Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/MentalStatusOrganizer | Version: 2.1 | |||
Draft as of 2023-09-29 | Computable Name: MentalStatusOrganizer | |||
Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.75:2015-08-01 |
The Mental Status Organizer template may be used to group related Mental Status Observations (e.g., results of mental tests) and associated Assessment Scale Observations into subcategories and/or groupings by time. Subcategories can be things such as Mood and Affect, Behavior, Thought Process, Perception, Cognition, etc.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Organizer
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Organizer | CDAR2.Organizer | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, @moodCode, realmCode, typeId, templateId, id, code, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, component | ||
classCode | 1..1 | cs | Fixed Value: CLUSTER | |
moodCode | 1..1 | cs | ||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:extension, value:root | |
templateId:primary | 1..1 | II | ||
root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.75 | |
extension | 1..1 | st | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | The code selected indicates the category that groups the contained mental status observations (e.g., communication, learning and applying knowledge). | |
code | C | 1..1 | cs | 1198-14698: **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698). |
statusCode | 1..1 | CS | ||
code | 1..1 | cs | Fixed Value: completed | |
effectiveTime | C | 0..1 | IVL_TS | The effectiveTime is an interval that spans the effectiveTimes of the contained mental status observations. Because all contained mental status observations have a required time stamp, it is not required that this effectiveTime be populated. 1198-32426: The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426). |
Slices for component | 1..* | OrganizerComponent | Slice: Unordered, Open by value:observation | |
component:mentalStatus | 1..* | OrganizerComponent | ||
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
1198-14698 | warning | Organizer.code.code | **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698). : | |
1198-32426 | error | Organizer.effectiveTime | The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426). : |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Organizer | 1..1 | CDAR2.Organizer | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, @moodCode, realmCode, typeId, templateId, id, code, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, component Base for all types and resources | |
@classCode | 1..1 | cs | Binding: ActClass (required) Fixed Value: CLUSTER | |
@moodCode | 1..1 | cs | Binding: ActMood (required) Fixed Value: EVN | |
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:extension, value:root | |
templateId:primary | 1..1 | II | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.75 | |
@extension | 1..1 | st | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | The code selected indicates the category that groups the contained mental status observations (e.g., communication, learning and applying knowledge). Binding: v3 Code System ActCode (extensible) | |
@code | C | 1..1 | cs | 1198-14698: **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698). |
statusCode | 1..1 | CS | Binding: ActStatus (required) | |
@code | 1..1 | cs | Fixed Value: completed | |
effectiveTime | C | 0..1 | IVL_TS | The effectiveTime is an interval that spans the effectiveTimes of the contained mental status observations. Because all contained mental status observations have a required time stamp, it is not required that this effectiveTime be populated. 1198-32426: The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426). |
Slices for component | 1..* | OrganizerComponent | Slice: Unordered, Open by value:observation | |
component:mentalStatus | 1..* | OrganizerComponent | ||
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Organizer.classCode | required | Fixed Value: CLUSTER |
Organizer.moodCode | required | Fixed Value: EVN |
Organizer.code | extensible | ActCode |
Organizer.statusCode | required | ActStatus |
Id | Grade | Path(s) | Details | Requirements |
1198-14698 | warning | Organizer.code.code | **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698). : | |
1198-32426 | error | Organizer.effectiveTime | The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426). : | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Organizer | 1..1 | CDAR2.Organizer | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, @moodCode, realmCode, typeId, templateId, id, code, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, component Base for all types and resources | |
@classCode | 1..1 | cs | Binding: ActClass (required) Fixed Value: CLUSTER | |
@moodCode | 1..1 | cs | Binding: ActMood (required) Fixed Value: EVN | |
realmCode | 0..* | CS | ||
typeId | 0..1 | II | ||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:extension, value:root | |
templateId:primary | 1..1 | II | ||
@nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.75 | |
@extension | 1..1 | st | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | The code selected indicates the category that groups the contained mental status observations (e.g., communication, learning and applying knowledge). Binding: v3 Code System ActCode (extensible) | |
@nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
@code | C | 1..1 | cs | 1198-14698: **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698). |
@codeSystem | 0..1 | oid, uuid, ruid | ||
@codeSystemName | 0..1 | st | ||
@codeSystemVersion | 0..1 | st | ||
@displayName | 0..1 | st | ||
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
originalText | 0..1 | ED | ||
qualifier | 0..* | CR | ||
translation | 0..* | CD | ||
statusCode | 1..1 | CS | Binding: ActStatus (required) | |
@nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
@code | 1..1 | cs | Fixed Value: completed | |
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
effectiveTime | C | 0..1 | IVL_TS | The effectiveTime is an interval that spans the effectiveTimes of the contained mental status observations. Because all contained mental status observations have a required time stamp, it is not required that this effectiveTime be populated. 1198-32426: The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426). |
subject | 0..1 | Subject | ||
specimen | 0..* | Specimen | ||
performer | 0..* | Performer2 | ||
author | 0..* | Author | ||
informant | 0..* | Informant | ||
participant | 0..* | Participant2 | ||
reference | 0..* | Reference | ||
precondition | 0..* | Precondition | ||
Slices for component | 1..* | OrganizerComponent | Slice: Unordered, Open by value:observation | |
component:mentalStatus | 1..* | OrganizerComponent | ||
@nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | 0..1 | II | ||
templateId | 0..* | II | ||
@typeCode | 0..1 | cs | Binding: ActRelationshipHasComponent (required) | |
@contextConductionInd | 0..1 | bl | Fixed Value: true | |
sequenceNumber | 0..1 | INT | ||
priorityNumber | 0..1 | INT | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
seperatableInd | 0..1 | BL | ||
act | 0..1 | Act | ||
encounter | 0..1 | Encounter | ||
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
Documentation for this format |
Path | Conformance | ValueSet / Code |
Organizer.classCode | required | Fixed Value: CLUSTER |
Organizer.moodCode | required | Fixed Value: EVN |
Organizer.templateId:primary.nullFlavor | required | NullFlavor |
Organizer.code | extensible | ActCode |
Organizer.code.nullFlavor | required | NullFlavor |
Organizer.statusCode | required | ActStatus |
Organizer.statusCode.nullFlavor | required | NullFlavor |
Organizer.component:mentalStatus.nullFlavor | required | NullFlavor |
Organizer.component:mentalStatus.typeCode | required | ActRelationshipHasComponent |
Id | Grade | Path(s) | Details | Requirements |
1198-14698 | warning | Organizer.code.code | **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698). : | |
1198-32426 | error | Organizer.effectiveTime | The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426). : | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
This structure is derived from CDAR2.Organizer
Summary
Mandatory: 11 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Organizer
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Organizer | CDAR2.Organizer | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, @moodCode, realmCode, typeId, templateId, id, code, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, component | ||
classCode | 1..1 | cs | Fixed Value: CLUSTER | |
moodCode | 1..1 | cs | ||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:extension, value:root | |
templateId:primary | 1..1 | II | ||
root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.75 | |
extension | 1..1 | st | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | The code selected indicates the category that groups the contained mental status observations (e.g., communication, learning and applying knowledge). | |
code | C | 1..1 | cs | 1198-14698: **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698). |
statusCode | 1..1 | CS | ||
code | 1..1 | cs | Fixed Value: completed | |
effectiveTime | C | 0..1 | IVL_TS | The effectiveTime is an interval that spans the effectiveTimes of the contained mental status observations. Because all contained mental status observations have a required time stamp, it is not required that this effectiveTime be populated. 1198-32426: The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426). |
Slices for component | 1..* | OrganizerComponent | Slice: Unordered, Open by value:observation | |
component:mentalStatus | 1..* | OrganizerComponent | ||
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
1198-14698 | warning | Organizer.code.code | **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698). : | |
1198-32426 | error | Organizer.effectiveTime | The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426). : |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Organizer | 1..1 | CDAR2.Organizer | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, @moodCode, realmCode, typeId, templateId, id, code, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, component Base for all types and resources | |
@classCode | 1..1 | cs | Binding: ActClass (required) Fixed Value: CLUSTER | |
@moodCode | 1..1 | cs | Binding: ActMood (required) Fixed Value: EVN | |
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:extension, value:root | |
templateId:primary | 1..1 | II | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.75 | |
