Consolidated CDA (C-CDA)
4.0.0-ballot - STU4 Ballot 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-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: Mental Status Organizer

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/MentalStatusOrganizer Version: 4.0.0-ballot
Draft as of 2024-12-19 Computable Name: MentalStatusOrganizer
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.75:2015-08-01

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:

Formal Views of Template Content

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

This structure is derived from Organizer

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-sdtctext-ref-value: SHOULD contain text/reference/@value
should-effectiveTime: SHOULD contain 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: 2015-08-01
... @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).
1198-14698: **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).
.... @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 value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... 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 Base for all types and resources

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
1198-14698warningOrganizer.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-effectiveTimewarningOrganizerSHOULD contain effectiveTime
: effectiveTime.exists()
should-sdtctext-ref-valuewarningOrganizerSHOULD contain text/reference/@value
: sdtcText.reference.value.exists()
value-starts-octothorpeerrorOrganizer.sdtcText.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-sdtctext-ref-value: SHOULD contain text/reference/@value
should-effectiveTime: SHOULD contain effectiveTime
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II II-1: An II instance must have either a root or an nullFlavor.
.... @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: 2015-08-01
... @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)
1198-14698: **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).
.... @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 value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... 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 II-1: An II instance must have either a root or an nullFlavor.
...... @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 C 1..1 MentalStatusObservation Base for all types and resources
should-text-ref-value: SHOULD contain text/reference/@value
should-author: SHOULD contain author
..... 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

PathConformanceValueSet / CodeURI
Organizer.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.templateId:mental-status-org.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.classCoderequiredFixed Value: CLUSTER
http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0
Organizer.moodCoderequiredFixed Value: EVN
http://hl7.org/cda/stds/core/ValueSet/CDAActMood
Organizer.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Organizer.code.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.sdtcText.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.sdtcText.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Organizer.sdtcText.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Organizer.sdtcText.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Organizer.sdtcText.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Organizer.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Organizer.statusCode.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:mentalStatus.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:mentalStatus.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:mentalStatus.typeCoderequiredActRelationshipHasComponent
http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent

Constraints

IdGradePath(s)DetailsRequirements
1198-14698warningOrganizer.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-1errorOrganizer.typeId, Organizer.component:mentalStatus.typeIdAn II instance must have either a root or an nullFlavor.
: root.exists() or nullFlavor.exists()
should-authorwarningOrganizer.component:mentalStatus.observationSHOULD contain author
: author.exists()
should-effectiveTimewarningOrganizerSHOULD contain effectiveTime
: effectiveTime.exists()
should-sdtctext-ref-valuewarningOrganizerSHOULD contain text/reference/@value
: sdtcText.reference.value.exists()
should-text-ref-valuewarningOrganizer.component:mentalStatus.observationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorOrganizer.sdtcText.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-sdtctext-ref-value: SHOULD contain text/reference/@value
should-effectiveTime: SHOULD contain effectiveTime
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II II-1: An II instance must have either a root or an nullFlavor.
.... @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: 2015-08-01
... @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)
1198-14698: **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).
.... @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 value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... 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 II-1: An II instance must have either a root or an nullFlavor.
...... @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 C 1..1 MentalStatusObservation Base for all types and resources
should-text-ref-value: SHOULD contain text/reference/@value
should-author: SHOULD contain author
..... 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

PathConformanceValueSet / CodeURI
Organizer.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.templateId:mental-status-org.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.classCoderequiredFixed Value: CLUSTER
http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0
Organizer.moodCoderequiredFixed Value: EVN
http://hl7.org/cda/stds/core/ValueSet/CDAActMood
Organizer.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Organizer.code.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.sdtcText.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.sdtcText.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Organizer.sdtcText.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Organizer.sdtcText.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Organizer.sdtcText.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Organizer.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Organizer.statusCode.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:mentalStatus.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:mentalStatus.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:mentalStatus.typeCoderequiredActRelationshipHasComponent
http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent

