Id2.16.840.1.113883.10.20.22.4.68Effective Date2013‑01‑31
Statusdraft DraftVersion Label1.1
NameFunctionalStatusProblemObservationDisplay NameFunctional Status Problem Observation
DescriptionA functional status problem observation is a clinical statement that represents a patient’s functional performance and ability.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.68
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 2 transactions and 3 templates, Uses 3 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.3Transactionfinal Discharge Summary (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.1Transactionfinal Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.8linkdraft Discharge Summary (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.14Containmentdraft Functional Status Section (1.1)2013‑01‑31
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.50Containmentdraft Non-Medicinal Supply Activity (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.69Containmentdraft Assessment Scale Observation (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.72Containmentdraft Caregiver Characteristics (1.1)2013‑01‑31
ItemDTCardConfDescriptionLabel
cda:observation
Funcdotstion
@classCode
cs1 … 1FOBSconfdots4282
@moodCode
cs1 … 1FEVNconfdots4283
@negationInd
bl0 … 1 confdots4307
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:14312) such that itconfdots4312
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.68confdots4313
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:14284).confdots4284
cda:code
CD1 … 1MSHALL contain exactly one [1..1] code (CONF:14314).confdots4314
@code
CONF1 … 1F248536006
@codeSystem
1 … 1F2.16.840.1.113883.6.96
cda:text
0 … 1RSHOULD contain zero or one [0..1] text (CONF:14304).confdots4304
cda:reference
0 … 1RThe text, if present, SHOULD contain zero or one [0..1] reference (CONF:15552).

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)
confdots5552
@value
0 … 1 confdots5553
 Schematron assertrolered error 
 testnot(@value) or starts-with(@value, '#') 
 MessageThis 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) 
cda:statusCode
CS1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:14286).confdots4286
@code
CONF1 … 1Fcompleted
cda:effectiveTime
IVL_TS0 … 1RSHOULD contain zero or one [0..1] effectiveTime (CONF:14287).confdots4287
cda:low
1 … 1RThe effectiveTime, if present, SHALL contain exactly one [1..1] low (CONF:26456).confdots3564
cda:high
0 … 1RThe effectiveTime, if present, MAY contain zero or one [0..1] high (CONF:26457).confdots3565
cda:value
CD1 … 1SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Problem 2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:14291).

If the diagnosis is unknown or the SNOMED code is unknown, @nullFlavor SHOULD be “UNK”. If the code is something other than SNOMED, @nullFlavor SHOULD be “OTH” and the other code SHOULD be placed in the translation element.
confdots4291
@nullFlavor
cs0 … 1 confdots4292
 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 … 1MAY contain zero or one [0..1] methodCode (CONF:14316).confdots4316
cda:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.22.4.50 Non-Medicinal Supply Activity (2013‑01‑31)confdots4294
@typeCode
cs1 … 1FREFRconfdots4584
cda:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.22.4.72 Caregiver Characteristics (2013‑01‑31)confdots4298
@typeCode
cs1 … 1FREFRconfdots4586
cda:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.22.4.69 Assessment Scale Observation (2013‑01‑31)confdots4463
@typeCode
cs1 … 1FCOMPconfdots4587