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Vital Sign

Definition:Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.12 for constraints applicable to these data elements. These entries are used to record current and relevant historical vital signs for the patient. Vital Signs are a subset of Results (see Section, but are reported in this section to follow clinical conventions. The differentiation between Vital Signs and Results varies by clinical context. Common examples of vital signs include temperature, height, weight, blood pressure, etc. However, some clinical contexts may alter these common vitals, for example in neonatology "height" may be replaced by "crown-to-rump" measurement.
CDA Data Location HITSP Data Element Identifier and Name O/R Additional Specification
See Data Element Definitions for Results in Section

Optionality Legend: “R” for Required, “R2” for Required if known, “O” for Optional and Repeat = “Y” for Yes or “N” for No

Section ID Constraint ID Definition Vital Signs Module Constraints Not Provided
C83-[DE-14-CDA-1] A CDA Document SHALL declare conformance for the Vital Signs module by including a <templateID> element with the root attribute set to the value 2.16.840.1.113883.
C83-[DE-14-CDA-2] Vital signs information elements SHALL be contained in a conforming IHE Vital Signs Organizer element that includes a <templateID> element with the root attribute set to the value Vital Sign/Result Type Constraints Not Provided
C154-[DE-14.03-1] Vital signs SHOULD be coded as specified in HITSP/C80 Section Vital Sign Result Type
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