StructureDefinition-2.16.840.1.113883.10.20.22.4.69

Sourcehl7.cda.us.ccda#current:Consolidated CDA Release 2.1 StructureDefinition Publication (v5.0.0)
resourceTypeStructureDefinition
id2.16.840.1.113883.10.20.22.4.69
canonicalhttp://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.69
version2.1
statusactive
publisherHealth Level Seven
nameAssessmentScaleObservationV2
titleAssessment Scale Observation (V2)
date2023-08-24T14:33:15+00:00
descriptionAn assessment scale is a collection of observations that together can yield a calculated or non-calculated summary evaluation of a one or more conditions. Examples include the Braden Scale (assesses pressure ulcer risk), APACHE Score (estimates mortality in critically ill patients), Mini-Mental Status Exam (assesses cognitive function), APGAR Score (assesses the health of a newborn), Glasgow Coma Scale (assesses coma and impaired consciousness), and WE CARE (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education - a clinic-based screening and referral system developed for pediatric settings). When an Assessment Scale Observation is contained in a Problem Observation, a Social History Observation or a Procedure instance that is Social Determinant of Health focused, that Assessment scale **MAY** contain assessment scale observations that represent question and answer pairs from SDOH screening instruments that are represented in LOINC. Note that guidance on the use of LOINC in assessment scales already exists in Assessment Scale Observation constraints and Assessment Scale Supporting Observations constraints.
jurisdictionsus
fhirVersion5.0.0
kindlogical
abstractfalse
sdTtypehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
derivationconstraint
basehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
Usages
Name Flags Card. Type Description & Constraints doco
. . Observation CDAR2.Observation XML Namespace: urn:hl7-org:v3
This logical model cannot be the target of a reference
. . . classCode 1..1 classCode
Fixed Value: OBS
. . . moodCode 1..1 moodCode
Fixed Value: EVN
. . . Slices for templateId 1 .. Slice: Unordered, Open by value:root, value:extension
. . . . templateId:templateId1 1..1 templateId
. . . . . root 1..1 root
Required Pattern: 2.16.840.1.113883.10.20.22.4.69
. . . . . extension 1..1 extension
Required Pattern: 2022-06-01
. . . id 1..* id
. . . code 1..1 code
. . . derivationExpr 0..1 derivationExpr
. . . statusCode 1..1 statusCode
. . . . code 1..1 code
Fixed Value: completed
. . . effectiveTime 1..1 effectiveTime
. . . value 1..1 value
. . . interpretationCode 0..* interpretationCode
. . . . translation 0..* translation
. . . author 0..* author
. . . Slices for entryRelationship Slice: Unordered, Open by value:observation, value:typeCode
. . . . entryRelationship:entryRelationship1 0..* entryRelationship
. . . . . typeCode 1..1 typeCode
Fixed Value: COMP
. . . . . observation 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Observation observation
. . . referenceRange 0..* referenceRange
. . . . observationRange 1..1 observationRange
. . . . . text 0..1 text
. . . . . . reference 0..1 reference
. . . . . . . value C 0..1 value
4515-16804: 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) (CONF:4515-16804).

doco Documentation for this format

Produced 08 Sep 2023