Signs Section 2014‑07‑08
Relationship	Specialization: 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>
Item DT Card Conf Description Label <strong>hl7:ClinicalDocument<br /></strong> (Vit...ent) Included from 2.16.840.1.113883.3.1937.99.60.5.10.900001 CDA typeId (DYNAMIC) <strong>hl7:typeId<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_II" alt="II">II</a> 1 … 1 M CDAtypeId <strong>@extension<br /></strong> 1 … 1 F POCD_HD000040 <strong>@root<br /></strong> 1 … 1 F 2.16.840.1.113883.1.3 <strong>hl7:templateId<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_II" alt="II">II</a> 1 … 1 M CDA document template id for this kind of document (Vit...ent) <strong>@root<br /></strong> 1 … 1 F 2.16.840.1.113883.3.1937.99.60.5.10.1   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) <strong>hl7:id<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_II" alt="II">II</a> 1 … 1 M (Vit...ent) <strong>hl7:code<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_CE" alt="CE">CE</a> 1 … 1 M (Vit...ent) <strong>@code<br /></strong> CONF 1 … 1 F 51848-0 <strong>@codeSystem<br /></strong> 1 … 1 F 2.16.840.1.113883.6.1 (LOINC) Included 0 … 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> <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) <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 … 1 M (Vit...ent) Included from 2.16.840.1.113883.3.1937.99.60.5.10.900005 CDA confidentialityCode (DYNAMIC) <strong>hl7:confidentialityCode<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_CE" alt="CE">CE</a> 1 … 1 M (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) <strong>hl7:recordTarget<br /></strong> (Vit...ent)   demo5-data​element-10  Person  Demo 5 dataset <strong>@typeCode<br /></strong> 0 … 1 F RCT <strong>@context​Control​Code<br /></strong> 0 … 1 F OP <strong>hl7:patientRole<br /></strong> 1 … 1 (Vit...ent) <strong>@classCode<br /></strong> 0 … 1 F PAT Included 1 … 1 R from 2.16.840.1.113883.3.1937.99.60.5.10.900207 Burgerservicenummer (DYNAMIC) <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 … 1 R (Vit...ent)   demo5-data​element-110  National Patient Identifier  Demo 5 dataset <strong>@root<br /></strong> 1 … 1 F 2.16.840.1.113883.2.4.6.3 <strong>@extension<br /></strong> 1 … 1 R National Patient Identifier (Burgerservicenummer) <strong>hl7:patient<br /></strong> 1 … 1 R (Vit...ent) <strong>@classCode<br /></strong> 0 … 1 F PSN <strong>@determiner​Code<br /></strong> 0 … 1 F INSTANCE   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> <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)   demo5-data​element-100  Name  Demo 5 dataset <strong>hl7:administrative​Gender​Code<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_CE" alt="CE">CE</a> 1 … 1 R (Vit...ent)   demo5-data​element-130  Gender  Demo 5 dataset   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC) <strong>hl7:birthTime<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_TS" alt="TS">TS</a> 1 … 1 R (Vit...ent)   demo5-data​element-120  Date of birth  Demo 5 dataset Included from 2.16.840.1.113883.3.1937.99.60.5.10.2002 CDA author (DYNAMIC) <strong>hl7:author<br /></strong> 1 … * M (Vit...ent) <strong>@typeCode<br /></strong> 0 … 1 F AUT <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 … 1 M (Vit...ent) <strong>hl7:assignedAuthor<br /></strong> 1 … 1 M (Vit...ent) <strong>@classCode<br /></strong> 0 … 1 F ASSIGNED <strong>hl7:id<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_II" alt="II">II</a> 1 … 1 R (Vit...ent) <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) <strong>@classCode<br /></strong> 0 … 1 F PSN <strong>@determiner​Code<br /></strong> 0 … 1 F INSTANCE <strong>hl7:name<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_PN" alt="PN">PN</a> 1 … 1 M (Vit...ent) <strong>hl7:family<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_ST" alt="ST">ST</a> 1 … 1 M (Vit...ent) <strong>hl7:given<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_ST" alt="ST">ST</a> 1 … 1 M (Vit...ent) <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) <strong>@classCode<br /></strong> 0 … 1 F ORG <strong>@determiner​Code<br /></strong> 0 … 1 F INSTANCE <strong>hl7:id<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_II" alt="II">II</a> 0 … * (Vit...ent) <strong>hl7:name<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_ON" alt="ON">ON</a> 1 … 1 M (Vit...ent) <strong>hl7:telecom<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_TEL" alt="TEL">TEL</a> 0 … * (Vit...ent) <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) <strong>hl7:custodian<br /></strong> 1 … 1 M (Vit...ent) <strong>@typeCode<br /></strong> 0 … 1 F CST <strong>hl7:assignedCustodian<br /></strong> 1 … 1 M (Vit...ent) <strong>@classCode<br /></strong> 0 … 1 F ASSIGNED <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) <strong>@classCode<br /></strong> 0 … 1 F ORG <strong>@determiner​Code<br /></strong> 0 … 1 F INSTANCE <strong>hl7:id<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_II" alt="II">II</a> 0 … * (Vit...ent) <strong>hl7:name<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_ON" alt="ON">ON</a> 1 … 1 M (Vit...ent) <strong>hl7:telecom<br /></strong> <a href="https://art-decor.org/mediawiki/index.php?title=DTr1_TEL" alt="TEL">TEL</a> 0 … * (Vit...ent) <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) <strong>hl7:component<br /></strong> (Vit...ent) <strong>@typeCode<br /></strong> 0 … 1 F COMP <strong>@context​Conduction​Ind<br /></strong> 0 … 1 F true <strong>hl7:structuredBody<br /></strong> (Vit...ent) <strong>@classCode<br /></strong> 0 … 1 F DOCBODY <strong>@moodCode<br /></strong> 0 … 1 F EVN <strong>hl7:component<br /></strong> 1 … 1 M Contains 2.16.840.1.113883.3.1937.99.60.5.10.3001 Vital Signs Section (2014‑07‑08) (Vit...ent) <strong>@typeCode<br /></strong> 0 … 1 F COMP <strong>@context​Conduction​Ind<br /></strong> 0 … 1 F true