11073 in CDA Representing anaesthetic vital sign data in a CDA document, using the 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 patients 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 TermConcept Blood Pressure MeasurementMetric ModuleMDS Non-Invasive Blood Pressure Channel Patient monitorMDS

Patient monitor/Blood Pressure Module Dim TermConcept Blood Pressure MeasurementMetric ModuleMDS Non-Invasive Blood Pressure Channel Patient monitorMDS

11073 Dim Patient monitor/Blood Pressure Module Non-Invasive Blood Pressure TermConcept Blood Pressure MeasurementMetric ModuleMDS Non-Invasive Blood Pressure Channel Patient monitorMDS

11073 Dim Patient monitor/Blood Pressure Module Non-Invasive Blood Pressure Blood Pressure Measurement TermConcept Blood Pressure MeasurementMetric ModuleMDS Non-Invasive Blood Pressure Channel Patient monitorMDS

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

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)

11073 to CDA Example (Recording) Channel (Non-Invasive Blood Pressure)

11073 to CDA Example (Recording) Channel (Non-Invasive Blood Pressure) Metric (Blood Pressure Measurement)

11073 to CDA Example (Setup)

11073 to CDA Example (Setup) VMD (Patient Monitor)