@extension | 1..1 | st | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | The code selected indicates the category that groups the contained mental status observations (e.g., communication, learning and applying knowledge). Binding: v3 Code System ActCode (extensible) | |
@code | C | 1..1 | cs | 1198-14698: **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698). |
statusCode | 1..1 | CS | Binding: ActStatus (required) | |
@code | 1..1 | cs | Fixed Value: completed | |
effectiveTime | C | 0..1 | IVL_TS | The effectiveTime is an interval that spans the effectiveTimes of the contained mental status observations. Because all contained mental status observations have a required time stamp, it is not required that this effectiveTime be populated. 1198-32426: The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426). |
Slices for component | 1..* | OrganizerComponent | Slice: Unordered, Open by value:observation | |
component:mentalStatus | 1..* | OrganizerComponent | ||
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Organizer.classCode | required | Fixed Value: CLUSTER |
Organizer.moodCode | required | Fixed Value: EVN |
Organizer.code | extensible | ActCode |
Organizer.statusCode | required | ActStatus |
Id | Grade | Path(s) | Details | Requirements |
1198-14698 | warning | Organizer.code.code | **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698). : | |
1198-32426 | error | Organizer.effectiveTime | The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426). : | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Organizer | 1..1 | CDAR2.Organizer | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, @moodCode, realmCode, typeId, templateId, id, code, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, component Base for all types and resources | |
@classCode | 1..1 | cs | Binding: ActClass (required) Fixed Value: CLUSTER | |
@moodCode | 1..1 | cs | Binding: ActMood (required) Fixed Value: EVN | |
realmCode | 0..* | CS | ||
typeId | 0..1 | II | ||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:extension, value:root | |
templateId:primary | 1..1 | II | ||
@nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.75 | |
@extension | 1..1 | st | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | The code selected indicates the category that groups the contained mental status observations (e.g., communication, learning and applying knowledge). Binding: v3 Code System ActCode (extensible) | |
@nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
@code | C | 1..1 | cs | 1198-14698: **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698). |
@codeSystem | 0..1 | oid, uuid, ruid | ||
@codeSystemName | 0..1 | st | ||
@codeSystemVersion | 0..1 | st | ||
@displayName | 0..1 | st | ||
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
originalText | 0..1 | ED | ||
qualifier | 0..* | CR | ||
translation | 0..* | CD | ||
statusCode | 1..1 | CS | Binding: ActStatus (required) | |
@nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
@code | 1..1 | cs | Fixed Value: completed | |
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
effectiveTime | C | 0..1 | IVL_TS | The effectiveTime is an interval that spans the effectiveTimes of the contained mental status observations. Because all contained mental status observations have a required time stamp, it is not required that this effectiveTime be populated. 1198-32426: The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426). |
subject | 0..1 | Subject | ||
specimen | 0..* | Specimen | ||
performer | 0..* | Performer2 | ||
author | 0..* | Author | ||
informant | 0..* | Informant | ||
participant | 0..* | Participant2 | ||
reference | 0..* | Reference | ||
precondition | 0..* | Precondition | ||
Slices for component | 1..* | OrganizerComponent | Slice: Unordered, Open by value:observation | |
component:mentalStatus | 1..* | OrganizerComponent | ||
@nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | 0..1 | II | ||
templateId | 0..* | II | ||
@typeCode | 0..1 | cs | Binding: ActRelationshipHasComponent (required) | |
@contextConductionInd | 0..1 | bl | Fixed Value: true | |
sequenceNumber | 0..1 | INT | ||
priorityNumber | 0..1 | INT | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
seperatableInd | 0..1 | BL | ||
act | 0..1 | Act | ||
encounter | 0..1 | Encounter | ||
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
Documentation for this format |
Path | Conformance | ValueSet / Code |
Organizer.classCode | required | Fixed Value: CLUSTER |
Organizer.moodCode | required | Fixed Value: EVN |
Organizer.templateId:primary.nullFlavor | required | NullFlavor |
Organizer.code | extensible | ActCode |
Organizer.code.nullFlavor | required | NullFlavor |
Organizer.statusCode | required | ActStatus |
Organizer.statusCode.nullFlavor | required | NullFlavor |
Organizer.component:mentalStatus.nullFlavor | required | NullFlavor |
Organizer.component:mentalStatus.typeCode | required | ActRelationshipHasComponent |
Id | Grade | Path(s) | Details | Requirements |
1198-14698 | warning | Organizer.code.code | **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698). : | |
1198-32426 | error | Organizer.effectiveTime | The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426). : | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
This structure is derived from CDAR2.Organizer
Summary
Mandatory: 11 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices: