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Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS https://s.details.loinc.org/LOINC/74028-2.html?sections=Comprehensive

 

OBX-3 TextOBX-2 DataTypeOBX-3 Observation Identifier fieldOBX-4 Observation sub-IDOBX-5 (CE)OCCURENCESVMR DATATYPE
Report template IDRP <root> 1ENTRY
History of Presenting ComplaintCWE <root>.1 0..1SECTION
Chief ComplaintCWE <root>.1.1 0..1CODEDVALUE
Date of OnsetTS <root>.1.2 0..1DATETIME
NotesFT <root>.1.3 0..1STRING
History of Past IllnessCWE <root>.2 0..1SECTION
Past Illness †- <root>.2.1.RepeatOf[CLUSTER -- Past Illness] 0..*STRUCTURAL
Past IllnessCWE <root>.2.1.RepeatOf[CLUSTER -- Past Illness].1 0..1CODEDVALUE
Temporal ContextCWE <root>.2.1.RepeatOf[CLUSTER -- Past Illness].2 0..1CODEDVALUE
Illness DatesDR <root>.2.1.RepeatOf[CLUSTER -- Past Illness].3 0..1DATERANGE
Notes on IllnessFT <root>.2.1.RepeatOf[CLUSTER -- Past Illness].4 0..1STRING
ProceduresCWE <root>.3 0..1SECTION
Procedure †- <root>.3.1.RepeatOf[CLUSTER -- Procedure] 0..*STRUCTURAL
Procedure PerformedCWE <root>.3.1.RepeatOf[CLUSTER -- Procedure].1 0..1CODEDVALUE
Notes on ProcedureFT <root>.3.1.RepeatOf[CLUSTER -- Procedure].2 0..1STRING
Family HistoryCWE <root>.4 0..1SECTION
Patients Family Tree IDST <root>.4.1 0..1STRING
Natural Father IDST <root>.4.2 0..1STRING
Natural Mother IDST <root>.4.3 0..1STRING
RelativesCWE <root>.4.4 0..1SECTION
Relative †- <root>.4.4.1.RepeatOf[CLUSTER -- Relative] 0..*STRUCTURAL
Relative NameST <root>.4.4.1.RepeatOf[CLUSTER -- Relative].1 0..1STRING
RelationshipCWE <root>.4.4.1.RepeatOf[CLUSTER -- Relative].2 0..1CODEDVALUE
Relative IDST <root>.4.4.1.RepeatOf[CLUSTER -- Relative].3 0..1STRING
Natural Father IDST <root>.4.4.1.RepeatOf[CLUSTER -- Relative].4 0..1STRING
Natural Mother IDST <root>.4.4.1.RepeatOf[CLUSTER -- Relative].5 0..1STRING
deceasedEstimatedAgeST <root>.4.4.1.RepeatOf[CLUSTER -- Relative].6 0..1REAL
LivingEstimatedAgeST <root>.4.4.1.RepeatOf[CLUSTER -- Relative].7 0..1REAL
Clinical Genomic ChoiceCWE <root>.4.4.1.RepeatOf[CLUSTER -- Relative].8.RepeatOf[CLUSTER -- Clinical Genomic Choice] 0..*COLLECTION
Clinical ObservationCWE <root>.4.4.1.RepeatOf[CLUSTER -- Relative].8.RepeatOf[CLUSTER -- Clinical Genomic Choice].1 1..1CODEDVALUE
Negation IndicatorCWE <root>.4.4.1.RepeatOf[CLUSTER -- Relative].8.RepeatOf[CLUSTER -- Clinical Genomic Choice].2 0..1BOOLEAN
Cause of DeathCWE <root>.4.4.1.RepeatOf[CLUSTER -- Relative].8.RepeatOf[CLUSTER -- Clinical Genomic Choice].3 0..1BOOLEAN
DataEstimatedAgeST <root>.4.4.1.RepeatOf[CLUSTER -- Relative].8.RepeatOf[CLUSTER -- Clinical Genomic Choice].4 0..1REAL
Genetic LociST <root>.4.4.1.RepeatOf[CLUSTER -- Relative].8.RepeatOf[CLUSTER -- Clinical Genomic Choice].5.RepeatOf[ELEMENT -- Genetic Loci] 0..*STRING
Genetic RisksCWE <root>.4.5 0..1SECTION
Pedigree Analysis Results †- <root>.4.5.1.RepeatOf[CLUSTER -- Pedigree Analysis Results] 0..*STRUCTURAL
Genetic Disease AssessedCWE <root>.4.5.1.RepeatOf[CLUSTER -- Pedigree Analysis Results].1 0..1CODEDVALUE
Input ParametersCWE <root>.4.5.1.RepeatOf[CLUSTER -- Pedigree Analysis Results].2 0..1SECTION
Genetic Algorithm UsedCWE <root>.4.5.1.RepeatOf[CLUSTER -- Pedigree Analysis Results].2.1 0..1CODEDVALUE
