Left: | Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation) |
Right: | Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation) |
Error | StructureDefinition.version | Values for version differ: '3.0.0-ballot' vs '3.0.0' |
Information | StructureDefinition.date | Values for date differ: '2023-12-21T01:13:10+10:00' vs '2024-05-18T00:16:25-05:00' |
Information | StructureDefinition.short | Values for short differ: 'The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)' vs 'The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain)' |
Information | Observation.referenceRange.observationRange.classCode | Element minimum cardinalities differ: '1' vs '0' |
Information | StructureDefinition.definition | Values for definition differ: 'A code specifying the logical conjunction of the criteria among all the condition-links of Acts (e.g., and, or, exclusive-or). All AND criteria must be true. If OR and AND criteria occur together, one criterion out of the OR-group must be true and all AND criteria must be true also. If XOR criteria occur together with OR and AND criteria, exactly one of the XOR criteria must be true, and at least one of the OR criteria and all AND criteria must be true. In other words, the sets of AND, OR, and XOR criteria are in turn combined by a logical AND operator (all AND criteria and at least one OR criterion and exactly one XOR criterion).' vs 'A code specifying the logical conjunction of the criteria among all the condition-links of Acts (e.g., and, or, exclusive-or). All AND criteria must be true. If OR and AND criteria occur together, one criterion out of the OR-group must be true and all AND criteria must be true also. If XOR criteria occur together with OR and AND criteria, exactly one of the XOR criteria must be true, and at least one of the OR criteria and all AND criteria must be true. In other words, the sets of AND, OR, and XOR criteria are in turn combined by a logical AND operator (all AND criteria and at least one OR criterion and exactly one XOR criterion).' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/cda/stds/core/StructureDefinition/Observation | ||
copyright | |||
date | 2023-12-21T01:13:10+10:00 | 2024-05-18T00:16:25-05:00 |
|
description | An assessment scale is a collection of observations that together can yield a calculated or non-calculated summary evaluation of a one or more conditions. Examples include the Braden Scale (assesses pressure ulcer risk), APACHE Score (estimates mortality in critically ill patients), Mini-Mental Status Exam (assesses cognitive function), APGAR Score (assesses the health of a newborn), Glasgow Coma Scale (assesses coma and impaired consciousness), and WE CARE (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education - a clinic-based screening and referral system developed for pediatric settings). When an Assessment Scale Observation is contained in a Problem Observation, a Social History Observation or a Procedure instance that is Social Determinant of Health focused, that Assessment scale **MAY** contain assessment scale observations that represent question and answer pairs from SDOH screening instruments that are represented in LOINC. Note that guidance on the use of LOINC in assessment scales already exists in Assessment Scale Observation constraints and Assessment Scale Supporting Observations constraints. | ||
experimental | |||
fhirVersion | 5.0.0 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | logical | ||
name | AssessmentScaleObservation | ||
publisher | Health Level Seven | ||
purpose | |||
status | draft | ||
title | Assessment Scale Observation | ||
type | http://hl7.org/cda/stds/core/StructureDefinition/Observation | ||
url | http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation | ||
version | 3.0.0-ballot | 3.0.0 |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 1..1 | Observation | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | C | 1..1 | Observation | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | |||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
realmCode | 0..* | CS | 0..* | CS | |||||||||||
typeId | 0..1 | II | 0..1 | II | |||||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||
displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||
root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||
st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||||
classCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: OBS | 1..1 | ?? | Binding: ?? (required) Fixed Value: OBS | |||||||||
moodCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | |||||||||
negationInd | 0..1 | ?? | 0..1 | ?? | |||||||||||
id | 1..* | II | 1..* | II | |||||||||||
code | 1..1 | CD | Binding: ?? (example) | 1..1 | CD | Binding: ?? (example)
| |||||||||
derivationExpr | 0..1 | ST | Such derivation expression can contain a text calculation of how the components total up to the summed score | 0..1 | ST | Such derivation expression can contain a text calculation of how the components total up to the summed score | |||||||||
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
compression | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
integrityCheck | 0..1 | ?? | 0..1 | ?? | |||||||||||
integrityCheckAlgorithm | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
language | 0..1 | ?? | 0..1 | ?? | |||||||||||
mediaType | 0..1 | ?? | Binding: ?? (example) | 0..1 | ?? | Binding: ?? (example) | |||||||||
representation | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
xmlText | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |||||||||
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | |||||||
thumbnail | 0..1 | ED | 0..1 | ED | |||||||||||
statusCode | 1..1 | CS | Binding: ?? (required) | 1..1 | CS | Binding: ?? (required) | |||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
code | 1..1 | ?? | Fixed Value: completed | 1..1 | ?? | Fixed Value: completed | |||||||||
codeSystem | 0..0 | 0..0 | |||||||||||||
codeSystemName | 0..0 | 0..0 | |||||||||||||
codeSystemVersion | 0..0 | 0..0 | |||||||||||||
displayName | 0..0 | 0..0 | |||||||||||||
sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||||||||
sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||||
originalText | 0..0 | 0..0 | |||||||||||||
