StructureDefinition-2.16.840.1.113883.10.20.22.4.69

Sourcehl7.cda.us.ccdar2dot2#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/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.69
version2.2
statusactive
publisherHealth Level Seven
nameAssessmentScaleObservation
titleAssessment Scale Observation
date2021-11-24T17:43:01+00:00
descriptionAn assessment scale is a collection of observations that together yield a summary evaluation of a particular condition. 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), and Glasgow Coma Scale (assesses coma and impaired consciousness).
jurisdictionsus
fhirVersion4.0.1
kindresource
abstractfalse
sdTtypeObservation
derivationconstraint
basehttp://hl7.org/fhir/cda/StructureDefinition/Observation
Usages
Name Flags Card. Type Description & Constraints doco
. . Observation
. . . classCode 1..1 Required Pattern: OBS
. . . moodCode 1..1 Required Pattern: EVN
. . . Slices for templateId Slice: Unordered, Open by value:root
. . . . templateId:primary 1..1
. . . . . root 1..1 Required Pattern: 2.16.840.1.113883.10.20.22.4.69
. . . id 1..*
. . . code C 1..1 81-14440: **SHOULD** be from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) identifying the assessment scale (CONF:81-14440).
. . . derivationExpr 0..1 Such derivation expression can contain a text calculation of how the components total up to the summed score
. . . statusCode 1..1
. . . . code 1..1 Required Pattern: completed
. . . effectiveTime 1..1 Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards)
. . . value 1..1
. . . interpretationCode 0..*
. . . . translation 0..*
. . . author 0..*
. . . Slices for entryRelationship Slice: Unordered, Open by profile:observation
. . . . entryRelationship:supporting 0..*
. . . . . typeCode 1..1 Required Pattern: COMP
. . . . . observation 1..1 http://hl7.org/fhir/cda/StructureDefinition/Observation
. . . referenceRange 0..* The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)
. . . . observationRange 1..1
. . . . . text 0..1 The text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)
. . . . . . reference 0..1
. . . . . . . value C 0..1 81-16804: 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:81-16804).

doco Documentation for this format

Produced 08 Sep 2023