Martin Hurrell Alan Nicol

11073 in CDA 11073 in CDA

Representing anaesthetic vital sign data in a CDA Representing anaesthetic vital sign data in a CDA document, using the 11073 standard document, using the 11073 standard

Martin Hurrell Alan Nicol

AcknowledgementsAcknowledgements

In no particular order thanks to:In no particular order thanks to:

Terri Monk Terri Monk (IOTA & HL7 Anesthesiology WG))(IOTA & HL7 Anesthesiology WG))

John Rhoads and Jan Wittenber (HL7 Healthcare Devices 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 Anaesthetic vital signs use case (Setup)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 Anaesthetic vital signs use case (Recording)use case (Recording)

11073 Dim11073 Dim

Term Concept

Blood Pressure Measurement Metric

Module MDS

Non-Invasive Blood Pressure Channel

Patient monitor MDS

Patient monitor/Blood

Pressure Module

11073 Dim11073 Dim

Term Concept


Module MDS


Patient monitor MDS

11073 Dim11073 Dim


Pressure Module

Non-Invasive Blood Pressure

Term Concept


Module MDS


Patient monitor MDS

11073 Dim11073 Dim


Pressure Module

Non-Invasive Blood Pressure

Blood Pressure Measurement

Term Concept


Module MDS


Patient monitor MDS

11073 to HL7 R-MIM11073 to HL7 R-MIM


VMD (Patient Monitor)



Channel (Non-Invasive Blood

Pressure)



Channel (Non-Invasive Blood

Pressure)

Metric(Blood Pressure

Measurement)

11073 to CDA R-MIM11073 to CDA R-MIM





Channel (Non-Invasive Blood Pressure)




Metric (Blood Pressure

Measurement)

11073 to CDA Example 11073 to CDA Example (Recording)(Recording)

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<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>






</observation>







</observation>


Metric (Blood Pressure

Measurement)

11073 to CDA Example 11073 to CDA Example (Setup)(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 11073 to CDA Example (Setup)(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>


Martin Hurrell Alan Nicol

Documents

blood pressure values

scenarioa blood pressure

diastolic blood pressures

cda rmim11073

cda example recording11073

cda example setup11073

cda document

hl7 rmim11073