Consolidated CDA (C-CDA)
4.0.0 - STU4 United States of America flag

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 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: Mental Status Organizer

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/MentalStatusOrganizer Version: 4.0.0
Draft as of 2025-10-02 Computable Name: MentalStatusOrganizer
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.75:2024-05-01

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.

Templates Used

Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:

Required Components: MentalStatusObservation

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 3.0.0:

  • New Content

    • Formal Views of Template Content

    Description of Template, Differentials, Snapshots and how the different presentations work.

    This structure is derived from Organizer

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-effectiveTime
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:mental-status-org 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: 2024-05-01
    ... @classCode 1..1 cs Fixed Value: CLUSTER
    ... @moodCode 1..1 cs
    ... code C 1..1 CD The code selected indicates the category that groups the contained mental status observations (e.g., communication, learning and applying knowledge).
    Constraints: 1198-14698
    .... @code 1..1 cs
    ... sdtcText 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... statusCode 1..1 CS
    .... @code 1..1 cs Fixed Value: completed
    ... effectiveTime 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.
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:mentalStatus 1..* OrganizerComponent
    ..... observation 1..1 MentalStatusObservation

    doco Documentation for this format

    Constraints

    Id Grade Path(s) Description Expression
    1198-14698 warning Organizer.code **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')
    should-effectiveTime warning Organizer SHOULD contain effectiveTime effectiveTime.exists()
    should-sdtctext-ref-value warning Organizer SHOULD contain text/reference/@value sdtcText.reference.value.exists()
    value-starts-octothorpe error Organizer.sdtcText.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-effectiveTime
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:mental-status-org 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (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: 2024-05-01
    ... @classCode 1..1 cs Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
    Fixed Value: CLUSTER
    ... @moodCode 1..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code C 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 (example)
    Constraints: 1198-14698
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs
    .... @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
    ... sdtcText 0..1 ED XML Namespace: urn:hl7-org:sdtc
    SHOULD reference the portion of section narrative text corresponding to this entry
    XML: text (urn:hl7-org:sdtc)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 1..1 CS Binding: ActStatus (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (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 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.
    ... 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
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:mentalStatus 1..* OrganizerComponent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 0..1 cs Binding: ActRelationshipHasComponent (required)
    ..... @contextConductionInd 0..1 bl Fixed Value: true
    ..... sequenceNumber 0..1 INT
    ..... sdtcPriorityNumber 0..1 INT XML Namespace: urn:hl7-org:sdtc
    XML: priorityNumber (urn:hl7-org:sdtc)
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 MentalStatusObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Organizer.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.templateId:mental-status-org.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.classCode Base required x_ActClassDocumentEntryOrganizer 📍2.0.0 THO v5.2
    Organizer.moodCode Base required CDAActMood 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
    Organizer.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Organizer.sdtcText.mediaType Base example MediaType 📦3.0.0 THO v6.5
    Organizer.sdtcText.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.statusCode Base required ActStatus 📦3.0.0 THO v6.5
    Organizer.statusCode.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:mentalStatus.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:mentalStatus.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:mentalStatus.​typeCode Base required ActRelationshipHasComponent 📦3.0.0 THO v6.5

    Constraints

    Id Grade Path(s) Description Expression
    1198-14698 warning Organizer.code **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')
    II-1 error Organizer.typeId, Organizer.component:mentalStatus.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    should-effectiveTime warning Organizer SHOULD contain effectiveTime effectiveTime.exists()
    should-sdtctext-ref-value warning Organizer SHOULD contain text/reference/@value sdtcText.reference.value.exists()
    value-starts-octothorpe error Organizer.sdtcText.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-effectiveTime
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:mental-status-org 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (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: 2024-05-01
    ... @classCode 1..1 cs Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
    Fixed Value: CLUSTER
    ... @moodCode 1..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code C 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 (example)
    Constraints: 1198-14698
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs
    .... @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
    ... sdtcText 0..1 ED XML Namespace: urn:hl7-org:sdtc
    SHOULD reference the portion of section narrative text corresponding to this entry
    XML: text (urn:hl7-org:sdtc)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 1..1 CS Binding: ActStatus (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (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 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.
    ... 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
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:mentalStatus 1..* OrganizerComponent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 0..1 cs Binding: ActRelationshipHasComponent (required)
    ..... @contextConductionInd 0..1 bl Fixed Value: true
    ..... sequenceNumber 0..1 INT
    ..... sdtcPriorityNumber 0..1 INT XML Namespace: urn:hl7-org:sdtc
    XML: priorityNumber (urn:hl7-org:sdtc)
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 MentalStatusObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Organizer.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.templateId:mental-status-org.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.classCode Base required x_ActClassDocumentEntryOrganizer 📍2.0.0 THO v5.2
    Organizer.moodCode Base required CDAActMood 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
    Organizer.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Organizer.sdtcText.mediaType Base example MediaType 📦3.0.0 THO v6.5
    Organizer.sdtcText.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.statusCode Base required ActStatus 📦3.0.0 THO v6.5
    Organizer.statusCode.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:mentalStatus.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:mentalStatus.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:mentalStatus.​typeCode Base required ActRelationshipHasComponent 📦3.0.0 THO v6.5

    Constraints

    Id Grade Path(s) Description Expression
    1198-14698 warning Organizer.code **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')
    II-1 error Organizer.typeId, Organizer.component:mentalStatus.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    should-effectiveTime warning Organizer SHOULD contain effectiveTime effectiveTime.exists()
    should-sdtctext-ref-value warning Organizer SHOULD contain text/reference/@value sdtcText.reference.value.exists()
    value-starts-octothorpe error Organizer.sdtcText.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    This structure is derived from Organizer

