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retired Template  Functional Status Problem Observation (DEPRECATED)

Id 2.16.840.1.113883.10.20.22.4.68
ref
ccda-
Effective Date 2014‑06‑09
Status retired Retired Version Label 2.1
Name FunctionalStatusProblemObservationDEPRECATED Display Name Functional Status Problem Observation (DEPRECATED)
Description
A functional status problem observation is a clinical statement that represents a patient’s functional perfomance and ability. THIS TEMPLATE HAS BEEN DEPRECATED IN C-CDA R2 AND MAY BE DELETED FROM A FUTURE RELEASE OF THIS IMPLEMENTATION GUIDE. USE OF THIS TEMPLATE IS NOT RECOMMENDED. *Reason for deprecation*: Functional Status Problem Observation has been merged, without loss of expressivity, into Functional Status Observation (2.16.840.1.113883.10.20.22.4.67:2014-06-09).
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.68
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 2 templates, Uses 0 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
Relationship Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
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ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.68 Functional Status Problem Observation (2013‑01‑31)
ref
ccda-
Item DT Card Conf Description Label
cda:observation
(FundotsTED)
treetree @classCode
1 … 1 F OBS CONFdots4282
  SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-14282).
treetree @moodCode
1 … 1 F EVN CONFdots4283
  SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-14283).
treetree @negationInd
0 … 1   MAY contain zero or one [0..1] @negationInd (CONF:1098-14307). CONFdots4307
treetree cda:templateId
II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:1098-14312) such that it CONFdots4312
treeblank treetree @root
1 … 1 F 2.16.840.1.113883.10.20.22.4.68 CONFdots4313
  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.68" (CONF:1098-14313).
treeblank treetree @extension
1 … 1 F 2014-06-09 CONFdots2601
  SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32601).
treetree cda:id
II 1 … * SHALL contain at least one [1..*] id (CONF:1098-14284). CONFdots4284
treetree cda:code
CD 1 … 1 M SHALL contain exactly one [1..1] code (CONF:1098-14314). CONFdots4314
treeblank treetree @code
CONF 1 … 1 F 248536006
treeblank treetree @codeSystem
1 … 1 F 2.16.840.1.113883.6.96 (Snomed-CT)
treetree cda:text
0 … 1 R SHOULD contain zero or one [0..1] text (CONF:1098-14304). CONFdots4304
treeblank treetree cda:reference
0 … 1 R The text, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-15552). CONFdots5552
treeblank treeblank treetree @value
0 … 1   The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-15553). CONFdots5553
  Schematron assert role red error  
  test not(@value) or starts-with(@value, '#')  
  Message This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)  
treetree cda:statusCode
CS 1 … 1 M SHALL contain exactly one [1..1] statusCode (CONF:1098-14286). CONFdots4286
treeblank treetree @code
CONF 1 … 1 F completed
treetree cda:effectiveTime
IVL_TS 0 … 1 R SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-14287). CONFdots4287
treeblank treetree cda:low
1 … 1 R The effectiveTime, if present, SHALL contain exactly one [1..1] low (CONF:1098-26456).

The value of effectiveTime/low represents onset date.
CONFdots6456
treeblank treetree cda:high
0 … 1 R The effectiveTime, if present, MAY contain zero or one [0..1] high (CONF:1098-26457).

If the problem is resolved, record the resolution date in effectiveTime/high. If the problem is known to be resolved but the resolution date is not known, use @nullFlavor="UNK". If the problem is not resolved, do not include the high element.
CONFdots6457
treetree cda:value
CD 1 … 1 M SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:1098-14291). CONFdots4291
treeblank treetree @nullFlavor
0 … 1   This value MAY contain zero or one [0..1] @nullFlavor (CONF:1098-14292). CONFdots4292
  Constraint If the diagnosis is unknown or the SNOMED code is unknown, @nullFlavor SHOULD be “UNK”. If the diagnosis is known but the code cannot be found in the Value Set, @nullFlavor SHOULD be “OTH” and the known diagnosis code SHOULD be placed in the translation element
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.7.4 Problem (DYNAMIC)
treetree cda:methodCode
0 … 1 MAY contain zero or one [0..1] methodCode (CONF:1098-14316). CONFdots4316