CDA Examples
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CDA Examples, published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-Examples/ and changes regularly. See the Directory of published versions

Mental Status Examples

Mental Status Section Examples from C-CDA

Name Description Approval
Patient Health Questionnaire (PHQ-9)

This is an example of to include a PHQ-9 survey with total score and compoonent questions. While not all questions may be necessary in all uses, the total score has an impact on quality measures related to depression screening.

 2019-07-25, 2023-03-09
Memory Impairment

This is an example of mental (cognitive) impairment. It only illustrates one potential templated within the mental status section and was originally prepared for the ONC 2014 170.314(b)(2) Transitions of care - M) Functional and Cognitive Status. Note that there are significant changes to functional and cognitive status in C-CDA 2.1 (including section breakout and deprecation of certain templates). This example represents the proper way to send a mental impairment in C-CDA R2.1.

 2017-07-06
No Cognitive Impairment

This is an example of no cognitive impairment. It only illustrates one potential templated within the mental status section and was originally prepared for the ONC 2014 170.314(b)(2) Transitions of care - M) Functional and Cognitive Status. Note that there are significant changes to functional and cognitive status in C-CDA 2.1 (including section breakout and deprecation of certain templates). This example represents the proper way to send no cognitive impairment in C-CDA R2.1.

 2015-07-09, 2017-07-06