US Core Implementation Guide
9.0.0 - STU 9 US

US Core Implementation Guide - Downloaded Version 9.0.0 See the Directory of published versions

Example Observation: Simple Observation Cognitive Status Example

Page standards status: Informative

Profile: US Core Simple Observation Profile version: 9.0.0

status: Final

category: Cognitive Status

code: History of Cognitive Function Narrative

subject: Amy V. Baxter (no stated gender), DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))

effective: 2022-11-27 19:22:02+0000

performer: Practitioner Ronald Bone

value: Alert and oriented x 3. She is independent in household finances, social and community activities, coherent and appropriate communication. Appropriate attire for location and weather.