2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

C-CDA Cognitive Status Result Observation (Conformance Package)

Scope and Usage

This is FHIR Profile is mapped from the Cognitive Status Result Observation CCDA Entry Template : HL7 Implementation Guide for CDA R2: IHE Health Story Consolidation, DSTU R1.1, 5.14 Cognitive Status Result Observation [observation: templateId 2.16.840.1.113883.10.20.22.4.74 (open)]

This clinical statement contains details of an evaluation or assessment of a patient's cognitive status. The evaluation may include assessment of a patient's mood, memory, and ability to make decisions. The statement, if present, will include supporting caregivers, non-medical devices, and the time period for which the evaluation and assessment were performed.

This is different from a cognitive status problem observation, which 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.

Profiles:
CCDACognitiveStatusResultC-CDA Cognitive Status Result Observation template to FHIR Profile mapping : C-CDA Cognitive Status Result Observation
Extensions:
AdditionalInterpretationCodesAdditional Interpretation Codes :

This extension is used when there are multiple interpretation values for a single Observation Resource. The first interpretation for this observation is the interpretation element and any additional interpretations for this observation will go here.

ObservationNegationIndicatorObservation Negation Indicator :

This modifier extension is used indicate negation of the entire observation. ie the observation result "A" is negated to "not A".

CCDAObsRelatedTypesCCDA related observation types :

CCDA related observation types.