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Template Functional Status Observation (V2) 2014‑06‑09

Id2.16.840.1.113883.10.20.22.4.67
ref
ccda-
Effective Date2014‑06‑09
Statusdraft DraftVersion Label2.1
NameFunctionalStatusObservationV2Display NameFunctional Status Observation (V2)
Description
This template represents the patient's physical function (e.g., mobility status, instrumental activities of daily living, self-care status) and problems that limit function (dyspnea, dysphagia). The template may include assessment scale observations, identify supporting caregivers, and provide information about non-medicinal supplies. This template is used to represent physical or developmental function of all patient populations.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.67
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 6 transactions and 21 templates, Uses 4 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
2.16.840.1.113883.3.1937.99.3.4.21Transactionfinal Care Plan (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
2.16.840.1.113883.3.1937.99.61.18.10.6linkdraft Выписной эпикриз2015‑06‑06 14:32:25
2.16.840.1.113883.3.1937.99.61.28.10.3linkdraft CDA de Consulta (1)2017‑04‑22 23:20:01
2.16.840.1.113883.3.1937.99.61.30.10.54Containmentcancelled Health Concern Act (harmonized) (0.1)2020‑10‑08 10:55:41
2.16.840.1.113883.3.1937.99.61.67.10.24Containmentcancelled XeH Alert Act2021‑04‑20 10:00:04
2.16.840.1.113883.3.1937.99.61.67.10.25Containmentcancelled XeH Risk Concern Act2021‑04‑20 10:06:56
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
2.16.840.1.113883.10.20.22.1.15linkdraft Care Plan (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
2.16.840.1.113883.10.20.22.2.58linkdraft Health Concerns Section (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.101linkdraft BC CDA Referral Note (V2) (2.1)2019‑04‑06 02:03:17
2.16.840.1.113883.10.20.22.4.66Containmentdraft Functional Status Organizer (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.132Containmentdraft Health Concern Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.136Containmentdraft Risk Concern Act (V2) (2.1)2015‑08‑01
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.50Containmentdraft Non-Medicinal Supply Activity (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.69Containmentdraft Assessment Scale Observation (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.72Containmentdraft Caregiver Characteristics (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.119Containmentdraft Author Participation (2.1)2015‑08‑13
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
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ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.67 Functional Status Result Observation (2013‑01‑31)
ref
ccda-
ItemDTCardConfDescriptionLabel
cda:observation
FuncdotsonV2
@classCode
cs1 … 1FOBSCONFdots3905
 SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-13905).
@moodCode
cs1 … 1FEVNCONFdots3906
 SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-13906).
cda:templateId
II1 … 1MC-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.67
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1098-13889) such that itCONFdots3889
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.67CONFdots3890
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.67" (CONF:1098-13890).
@extension
st1 … 1F2014-06-09CONFdots2568
 SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32568).
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:1098-13907).CONFdots3907
cda:code
CD1 … 1MSHALL contain exactly one [1..1] code (CONF:1098-13908).CONFdots3908
@code
CONF1 … 1F54522-8
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:statusCode
CS1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:1098-13929).CONFdots3929
@code
CONF1 … 1Fcompleted
cda:effectiveTime
IVL_TS1 … 1SHALL contain exactly one [1..1] effectiveTime (CONF:1098-13930).CONFdots3930
cda:value
1 … 1SHALL contain exactly one [1..1] value (CONF:1098-13932).CONFdots3932
 Schematron assertrolered error 
 testnot(@xsi:type='CD') or @codeSystem='2.16.840.1.113883.6.96' 
 MessageIf xsi:type=“CD”, *SHOULD* contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) 
cda:author
0 … *RSHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-13936).
Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13)		CONFdots3936
cda:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.22.4.50 Non-Medicinal Supply Activity (V2) (2014‑06‑09)CONFdots3892
@typeCode
cs1 … 1FREFRCONFdots4596
 SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CONF:1098-14596).
cda:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.22.4.72 Caregiver Characteristics (2015‑08‑13)CONFdots3895
@typeCode
cs1 … 1FREFRCONFdots4597
 SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CONF:1098-14597).
cda:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.22.4.69 Assessment Scale Observation (2015‑08‑13)CONFdots4465
@typeCode
cs1 … 1FCOMPCONFdots4598
 SHALL contain exactly one [1..1] @typeCode="COMP" has component (CONF:1098-14598).
cda:referenceRange
0 … *MAY contain zero or more [0..*] referenceRange (CONF:1098-13937).

referenceRange could be used to represent normal or expected capability for the function being evaluated.

CONFdots3937