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Template Cognitive Status Problem Observation (DEPRECATED) 2014‑06‑09

Id2.16.840.1.113883.10.20.22.4.73
ref
ccda-
Effective Date2014‑06‑09
Statusretired RetiredVersion Label2.1
NameCognitiveStatusProblemObservationDEPRECATEDDisplay NameCognitive 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).
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.73
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 5 transactions and 12 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.31Transactionfinal Transfer Summary (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.25Transactionfinal Discharge Summary (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.22Transactionfinal Consultation Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.23Transactionfinal Continuity of Care Document (CCD) (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.30Transactionfinal Referral Note (V2)2015‑08‑01
2.16.840.1.113883.3.51.60.2.4linkpending BC CDA ClinicalDocumentDischargeSummary (V3) (2.1)2019‑03‑19 14:15:51
2.16.840.1.113883.3.1937.99.61.17.10.2linkdraft SHN StructuredBody2015‑05‑09 11:18:02
2.16.840.1.113883.3.1937.99.61.17.10.3linkdraft SHN component2015‑05‑09 11:28:46
2.16.840.1.113883.3.1937.99.61.28.10.3linkdraft CDA de Consulta (1)2017‑04‑22 23:20:01
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.4linkdraft Consultation Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.8linkdraft Discharge Summary (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.13linkdraft Transfer Summary (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.14linkdraft Referral Note (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.14Containmentdraft Functional Status Section (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.14Containmentpending Functional Status Section (V2) (2.1)2019‑03‑16 20:25:20
2.16.840.1.113883.10.20.22.2.101linkdraft BC CDA Referral Note (V2) (2.1)2019‑04‑06 02:03:17
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
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ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.73 Cognitive Status Problem Observation (2013‑01‑31)
ref
ccda-
ItemDTCardConfDescriptionLabel
cda:observation
CogndotsATED
@classCode
cs1 … 1FOBSCONFdots4319
 SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-14319).
@moodCode
cs1 … 1FEVNCONFdots4320
 SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-14320).
@negationInd
bl0 … 1 MAY contain zero or one [0..1] @negationInd (CONF:1098-14344).CONFdots4344
cda:templateId
II1 … 1MC-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.73
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1098-14346) such that itCONFdots4346
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.73CONFdots4347
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.73" (CONF:1098-14347).
@extension
st1 … 1F2014-06-09CONFdots2600
 SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32600).
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:1098-14321).CONFdots4321
cda:code
CD1 … 1MSHALL contain exactly one [1..1] code (CONF:1098-14804).CONFdots4804
@code
CONF1 … 1F373930000
@codeSystem
1 … 1F2.16.840.1.113883.6.96
cda:text
0 … 1RSHOULD contain zero or one [0..1] text (CONF:1098-14341).CONFdots4341
cda:reference
0 … 1RThe text, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-15532).CONFdots5532
@value
0 … 1 The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-15533).CONFdots5533
 Schematron assertrolered error 
 testnot(@value) or starts-with(@value, '#') 
 MessageSHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) 
cda:statusCode
CS1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:1098-14323).CONFdots4323
@code
CONF1 … 1Fcompleted
cda:effectiveTime
IVL_TS0 … 1RSHOULD contain zero or one [0..1] effectiveTime (CONF:1098-14324).CONFdots4324
cda:low
1 … 1RThe effectiveTime, if present, SHALL contain exactly one [1..1] low (CONF:1098-26458).

The value of effectiveTime/low represents onset date.		CONFdots6458
cda:high
0 … 1RThe 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
cda:value
CD1 … 1MSHALL 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)
cda:methodCode
0 … *MAY contain zero or more [0..*] methodCode (CONF:1098-14693).CONFdots4693