| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | obs id(+) | 0;1 | FREE TEXT | This is a Globally Unique IDentifier (GUID) for this entry. This is maintained nationally so it is the same throughout the enterprise. A sample OBS ID could be "{69DBD11E-9A8C-4ECE-AFA4-73947218807D}". | ||
| .02 | parent id | 0;2 | POINTER | 704.117 | This identifies the parent observation in the case of a complex observation. | |
| .03 | facility id(+) | 0;3 | POINTER | 4.2 | This identifies the domain (file #4.2) relevant to this observation (#.01). | |
| .04 | hospital location id | 0;4 | POINTER | 44 | This identifies the hospital location (file #44) relevant to this observation (#.01). | |
| .05 | observed date time(+) | 0;5 | DATE-TIME | This is the date/time this observation (#.01) took place. | ||
| .06 | observed by id | 0;6 | POINTER | 200 | This identifies the person (file #200) that made this observation. | |
| .07 | term id(+) | 0;7 | POINTER | 704.101 | This identifies the type of observation. This "type" is an entry in the TERM File (#704.101). A sample TERM ID here could reference the term "SYSTOLIC PRESSURE". | |
| .08 | patient id(+) | 0;8 | POINTER | 2 | This identifies the PATIENT (file #2) for whom this observation (#.01) was taken. | |
| .09 | status(+) | 0;9 | SET OF CODES | 0:Unverified 1:Verified 2:Archived 3:Purged 4:Corrected 5:Removed | This field indicates the current status of this observation (#.01). | |
| .1 | svalue | .1;1 | FREE TEXT | This field represents the value of the observation (#.01). A sample SVALUE could be "122/55". | ||
| .21 | source | .2;1 | FREE TEXT | This field is the source of the SVALUE (#.1). A sample SOURCE could be "instrument" or "CP Flowsheets". | ||
| .22 | source comments | .2;2 | FREE TEXT | This is any comment type information generated by the source about this observation (#.01). A sample SOURCE COMMENTS could be "Routine MDZCLIO Tag BUILD". | ||
| .23 | source data item id | .2;3 | FREE TEXT | This field contains source (#.21) generated information for later tagging. A sample SOURCE DATA ITEM ID could be "CPFLOWSHEETS.EXE:C13A6427". | ||
| .24 | source version | .2;4 | FREE TEXT | This is the version of the source (#.21) that generated this observation (#.01). A sample SOURCE VERSION could be " 1.0". | ||
| .25 | entered date time(+) | .2;5 | DATE-TIME | This is the date and time this entry was placed into this observation file. | ||
| .26 | entered by id | .2;6 | POINTER | 200 | This identifies the person (file #200) who entered the data for this observation (#.01). | |
| .27 | child order | .2;7 | NUMERIC | This is the order that this observation is placed into its parent observation (#.02). | ||
| .28 | range | .2;8 | SET OF CODES | 0:Unknown 1:Normal 2:Out Of Bounds Low 3:Out Of Bounds High 4:Low 5:High | This indicates the condition of the observation value (#.1). | |
| .4 | comment | .4;1 | FREE TEXT | This is free-text for additional clinical COMMENT. A sample COMMENT could be "test O2 saturation". | ||
| .911 | audit exists | COMPUTED | This indicates whether or not any record exist in the audit log for this observation. | |||
| .912 | correction for id | COMPUTED | This identifies the record this observation was entered to correct. |