SensitivityNM <root>.4.5.1.RepeatOf[CLUSTER -- Pedigree Analysis Results].2.2 0..1PHYSICALQUANTITY
Probability of DiseaseST <root>.4.5.1.RepeatOf[CLUSTER -- Pedigree Analysis Results].3.RepeatOf[ELEMENT -- Probability of Disease] 0..*REAL
Pregnancy HistoryCWE <root>.5 0..1SECTION
GravidaNM <root>.5.1 0..1INTEGER
ParityNM <root>.5.2 0..1INTEGER
MiscarriagesNM <root>.5.3 0..1INTEGER
TerminationsNM <root>.5.4 0..1INTEGER
Social HistoryCWE <root>.6 0..1SECTION
Social SituationFT <root>.6.1 0..1STRING
Substance UseCWE <root>.7 0..1SECTION
Smoking HistoryCWE <root>.7.1 0..1SECTION
Tobacco use and exposureCWE <root>.7.1.1 0..1CODEDVALUE
Tobacco smoking consumptionNM <root>.7.1.2 0..1PHYSICALQUANTITY
Lifetime IntakeNM <root>.7.1.3 0..1PHYSICALQUANTITY
Date CeasedDT <root>.7.1.4 0..1DATETIME
Alcohol IntakeCWE <root>.7.2 0..1SECTION
Alcohol IntakeCWE <root>.7.2.1 0..1CODEDVALUE
Last Drank AlcoholDT <root>.7.2.2 0..1DATETIME
30 day quantity and frequencyCWE <root>.7.2.3 0..1SECTION
Number of days alcohol consumedNM <root>.7.2.3.1 0..1INTEGER
Standard drinks per day on a drinking day in last 30 daysNM <root>.7.2.3.2 0..1INTEGER
Average Daily Alcohol IntakeNM <root>.7.2.4 0..1PHYSICALQUANTITY
Maximum Daily Standard DrinksNM <root>.7.2.5 0..1PHYSICALQUANTITY
Years Alcohol ConsumedNM <root>.7.2.6 0..1PHYSICALQUANTITY
Alcohol abuse or dependence (eg DSM IV)CWE <root>.7.2.7 0..1BOOLEAN
Other substance UseCWE <root>.7.3 0..1SECTION
Drug misuse detailsCWE <root>.7.3.1.RepeatOf[ELEMENT -- Drug misuse details] 0..*CODEDVALUE
Exercise HistoryCWE <root>.8 0..1SECTION
Currently ExercisingCWE <root>.8.1 0..1CODEDVALUE
Exercise TypeCWE <root>.8.2 0..1CODEDVALUE
Time Spent ExercisingNM <root>.8.3 0..1PHYSICALQUANTITY
VitalsCWE <root>.9 0..1SECTION
Blood PressureCWE <root>.9.1.RepeatOf[CLUSTER -- Blood Pressure] 0..*COLLECTION
Systolic PressureNM <root>.9.1.RepeatOf[CLUSTER -- Blood Pressure].1 0..1PHYSICALQUANTITY
Diastolic PressureNM <root>.9.1.RepeatOf[CLUSTER -- Blood Pressure].2 0..1PHYSICALQUANTITY
Patient PositionCWE <root>.9.1.RepeatOf[CLUSTER -- Blood Pressure].3 0..1CODEDVALUE
Pulse rateNM <root>.9.2.RepeatOf[ELEMENT -- Pulse rate] 0..*PHYSICALQUANTITY
WeightNM <root>.9.3.RepeatOf[ELEMENT -- Weight] 0..*PHYSICALQUANTITY
BMINM <root>.9.4.RepeatOf[ELEMENT -- BMI] 0..*PHYSICALQUANTITY
Oxygen SaturationNM <root>.9.5.RepeatOf[ELEMENT -- Oxygen Saturation] 0..*PHYSICALQUANTITY
HeightNM <root>.9.6.RepeatOf[ELEMENT -- Height] 0..*PHYSICALQUANTITY
TemperatureNM <root>.9.7.RepeatOf[ELEMENT -- Temperature] 0..*PHYSICALQUANTITY
Respiratory rateNM <root>.9.8.RepeatOf[ELEMENT -- Respiratory rate] 0..*PHYSICALQUANTITY
AlertsCWE <root>.10 0..1SECTION
Alert - <root>.10.1.RepeatOf[CLUSTER -- Alert] 0..*STRUCTURAL
Alert TypeCWE <root>.10.1.RepeatOf[CLUSTER -- Alert].1 0..1CODEDVALUE
ActiveCWE <root>.10.1.RepeatOf[CLUSTER -- Alert].2 0..1BOOLEAN
Specific AlertCWE <root>.10.1.RepeatOf[CLUSTER -- Alert].3 0..1CODEDVALUE
Reported byCWE <root>.10.1.RepeatOf[CLUSTER -- Alert].4 0..1CODEDVALUE
Recorded dateDT <root>.10.1.RepeatOf[CLUSTER -- Alert].5 0..1DATETIME

 

Nodes marked VMR STRUCTURAL should not be written to OBX segments and are present in the table to assist with understanding the hierarchy.

 

 

 

 

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