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Vital Signs Section

The Vital Signs section contains relevant vital signs for the context and use case of the document type, such as blood pressure, heart rate, respiratory rate, height, weight, body mass index, head circumference, and pulse oximetry. The section should include notable vital signs such as the most recent, maximum and/or minimum, baseline, or relevant trends.

Vital signs are represented in the same way as other results, but are aggregated into their own section to follow clinical conventions.

Optional Entries

[Section: templateId 2.16.840.1.113883.10.20.22.2.4]

The following constraints apply to a Vital Signs Section in which entries are not required.

  1. SHALL contain exactly one [1..1] templateId ( CONF:7268, CONF:10451 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.4"
  2. SHALL contain exactly one [1..1] code (CONF:15242)/@code="8716-3" Vital Signs (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:15243)
  3. SHALL contain exactly one [1..1] text (CONF:7270)
  4. SHOULD contain zero or more [0..*] entry (CONF:7271, CONF:7272)
    1. Contains exactly one [1..1] Vital Signs Organizer (templateId: 2.16.840.1.113883.10.20.22.4.26)
  5. SHALL contain exactly one [1..1] title (CONF:9966)

Required Entries

The following constraints apply to a Vital Signs Section in which entries are required.

  1. SHALL contain exactly one [1..1] templateId ( CONF:7273, CONF:10452 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.4.1"
  2. SHALL conform to Vital Signs Section Entries Optional template (templateId: 2.16.840.1.113883.10.20.22.2.4)
  3. SHALL contain exactly one [1..1] code (CONF:15962)/@code="8716-3" Vital Signs (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:15963)
  4. SHALL contain exactly one [1..1] text (CONF:7275)
  5. SHALL contain at least one [1..*] entry (CONF:7276, CONF:7277)
    1. Contains exactly one [1..1] Vital Signs Organizer (templateId: 2.16.840.1.113883.10.20.22.4.26)
  6. SHALL contain exactly one [1..1] title (CONF:9967)