Consolidated CDA
3.0.0-ballot - ballot United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0-ballot: CCDA 3.0 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions

Example Binary: Assessment Scale Observation Example

This content is an example of the Assessment Scale Observation Logical Model and is not a FHIR Resource

    
<observation classCode="OBS" moodCode="EVN" xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <templateId root="2.16.840.1.113883.10.20.22.4.69" extension="2022-06-01"/>
  <id root="c6b5a04b-2bf4-49d1-8336-636a3813df0b"/>
  <code code="54614-3" 
             displayName="Brief Interview for Mental Status"
             codeSystem="2.16.840.1.113883.6.1" 
             codeSystemName="LOINC"/>
  <derivationExpr>Text description of the calculation</derivationExpr>
  <text><reference value="#assessmentScale"/></text>
  <statusCode code="completed"/>
  <effectiveTime value="20120214"/>
  <!-- Summed score of the component values -->
  <value xsi:type="INT" value="7"/>
  <!-- Supporting observations -->
  <entryRelationship typeCode="COMP">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.22.4.86" extension="2022-06-01"/>
        <id root="f4dce790-8328-11db-9fe1-0800200c9a44"/>
        <code code="248240001" displayName="motor response"
                codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED"/>
        <text><reference value="#assessmentObservation"/></text>
        <statusCode code="completed"/>
        <value xsi:type="INT" value="3"/>
    </observation>
  </entryRelationship>
  <!-- Additional observations summing to 7 -->
</observation>