This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
This content is an example of the Sensory Status 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">
<!-- Sensory and Speech Status(NEW)-->
<templateId root="2.16.840.1.113883.10.20.22.4.127" />
<id root="c6b5a04b-2bf4-49d1-8336-636a3813df0a" />
<code code="47078008" displayName="Hearing" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" />
<text>
<reference value="#socialhistory" />
</text>
<statusCode code="completed" />
<effectiveTime>
<low value="20130311" />
</effectiveTime>
<value xsi:type="CD" code="260379002" displayName="Impaired" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
<author typeCode="AUT">
<templateId root="2.16.840.1.113883.10.20.22.4.119" />
<time value="201209101145-0800" />
<assignedAuthor>
<id extension="555555555" root="1.1.1.1.1.1.1.2" />
<addr use="HP">
<!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->
<streetAddressLine>2222 Home Street</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97867</postalCode>
<country>US</country>
<!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->
</addr>
<telecom value="tel:+1(555)555-2003" use="HP"/>
<assignedPerson>
<name>
<given>Nurse</given>
<family>Nightingale</family>
<suffix>RN</suffix>
</name>
</assignedPerson>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<observation classCode="OBS" moodCode="EVN">
<!--Assessment Scale Observation -->
<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>
</observation>
</entryRelationship>
</observation>