    Summary

    Mandatory: 11 elements
    Fixed: 2 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Organizer.templateId
    • The element 1 is sliced based on the value of Organizer.component

    Differential View

    This structure is derived from Organizer

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-effectiveTime
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:mental-status-org 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: 2024-05-01
    ... @classCode 1..1 cs Fixed Value: CLUSTER
    ... @moodCode 1..1 cs
    ... code C 1..1 CD The code selected indicates the category that groups the contained mental status observations (e.g., communication, learning and applying knowledge).
    Constraints: 1198-14698
    .... @code 1..1 cs
    ... sdtcText 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... statusCode 1..1 CS
    .... @code 1..1 cs Fixed Value: completed
    ... effectiveTime 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.
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:mentalStatus 1..* OrganizerComponent
    ..... observation 1..1 MentalStatusObservation

    doco Documentation for this format

    Constraints

    Id Grade Path(s) Description Expression
    1198-14698 warning Organizer.code **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')
    should-effectiveTime warning Organizer SHOULD contain effectiveTime effectiveTime.exists()
    should-sdtctext-ref-value warning Organizer SHOULD contain text/reference/@value sdtcText.reference.value.exists()
    value-starts-octothorpe error Organizer.sdtcText.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-effectiveTime
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:mental-status-org 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (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: 2024-05-01
    ... @classCode 1..1 cs Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
    Fixed Value: CLUSTER
    ... @moodCode 1..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code C 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 (example)
    Constraints: 1198-14698
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs
    .... @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
    ... sdtcText 0..1 ED XML Namespace: urn:hl7-org:sdtc
    SHOULD reference the portion of section narrative text corresponding to this entry
    XML: text (urn:hl7-org:sdtc)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 1..1 CS Binding: ActStatus (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (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 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.
    ... 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
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:mentalStatus 1..* OrganizerComponent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 0..1 cs Binding: ActRelationshipHasComponent (required)
    ..... @contextConductionInd 0..1 bl Fixed Value: true
    ..... sequenceNumber 0..1 INT
    ..... sdtcPriorityNumber 0..1 INT XML Namespace: urn:hl7-org:sdtc
    XML: priorityNumber (urn:hl7-org:sdtc)
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 MentalStatusObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Organizer.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.templateId:mental-status-org.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.classCode Base required x_ActClassDocumentEntryOrganizer 📍2.0.0 THO v5.2
    Organizer.moodCode Base required CDAActMood 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
    Organizer.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Organizer.sdtcText.mediaType Base example MediaType 📦3.0.0 THO v6.5
    Organizer.sdtcText.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.statusCode Base required ActStatus 📦3.0.0 THO v6.5
    Organizer.statusCode.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:mentalStatus.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:mentalStatus.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:mentalStatus.​typeCode Base required ActRelationshipHasComponent 📦3.0.0 THO v6.5

    Constraints

    Id Grade Path(s) Description Expression
    1198-14698 warning Organizer.code **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')
    II-1 error Organizer.typeId, Organizer.component:mentalStatus.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    should-effectiveTime warning Organizer SHOULD contain effectiveTime effectiveTime.exists()
    should-sdtctext-ref-value warning Organizer SHOULD contain text/reference/@value sdtcText.reference.value.exists()
    value-starts-octothorpe error Organizer.sdtcText.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-sdtctext-ref-value, should-effectiveTime
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:mental-status-org 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (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: 2024-05-01
    ... @classCode 1..1 cs Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
    Fixed Value: CLUSTER
    ... @moodCode 1..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code C 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 (example)
    Constraints: 1198-14698
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs
    .... @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
    ... sdtcText 0..1 ED XML Namespace: urn:hl7-org:sdtc
    SHOULD reference the portion of section narrative text corresponding to this entry
    XML: text (urn:hl7-org:sdtc)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 1..1 CS Binding: ActStatus (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (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 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.
    ... 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
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... Slices for component 1..* OrganizerComponent Slice: Unordered, Open by profile:observation
    .... component:mentalStatus 1..* OrganizerComponent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 0..1 cs Binding: ActRelationshipHasComponent (required)
    ..... @contextConductionInd 0..1 bl Fixed Value: true
    ..... sequenceNumber 0..1 INT
    ..... sdtcPriorityNumber 0..1 INT XML Namespace: urn:hl7-org:sdtc
    XML: priorityNumber (urn:hl7-org:sdtc)
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 MentalStatusObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Organizer.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.templateId:mental-status-org.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.classCode Base required x_ActClassDocumentEntryOrganizer 📍2.0.0 THO v5.2
    Organizer.moodCode Base required CDAActMood 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.code Base example v3 Code System ActCode 📦3.0.0 THO v6.5
    Organizer.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.sdtcText.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Organizer.sdtcText.mediaType Base example MediaType 📦3.0.0 THO v6.5
    Organizer.sdtcText.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.statusCode Base required ActStatus 📦3.0.0 THO v6.5
    Organizer.statusCode.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:mentalStatus.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:mentalStatus.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Organizer.component:mentalStatus.​typeCode Base required ActRelationshipHasComponent 📦3.0.0 THO v6.5

    Constraints

    Id Grade Path(s) Description Expression
    1198-14698 warning Organizer.code **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')
    II-1 error Organizer.typeId, Organizer.component:mentalStatus.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    should-effectiveTime warning Organizer SHOULD contain effectiveTime effectiveTime.exists()
    should-sdtctext-ref-value warning Organizer SHOULD contain text/reference/@value sdtcText.reference.value.exists()
    value-starts-octothorpe error Organizer.sdtcText.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    This structure is derived from Organizer

    Summary

    Mandatory: 11 elements
    Fixed: 2 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Organizer.templateId
    • The element 1 is sliced based on the value of Organizer.component

     

    Other representations of profile: CSV, Excel