Consolidated CDA (C-CDA)
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Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

Logical Model: MentalStatusOrganizer - Detailed Descriptions

Draft as of 2024-12-19

Definitions for the MentalStatusOrganizer logical model.

Guidance on how to interpret the contents of this table can be found here

0. Organizer
Logical ContainerClinicalDocument (CDA Class)
ValidationInstance of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-sdtctext-ref-value: SHOULD contain text/reference/@value (sdtcText.reference.value.exists())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
2. Organizer.templateId
Control1..?
SlicingThis element introduces a set of slices on Organizer.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
  • 4. Organizer.templateId:mental-status-org
    Slice Namemental-status-org
    Control1..1
    6. Organizer.templateId:mental-status-org.root
    Control1..?
    Pattern Value2.16.840.1.113883.10.20.22.4.75
    8. Organizer.templateId:mental-status-org.extension
    Control1..?
    Pattern Value2015-08-01
    10. Organizer.classCode
    Comments

    SHALL contain exactly one [1..1] @classCode="CLUSTER" Cluster (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-14369).

    Fixed ValueCLUSTER
    12. Organizer.moodCode
    Comments

    SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-14371).

    14. Organizer.id
    Comments

    SHALL contain at least one [1..*] id (CONF:1198-14377).

    Control1..?
    16. Organizer.code
    ShortThe code selected indicates the category that groups the contained mental status observations (e.g., communication, learning and applying knowledge).
    Comments

    SHALL contain exactly one [1..1] code (CONF:1198-14378).

    Control1..?
    Invariants1198-14698: **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.1) (CONF:1198-14698). (codeSystem.exists() implies (codeSystem = '2.16.840.1.113883.6.254' or codeSystem = '2.16.840.1.113883.6.1'))
    18. Organizer.code.code
    Comments

    This code SHALL contain exactly one [1..1] @code (CONF:1198-14697).

    Control1..?
    20. Organizer.sdtcText
    ShortSHOULD reference the portion of section narrative text corresponding to this entry
    22. Organizer.sdtcText.reference
    Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
    24. Organizer.statusCode
    Comments

    SHALL contain exactly one [1..1] statusCode (CONF:1198-14372).

    26. Organizer.statusCode.code
    Comments

    This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19093).

    Control1..?
    Fixed Valuecompleted
    28. Organizer.effectiveTime
    ShortThe 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.
    Comments

    SHOULD contain zero or one [0..1] effectiveTime (CONF:1198-32424).

    30. Organizer.component
    Control1..?
    SlicingThis element introduces a set of slices on Organizer.component. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • profile @ observation
    • 32. Organizer.component:mentalStatus
      Slice NamementalStatus
      Comments

      SHALL contain at least one [1..*] component (CONF:1198-14373) such that it

      Control1..*
      34. Organizer.component:mentalStatus.observation
      Comments

      SHALL contain exactly one [1..1] Mental Status Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.74:2015-08-01) (CONF:1198-14381).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Mental Status Observation)