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retired Template  Cognitive Status Problem Observation (DEPRECATED)

Id 2.16.840.1.113883.10.20.22.4.73
ref
ccda-
Effective Date 2014‑06‑09
Status retired Retired Version Label 2.1
Name CognitiveStatusProblemObservationDEPRECATED Display Name Cognitive Status Problem Observation (DEPRECATED)
Description
A cognitive status problem observation is a clinical statement that describes a patient's cognitive condition, findings, or symptoms. Examples of cognitive problem observations are inability to recall, amnesia, dementia, and aggressive behavior. A cognitive problem observation is a finding or medical condition. This is different from a cognitive result observation, which is a response to a question that provides insight into the patient's cognitive status, judgement, comprehension ability, or response speed. THIS TEMPLATE HAS BEEN DEPRECATED AND MAY BE DELETED FROM A FUTURE RELEASE OF THIS IMPLEMENTATION GUIDE. USE OF THIS TEMPLATE IS NOT RECOMMENDED. *Reason for deprecation*: Cognitive Status Problem Observation has been merged, without loss of expressivity, into Mental Status Observation (2.16.840.1.113883.10.20.22.4.74).
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.73
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)
ref
ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.73 Cognitive Status Problem Observation (2013‑01‑31)
ref
ccda-
Item DT Card Conf Description Label
cda:observation
(CogdotsTED)
treetree @classCode
1 … 1 F OBS CONFdots4319
  SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-14319).
treetree @moodCode
1 … 1 F EVN CONFdots4320
  SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-14320).
treetree @negationInd
0 … 1   MAY contain zero or one [0..1] @negationInd (CONF:1098-14344). CONFdots4344
treetree cda:templateId
II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:1098-14346) such that it CONFdots4346
treeblank treetree @root
1 … 1 F 2.16.840.1.113883.10.20.22.4.73 CONFdots4347
  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.73" (CONF:1098-14347).
treeblank treetree @extension
1 … 1 F 2014-06-09 CONFdots2600
  SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32600).
treetree cda:id
II 1 … * SHALL contain at least one [1..*] id (CONF:1098-14321). CONFdots4321
treetree cda:code
CD 1 … 1 M SHALL contain exactly one [1..1] code (CONF:1098-14804). CONFdots4804
treeblank treetree @code
CONF 1 … 1 F 373930000
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:1098-14341). CONFdots4341
treeblank treetree cda:reference
0 … 1 R The text, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-15532). CONFdots5532
treeblank treeblank treetree @value
0 … 1   The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-15533). CONFdots5533
  Schematron assert role red error  
  test not(@value) or starts-with(@value, '#')  
  Message 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:1098-14323). CONFdots4323
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:1098-14324). CONFdots4324
treeblank treetree cda:low
1 … 1 R The effectiveTime, if present, SHALL contain exactly one [1..1] low (CONF:1098-26458).

The value of effectiveTime/low represents onset date.
CONFdots6458
treeblank treetree cda:high
0 … 1 R The effectiveTime, if present, MAY contain zero or one [0..1] high (CONF:1098-26459).

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.
CONFdots6459
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:1098-14349). CONFdots4349
  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 … * MAY contain zero or more [0..*] methodCode (CONF:1098-14693). CONFdots4693