Consolidated CDA (C-CDA)
3.0.0 - STU3 United States of America flag

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. For a full list of available versions, see the Directory of published versions

Example Binary: Disability Status Observation Example

This content is an example of the Disability Status Observation Logical Model and is not a FHIR Resource

    
<observation xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" classCode="OBS" moodCode="EVN">
	<templateId root="2.16.840.1.113883.10.20.22.4.505" extension="2023-05-01"/>
	<code code="89571-4" displayName="Disability Status [CUBS]" codeSystem="2.16.840.1.113883.6.1"/>
	<text><reference value="#disabilityStatus"/></text>
	<statusCode code="completed"/>
	<effectiveTime value="20221111"/>
	<!-- From LOINC Answer Set associated with Disability Status [CUBS] -->
	<value xsi:type="CD" code="LA29243-5" displayName="I'm Vulnerable - I sometimes or periodically have acute or chronic symptoms affecting housing, employment, social interactions, etc." codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
	<!-- Assessment Scale template With Assessment Scale observation containing the disability related questions   -->
	<entryRelationship typeCode="COMP">
		<observation classCode="OBS" moodCode="EVN">
			<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>Sum of the yes answers.</derivationExpr>
			<statusCode code="completed"/>
			<effectiveTime value="20120214"/>
			<!-- Summed score of the component values -->
			<value xsi:type="INT" value="6"/>
			<!-- 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="69856-3" displayName="Are you deaf, or do you have serious difficulty hearing?" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
					<text>
						<reference value="#deafhohq"/>
					</text>
					<statusCode code="completed"/>
					<value xsi:type="CD" code="LA33-6" displayName="Yes"/>
				</observation>
			</entryRelationship>
			<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="69857-1" displayName="Are you blind, or do you have serious difficulty seeing, even when wearing glasses?" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
					<text>
						<reference value="#blindq"/>
					</text>
					<statusCode code="completed"/>
					<value xsi:type="CD" code="LA33-6" displayName="Yes" codeSystem="2.16.840.1.113883.6.1"/>
				</observation>
			</entryRelationship>
			<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="69858-9" displayName="Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions??" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
					<text>
						<reference value="#memq"/>
					</text>
					<statusCode code="completed"/>
					<value xsi:type="CD" code="LA33-6" displayName="Yes" codeSystem="2.16.840.1.113883.6.1"/>
				</observation>
			</entryRelationship>
			<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="69859-7" displayName="Do you have serious difficulty walking or climbing stairs?" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
					<text>
						<reference value="#mobilityq"/>
					</text>
					<statusCode code="completed"/>
					<value xsi:type="CD" code="LA33-6" displayName="Yes" codeSystem="2.16.840.1.113883.6.1"/>
				</observation>
			</entryRelationship>
			<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="69860-5" displayName="Do you have difficulty dressing or    bathing?" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
					<text>
						<reference value="#selfcareq"/>
					</text>
					<statusCode code="completed"/>
					<value xsi:type="CD" code="LA33-6" displayName="Yes" codeSystem="2.16.840.1.113883.6.1"/>
				</observation>
			</entryRelationship>
			<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="69861-3" displayName="Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a physician's office or shopping?" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
					<text>
						<reference value="#activityq"/>
					</text>
					<statusCode code="completed"/>
					<value xsi:type="CD" code="LA33-6" displayName="Yes" codeSystem="2.16.840.1.113883.6.1"/>
				</observation>
			</entryRelationship>
		</observation>
	</entryRelationship>
</observation>