Source | hl7.cda.us.ccda#current:Consolidated CDA Release 2.1 StructureDefinition Publication (v5.0.0) |
resourceType | StructureDefinition |
id | 2.16.840.1.113883.10.20.22.2.56 |
canonical | http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.56 |
version | 2.1 |
status | active |
publisher | Health Level Seven |
name | MentalStatusSection |
title | Mental Status Section |
date | 2023-08-24T14:33:15+00:00 |
description | The Mental Status Section contains observations and evaluations related to a patient's psychological and mental competency and deficits including, but not limited to any of the following types of information: * Appearance (e.g., unusual grooming, clothing or body modifications) * Attitude (e.g., cooperative, guarded, hostile) * Behavior/psychomotor (e.g., abnormal movements, eye contact, tics) * Mood and affect (e.g., anxious, angry, euphoric) * Speech and Language (e.g., pressured speech, perseveration) * Thought process (e.g., logic, coherence) * Thought content (e.g., delusions, phobias) * Perception (e.g., voices, hallucinations) * Cognition (e.g., memory, alertness/consciousness, attention, orientation) which were included in Cognitive Status Observation in earlier publications of C-CDA. * Insight and judgment (e.g., understanding of condition, decision making) |
jurisdictions | us |
fhirVersion | 5.0.0 |
kind | logical |
abstract | false |
sdTtype | http://hl7.org/cda/stds/core/StructureDefinition/Section |
derivation | constraint |
base | http://hl7.org/cda/stds/core/StructureDefinition/Section |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Section | CDAR2.Section |
XML Namespace:
urn:hl7-org:v3 This logical model cannot be the target of a reference |
||
Slices for templateId | 1 .. | Slice: Unordered, Open by value:extension, value:root | ||
templateId:primary | 1..1 | |||
root | 1..1 | Required Pattern: 2.16.840.1.113883.10.20.22.2.56 | ||
extension | 1..1 | Required Pattern: 2015-08-01 | ||
code | 1..1 | |||
code | 1..1 | Required Pattern: 10190-7 | ||
codeSystem | 1..1 | Required Pattern: 2.16.840.1.113883.6.1 | ||
title | 1..1 | |||
text | 1..1 | |||
Slices for entry | 0 .. * |
Slice:
Unordered, Open by profile:organizer, profile:observation
|
||
entry:mentalStatusOrganizer | 0..* | |||
organizer | 1..1 | http://hl7.org/cda/stds/core/StructureDefinition/Organizer | ||
entry:mentalStatusObs | 0..* | |||
observation | 1..1 | http://hl7.org/cda/stds/core/StructureDefinition/Observation | ||
entry:assessmentScale | 0..* | |||
observation | 1..1 | http://hl7.org/cda/stds/core/StructureDefinition/Observation | ||
Documentation for this format |
Produced 08 Sep 2023