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11073 in CDA Representing anaesthetic vital sign data in a CDA document, using the 11073 standard. Martin Hurrell Alan Nicol. Acknowledgements. In no particular order thanks to: Terri Monk (IOTA & HL7 Anesthesiology WG)) John Rhoads and Jan Wittenber (HL7 Healthcare Devices WG). - PowerPoint PPT Presentation
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11073 in CDA
Representing anaesthetic vital sign data in a CDA document, using the 11073 standard
Martin Hurrell Alan Nicol
Acknowledgements
In no particular order thanks to:
Terri Monk (IOTA & HL7 Anesthesiology WG))
John Rhoads and Jan Wittenber (HL7 Healthcare Devices WG)
Vital Signs Monitoring Setup
Connect the various probes and measurement devices to a patient so that their physiological values can be measured and recorded during an intra-operative procedure.
Scenario
A blood pressure cuff is placed on the left upper arm of the patient and connected to the patient monitors non-Invasive blood pressure module. The non-invasive blood pressure module uses a sphygmomanometric technique to measure systolic and diastolic blood pressure. Blood pressure values are typically measured in millimetres of Mercury (mmHg).
Actors
Patient: A person who is the recipient of healthcare services.Patient Monitor: an electronic medical device that measures and displays a patient's vital signs
Anaesthetic vital signs use case (Setup)
Vital Signs Monitoring Recording
The context is the measurement and storage of physiological values from a patient during a surgical procedure under anaesthesia. In the following example the values recorded are the patient’s non-invasive blood pressures.
Scenario
Monitoring starts and the first set of values of the Systolic, Mean and Diastolic blood pressures are collected after an initial interval of 5 minutes and at 5 minute intervals thereafter.
Actors
Patient: A person who is the recipient of healthcare services.Patient Monitor: an electronic medical device that measures and displays a patient's vital signs
Anaesthetic vital signs use case (Recording)
11073 Dim
Term ConceptBlood Pressure Measurement Metric
Module MDSNon-Invasive Blood Pressure ChannelPatient monitor MDS
Patient monitor/Blood
Pressure Module
11073 Dim
Term ConceptBlood Pressure Measurement Metric
Module MDSNon-Invasive Blood Pressure ChannelPatient monitor MDS
11073 Dim
Patient monitor/Blood
Pressure Module
Non-Invasive Blood Pressure
Term ConceptBlood Pressure Measurement Metric
Module MDSNon-Invasive Blood Pressure ChannelPatient monitor MDS
11073 Dim
Patient monitor/Blood
Pressure Module
Non-Invasive Blood Pressure
Blood Pressure Measurement
Term ConceptBlood Pressure Measurement Metric
Module MDSNon-Invasive Blood Pressure ChannelPatient monitor MDS
11073 to HL7 R-MIM
11073 to HL7 R-MIM
VMD (Patient Monitor)
11073 to HL7 R-MIM
VMD (Patient Monitor)
Channel (Non-Invasive Blood
Pressure)
11073 to HL7 R-MIM
VMD (Patient Monitor)
Channel (Non-Invasive Blood
Pressure)
Metric(Blood Pressure
Measurement)
11073 to CDA R-MIM
11073 to CDA R-MIM
VMD (Patient Monitor)
11073 to CDA R-MIM
VMD (Patient Monitor)
Channel (Non-Invasive Blood Pressure)
11073 to CDA R-MIM
VMD (Patient Monitor)
Channel (Non-Invasive Blood Pressure)
Metric (Blood Pressure
Measurement)
11073 to CDA Example (Recording)
<observation><entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN"><id extension="67" root="2.16.840.1.113883.6.1" assigningAuthorityName="HL7 GAS WG" displayable="true"/><code code="19229" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_PRESS_CUFF_SYS"/><entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN"><effectiveTime value="20080527074500"/><targetSiteCode code="1781" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_UPEXT_ARM_UPPER_L"/><statusCode codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="validated-data"/><value code="3872" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_DIM_MMHG" value="119"/>
</observation></entryRelationship>
</observation>
11073 to CDA Example (Recording)
<observation><entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN"><id extension="67" root="2.16.840.1.113883.6.1" assigningAuthorityName="HL7 GAS WG" displayable="true"/><code code="19229" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_PRESS_CUFF_SYS"/><entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN"><effectiveTime value="20080527074500"/><targetSiteCode code="1781" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_UPEXT_ARM_UPPER_L"/><statusCode codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="validated-data"/><value code="3872" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_DIM_MMHG" value="119"/>
</observation></entryRelationship>
</observation>
Channel (Non-Invasive Blood Pressure)
11073 to CDA Example (Recording)
<observation><entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN"><id extension="67" root="2.16.840.1.113883.6.1" assigningAuthorityName="HL7 GAS WG" displayable="true"/><code code="19229" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_PRESS_CUFF_SYS"/><entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN"><effectiveTime value="20080527074500"/><targetSiteCode code="1781" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_UPEXT_ARM_UPPER_L"/><statusCode codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="validated-data"/><value code="3872" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_DIM_MMHG" value="119"/>
</observation></entryRelationship>
</observation>
Channel (Non-Invasive Blood Pressure)
Metric (Blood Pressure
Measurement)
11073 to CDA Example (Setup)
<organizer classCode="CLUSTER" moodCode="EVN"><participant contextControlCode="OP" typeCode="DEV"><participantRole classCode="ROL"><id extension="23" root="2.16.840.1.113883.6.1" assigningAuthorityName="HL7 GAS WG" displayable="true"/><id extension="1.3.2" root="2.16.840.1.113883.7.1" assigningAuthorityName="GE Healthcare" displayable="true"/><playingDevice classCode="DEV" determinerCode="INSTANCE"><code code="4429" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_DEV_MON_PHYSIO_MULTI_PARAM_MDS"/><manufacturerModelName displayName="GE8001i"/><softwareName displayName="1.2.3"/></playingDevice></participantRole></participant>
11073 to CDA Example (Setup)
<organizer classCode="CLUSTER" moodCode="EVN"><participant contextControlCode="OP" typeCode="DEV"><participantRole classCode="ROL"><id extension="23" root="2.16.840.1.113883.6.1" assigningAuthorityName="HL7 GAS WG" displayable="true"/><id extension="1.3.2" root="2.16.840.1.113883.7.1" assigningAuthorityName="GE Healthcare" displayable="true"/><playingDevice classCode="DEV" determinerCode="INSTANCE"><code code="4429" codeSystem="1.3.6.1.4.1.19376.1.6" codeSystemName="ISO/IEEE 11073" codeSystemVersion="10201" displayName="MDC_DEV_MON_PHYSIO_MULTI_PARAM_MDS"/><manufacturerModelName displayName="GE8001i"/><softwareName displayName="1.2.3"/></playingDevice></participantRole></participant>
VMD (Patient Monitor)
