Left: | Mental Status Section (http://hl7.org/cda/us/ccda/StructureDefinition/MentalStatusSection) |
Right: | Mental Status Section (http://hl7.org/cda/us/ccda/StructureDefinition/MentalStatusSection) |
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: 'Mental Status' vs 'Mental status Narrative' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/cda/stds/core/StructureDefinition/Section | ||
copyright | |||
date | 2023-12-21T01:13:10+10:00 | 2024-05-18T00:16:25-05:00 |
|
description | The Mental Status Section contains observations and evaluations related to a patient's psychological and mental competency and deficits. These may include, but are not limited to any of the following types of information: * Appearance (e.g., unusual grooming, clothing or body modifications) * Attitude (e.g., cooperative, guarded, hostile) * Behavior/psychomotor (e.g., abnormal movements, eye contact, tics) * Mood and affect (e.g., anxious, angry, euphoric) * Speech and Language (e.g., pressured speech, perseveration) * Thought process (e.g., logic, coherence) * Thought content (e.g., delusions, phobias) * Perception (e.g., voices, hallucinations) * Cognition (e.g., memory, alertness/consciousness, attention, orientation) which were included in Cognitive Status Observation in earlier publications of C-CDA. * Insight and judgment (e.g., understanding of condition, decision making) | ||
experimental | |||
fhirVersion | 5.0.0 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | logical | ||
name | MentalStatusSection | ||
publisher | Health Level Seven | ||
purpose | |||
status | draft | ||
title | Mental Status Section | ||
type | http://hl7.org/cda/stds/core/StructureDefinition/Section | ||
url | http://hl7.org/cda/us/ccda/StructureDefinition/MentalStatusSection | ||
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 |
---|---|---|---|---|---|---|---|---|---|
Section | 1..1 | Section | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | 1..1 | Section | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |||
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 | |||
ID | 0..1 | ?? | 0..1 | ?? | |||||
classCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: DOCSECT | 0..1 | ?? | Binding: ?? (required) Fixed Value: DOCSECT | |||
moodCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: EVN | 0..1 | ?? | Binding: ?? (required) Fixed Value: EVN | |||
id | 0..1 | II | 0..1 | II | |||||
code | 1..1 | CE | Mental Status Binding: ?? (example) | 1..1 | CE | Mental status Narrative Binding: ?? (example) | |||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
code | 1..1 | ?? | Required Pattern: 10190-7 | 1..1 | ?? | Required Pattern: 10190-7 | |||
codeSystem | 1..1 | ??, ??, ?? | Required Pattern: 2.16.840.1.113883.6.1 | 1..1 | ??, ??, ?? | Required Pattern: 2.16.840.1.113883.6.1 | |||
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 | |||||
title | 1..1 | ST | 1..1 | ST | |||||
text | 1..1 | xhtml | 1..1 | xhtml | |||||
confidentialityCode | 0..1 | CE | 0..1 | CE | |||||
languageCode | 0..1 | CS | Binding: ?? (required) | 0..1 | CS | Binding: ?? (required) | |||
subject | 0..1 | Subject | 0..1 | Subject | |||||
author | 0..* | Author | 0..* | Author | |||||
informant | 0..* | Informant | 0..* | Informant | |||||
Slices for entry | 0..* | Entry | Slice: Unordered, Open by profile:organizer, profile:observation | 0..* | Entry | Slice: Unordered, Open by profile:organizer, profile:observation | |||
component | 0..* | InfrastructureRoot | 0..* | InfrastructureRoot | |||||
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 | ?? | Fixed Value: COMP | 0..1 | ?? | Fixed Value: COMP | |||
contextConductionInd | 0..1 | ?? | Fixed Value: true | 0..1 | ?? | Fixed Value: true | |||
section | 1..1 | Section | 1..1 | Section | |||||
Documentation for this format |