qualifier | 0..0 | 0..0 | |||||||||||||
translation | 0..0 | 0..0 | |||||||||||||
effectiveTime | 1..1 | IVL_TS | Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards) | 1..1 | IVL_TS | Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards) | |||||||||
priorityCode | 0..1 | CE | Binding: ?? (example) | 0..1 | CE | Binding: ?? (example) | |||||||||
repeatNumber | 0..1 | IVL_INT | 0..1 | IVL_INT | |||||||||||
languageCode | 0..1 | CS | Binding: ?? (required) | 0..1 | CS | Binding: ?? (required) | |||||||||
value | 1..1 | ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | 1..1 | ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | (USCDI) Functional Status, Mental/Cognitive Status, Alcohol Use, Substance Use, Physical Activity, SDOH Assessment | ||||||||||
interpretationCode | 0..* | CE | Binding: ?? (required) | 0..* | CE | Binding: ?? (required) | |||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
code | 0..1 | ?? | 0..1 | ?? | |||||||||||
codeSystem | 0..1 | ??, ??, ?? | 0..1 | ??, ??, ?? | |||||||||||
codeSystemName | 0..1 | ?? | 0..1 | ?? | |||||||||||
codeSystemVersion | 0..1 | ?? | 0..1 | ?? | |||||||||||
displayName | 0..1 | ?? | 0..1 | ?? | |||||||||||
sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||||||||
sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||||
originalText | 0..1 | ED | 0..1 | ED | |||||||||||
qualifier | 0..0 | 0..0 | |||||||||||||
translation | 0..* | CD | 0..* | CD | |||||||||||
methodCode | 0..* | CE | Binding: ?? (example) | 0..* | CE | Binding: ?? (example) | |||||||||
targetSiteCode | 0..* | CD | 0..* | CD | |||||||||||
subject | 0..1 | Subject | 0..1 | Subject | |||||||||||
specimen | 0..* | Specimen | 0..* | Specimen | |||||||||||
performer | 0..* | Performer2 | 0..* | Performer2 | |||||||||||
author | 0..* | Author | 0..* | Author | |||||||||||
informant | 0..* | Informant | 0..* | Informant | |||||||||||
participant | 0..* | Participant2 | 0..* | Participant2 | |||||||||||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, value:typeCode | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, value:typeCode | |||||||||
reference | 0..* | Reference | 0..* | Reference | |||||||||||
precondition | 0..* | Precondition | 0..* | Precondition | |||||||||||
sdtcPrecondition2 | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | |||||||||
referenceRange | 0..* | InfrastructureRoot | The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain) | 0..* | InfrastructureRoot | The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain) | |||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
realmCode | 0..* | CS | 0..* | CS | |||||||||||
typeId | 0..1 | II | 0..1 | II | |||||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||
displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||
root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||
st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||
templateId | 0..* | II | 0..* | II | |||||||||||
typeCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: REFV | 0..1 | ?? | Binding: ?? (required) Fixed Value: REFV | |||||||||
observationRange | C | 1..1 | ObservationRange | should-text: SHOULD contain text should-text-ref-value: SHOULD contain text/reference/@value | C | 1..1 | ObservationRange | should-text: SHOULD contain text should-text-ref-value: SHOULD contain text/reference/@value | |||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
realmCode | 0..* | CS | 0..* | CS | |||||||||||
typeId | 0..1 | II | 0..1 | II | |||||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||
displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||
root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||
st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||
templateId | 0..* | II | 0..* | II | |||||||||||
classCode | 1..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) |
| ||||||||
moodCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: EVN.CRT | 0..1 | ?? | Binding: ?? (required) Fixed Value: EVN.CRT | |||||||||
code | 0..1 | CD | Binding: ?? (example) | 0..1 | CD | Binding: ?? (example) | |||||||||
text | 0..1 | ED | The text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain) | 0..1 | ED | The text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain) | |||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
compression | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
integrityCheck | 0..1 | ?? | 0..1 | ?? | |||||||||||
integrityCheckAlgorithm | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
language | 0..1 | ?? | 0..1 | ?? | |||||||||||
mediaType | 0..1 | ?? | Binding: ?? (example) | 0..1 | ?? | Binding: ?? (example) | |||||||||
representation | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
xmlText | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |||||||||
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | |||||||
thumbnail | 0..1 | ED | 0..1 | ED | |||||||||||
value | 0..1 | BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS | 0..1 | BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS | |||||||||||
interpretationCode | 0..1 | CE | Binding: ?? (required) | 0..1 | CE | Binding: ?? (required) | |||||||||
sdtcPrecondition1 | 0..* | InfrastructureRoot | XML: precondition1 (urn:hl7-org:sdtc) | 0..* | InfrastructureRoot | XML: precondition1 (urn:hl7-org:sdtc) | |||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
realmCode | 0..* | CS | 0..* | CS | |||||||||||
typeId | 0..1 | II | 0..1 | II | |||||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||
displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||
root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||
st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||
templateId | 0..* | II | 0..* | II | |||||||||||
typeCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: PRCN | 0..1 | ?? | Binding: ?? (required) Fixed Value: PRCN | |||||||||
conjunctionCode | 1..1 | CS | XML Namespace: urn:hl7-org:sdtc Binding: ?? (required) | 1..1 | CS | XML Namespace: urn:hl7-org:sdtc Binding: ?? (required) | |||||||||
criterion1 | 1..1 | Criterion | XML Namespace: urn:hl7-org:sdtc | 1..1 | Criterion | XML Namespace: urn:hl7-org:sdtc | |||||||||
sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |||||||||
Documentation for this format |