Back To Index  <<  Back To Templates

pending Template  Functional Status Observation (V2)

Id 2.16.840.1.113883.10.20.22.4.67
ref
ccda-
 		Effective Date 2014‑06‑09
Status pending Under pre-publication review Version Label 2.1
Name FunctionalStatusObservationV2 Display Name Functional Status Observation (V2)
Description
This template represents the patient's physical function (e.g., mobility status, instrumental activities of daily living, self-care status) and problems that limit function (dyspnea, dysphagia). The template may include assessment scale observations, identify supporting caregivers, and provide information about non-medicinal supplies. This template is used to represent physical or developmental function of all patient populations.
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.67
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 3 templates, Uses 4 templates
Used by as Name Version
2.16.840.1.113883.10.20.22.2.14 Containment draft Functional Status Section (V2) (2.1) 2019‑03‑16 20:25:20
2.16.840.1.113883.3.51.60.2.4.1 link draft BC CDA ClinicalDocumentDischargeSummary (V3) (2.1) 2019‑03‑19 14:15:51
2.16.840.1.113883.10.20.22.4.66 Containment pending Functional Status Organizer (V2) (2.1) 2014‑06‑09
Uses as Name Version
2.16.840.1.113883.10.20.22.4.119 Containment pending Author Participation (2.1) 2015‑08‑13
2.16.840.1.113883.10.20.22.4.50 Containment pending Non-Medicinal Supply Activity (V2) (2.1) 2014‑06‑09
2.16.840.1.113883.10.20.22.4.72 Containment pending Caregiver Characteristics (2.1) 2015‑08‑13
2.16.840.1.113883.10.20.22.4.69 Containment pending Assessment Scale Observation (2.1) 2015‑08‑13
Relationship Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.67 Functional Status Result Observation (2013‑01‑31)
ref
ccda-
Item DT Card Conf Description Label
cda:observation
(FundotsnV2)
treetree @classCode
1 … 1 F OBS CONFdots3905
  SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-13905).
treetree @moodCode
1 … 1 F EVN CONFdots3906
  SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-13906).
treetree cda:templateId
II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:1098-13889) such that it CONFdots3889
treeblank treetree @root
1 … 1 F 2.16.840.1.113883.10.20.22.4.67 CONFdots3890
  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.67" (CONF:1098-13890).
treeblank treetree @extension
1 … 1 F 2014-06-09 CONFdots2568
  SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32568).
treetree cda:id
II 1 … * SHALL contain at least one [1..*] id (CONF:1098-13907). CONFdots3907
treetree cda:code
CD 1 … 1 M SHALL contain exactly one [1..1] code (CONF:1098-13908). CONFdots3908
treeblank treetree @code
CONF 1 … 1 F 54522-8
treeblank treetree @codeSystem
1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
treetree cda:statusCode
CS 1 … 1 M SHALL contain exactly one [1..1] statusCode (CONF:1098-13929). CONFdots3929
treeblank treetree @code
CONF 1 … 1 F completed
treetree cda:effectiveTime
IVL_TS 1 … 1 SHALL contain exactly one [1..1] effectiveTime (CONF:1098-13930). CONFdots3930
treetree cda:value
1 … 1 M SHALL contain exactly one [1..1] value (CONF:1098-13932). CONFdots3932
  Schematron assert role red error  
  test not(@xsi:type='CD') or @codeSystem='2.16.840.1.113883.6.96'  
  Message If xsi:type=“CD”, *SHOULD* contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96)  
treetree cda:author
0 … * R SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-13936).
Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13) 		CONFdots3936
treeblank where [cda:templateId [@root = '2.16.840.1.113883.10.20.22.4.119']]
treetree cda:entryRelationship
0 … 1 Contains 2.16.840.1.113883.10.20.22.4.50 Non-Medicinal Supply Activity (V2) (2014‑06‑09) CONFdots3892
treeblank where [cda:supply [cda:templateId [@root = '2.16.840.1.113883.10.20.22.4.50'] [@extension = '2014-06-09']]]
treeblank treetree @typeCode
1 … 1 F REFR CONFdots4596
  SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CONF:1098-14596).
treetree cda:entryRelationship
0 … 1 Contains 2.16.840.1.113883.10.20.22.4.72 Caregiver Characteristics (2015‑08‑13) CONFdots3895
treeblank where [cda:observation [cda:templateId [@root = '2.16.840.1.113883.10.20.22.4.72']]]
treeblank treetree @typeCode
1 … 1 F REFR CONFdots4597
  SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CONF:1098-14597).
treetree cda:entryRelationship
0 … 1 Contains 2.16.840.1.113883.10.20.22.4.69 Assessment Scale Observation (2015‑08‑13) CONFdots4465
treeblank where [cda:observation [cda:templateId [@root = '2.16.840.1.113883.10.20.22.4.69']]]
treeblank treetree @typeCode
1 … 1 F COMP CONFdots4598
  SHALL contain exactly one [1..1] @typeCode="COMP" has component (CONF:1098-14598).
treetree cda:referenceRange
0 … * MAY contain zero or more [0..*] referenceRange (CONF:1098-13937).

referenceRange could be used to represent normal or expected capability for the function being evaluated. 		CONFdots3937