Id2.16.840.1.113883.10.20.2.5Effective Date2013‑01‑31
Statusdraft DraftVersion Label1.1
NameGeneralStatusSectionDisplay NameGeneral Status Section
Description
The General Status section describes general observations and readily observable attributes of the patient, including affect and demeanor, apparent age compared to actual age, gender, ethnicity, nutritional status based on appearance, body build and habitus (e.g., muscular, cachectic, obese), developmental or other deformities, gait and mobility, personal hygiene, evidence of distress, and voice quality and speech.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.2.5
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 2 transactions and 2 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.2Transactionfinal Consultation Notes (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.7Transactionfinal History and Physical (H and P) (Release 1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.3Containmentdraft History and Physical (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.4Containmentdraft Consultation Note (1.1)2013‑01‑31
ItemDTCardConfDescriptionLabel
cda:section
Genedotstion
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:7985) such that itconf‑7985
@root
uid1 … 1F2.16.840.1.113883.10.20.2.5confdots0457
cda:code
CE1 … 1MSHALL contain exactly one [1..1] code (CONF:15472).confdots5472
@code
CONF1 … 1F10210-3
cda:title
ST1 … 1SHALL contain exactly one [1..1] title (CONF:7987).conf‑7987
cda:text
SD.TEXT1 … 1RSHALL contain exactly one [1..1] text (CONF:7988).conf‑7988