Id2.16.840.1.113883.10.20.22.2.56Effective Date2015‑08‑01
Statusdraft DraftVersion Label2.1
NameMentalStatusSectionV2Display NameMental Status Section (V2)
Description
The Mental Status Section contains observations and evaluations related to a patient’s psychological and mental competency and deficits including, but not limited to any of the following types of information: • Appearance (e.g., unusual grooming, clothing or body modifications) • Attitude (e.g., cooperative, guarded, hostile) • Behavior/psychomotor (e.g., abnormal movements, eye contact, tics) • Mood and affect (e.g., anxious, angry, euphoric) • Speech and Language (e.g., pressured speech, perseveration) • Thought process (e.g., logic, coherence) • Thought content (e.g., delusions, phobias) • Perception (e.g., voices, hallucinations) • Cognition (e.g., memory, alertness/consciousness, attention, orientation) – which were included in Cognitive Status Observation in earlier publications of C-CDA. • Insight and judgment (e.g., understanding of condition, decision making)
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.2.56
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 4 transactions and 6 templates, Uses 3 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.31Transactionfinal Transfer Summary (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.22Transactionfinal 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
2.16.840.1.113883.3.1937.99.61.28.10.3Containmentdraft CDA de Consulta (1)2017‑04‑22 23:20:01
2.16.840.1.113883.10.20.22.1.2Containmentdraft Continuity of Care Document (CCD) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.4Containmentdraft Consultation Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.13Containmentdraft Transfer Summary (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.14Containmentdraft Referral Note (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.101Containmentdraft BC CDA Referral Note (V2) (2.1)2019‑04‑06 02:03:17
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.69Containmentdraft Assessment Scale Observation (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.74Containmentdraft Mental Status Observation (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.75Containmentdraft Mental Status Organizer (V3) (2.1)2015‑08‑01
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.2.56 Mental Status Section (V2) (DYNAMIC)
ItemDTCardConfDescriptionLabel
cda:section
MentdotsonV2
cda:templateId
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CONF1 … 1F10190-7
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