Constraints

IdGradePath(s)DetailsRequirements
1198-14698warningOrganizer.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-1errorOrganizer.typeId, Organizer.component:mentalStatus.typeIdAn II instance must have either a root or an nullFlavor.
: root.exists() or nullFlavor.exists()
should-authorwarningOrganizer.component:mentalStatus.observationSHOULD contain author
: author.exists()
should-effectiveTimewarningOrganizerSHOULD contain effectiveTime
: effectiveTime.exists()
should-sdtctext-ref-valuewarningOrganizerSHOULD contain text/reference/@value
: sdtcText.reference.value.exists()
should-text-ref-valuewarningOrganizer.component:mentalStatus.observationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorOrganizer.sdtcText.referenceIf 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 & Constraintsdoco
.. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-sdtctext-ref-value: SHOULD contain text/reference/@value
should-effectiveTime: SHOULD contain 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: 2015-08-01
... @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).
1198-14698: **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).
.... @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 value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... 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 Base for all types and resources

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
1198-14698warningOrganizer.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-effectiveTimewarningOrganizerSHOULD contain effectiveTime
: effectiveTime.exists()
should-sdtctext-ref-valuewarningOrganizerSHOULD contain text/reference/@value
: sdtcText.reference.value.exists()
value-starts-octothorpeerrorOrganizer.sdtcText.referenceIf 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 & Constraintsdoco
.. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-sdtctext-ref-value: SHOULD contain text/reference/@value
should-effectiveTime: SHOULD contain effectiveTime
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II II-1: An II instance must have either a root or an nullFlavor.
.... @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: 2015-08-01
... @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)
1198-14698: **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).
.... @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 value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... 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 II-1: An II instance must have either a root or an nullFlavor.
...... @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 C 1..1 MentalStatusObservation Base for all types and resources
should-text-ref-value: SHOULD contain text/reference/@value
should-author: SHOULD contain author
..... 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

PathConformanceValueSet / CodeURI
Organizer.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.templateId:mental-status-org.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.classCoderequiredFixed Value: CLUSTER
http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0
Organizer.moodCoderequiredFixed Value: EVN
http://hl7.org/cda/stds/core/ValueSet/CDAActMood
Organizer.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Organizer.code.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.sdtcText.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.sdtcText.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Organizer.sdtcText.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Organizer.sdtcText.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Organizer.sdtcText.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Organizer.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Organizer.statusCode.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:mentalStatus.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:mentalStatus.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:mentalStatus.typeCoderequiredActRelationshipHasComponent
http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent

Constraints

IdGradePath(s)DetailsRequirements
1198-14698warningOrganizer.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-1errorOrganizer.typeId, Organizer.component:mentalStatus.typeIdAn II instance must have either a root or an nullFlavor.
: root.exists() or nullFlavor.exists()
should-authorwarningOrganizer.component:mentalStatus.observationSHOULD contain author
: author.exists()
should-effectiveTimewarningOrganizerSHOULD contain effectiveTime
: effectiveTime.exists()
should-sdtctext-ref-valuewarningOrganizerSHOULD contain text/reference/@value
: sdtcText.reference.value.exists()
should-text-ref-valuewarningOrganizer.component:mentalStatus.observationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorOrganizer.sdtcText.referenceIf 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 & Constraintsdoco
.. Organizer C 1..1 Organizer XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-sdtctext-ref-value: SHOULD contain text/reference/@value
should-effectiveTime: SHOULD contain effectiveTime
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II II-1: An II instance must have either a root or an nullFlavor.
.... @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: 2015-08-01
... @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)
1198-14698: **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).
.... @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 value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... 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 II-1: An II instance must have either a root or an nullFlavor.
...... @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 C 1..1 MentalStatusObservation Base for all types and resources
should-text-ref-value: SHOULD contain text/reference/@value
should-author: SHOULD contain author
..... 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

PathConformanceValueSet / CodeURI
Organizer.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.templateId:mental-status-org.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.classCoderequiredFixed Value: CLUSTER
http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0
Organizer.moodCoderequiredFixed Value: EVN
http://hl7.org/cda/stds/core/ValueSet/CDAActMood
Organizer.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Organizer.code.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.sdtcText.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.sdtcText.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Organizer.sdtcText.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Organizer.sdtcText.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Organizer.sdtcText.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Organizer.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Organizer.statusCode.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:mentalStatus.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:mentalStatus.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:mentalStatus.typeCoderequiredActRelationshipHasComponent
http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent

Constraints

IdGradePath(s)DetailsRequirements
1198-14698warningOrganizer.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-1errorOrganizer.typeId, Organizer.component:mentalStatus.typeIdAn II instance must have either a root or an nullFlavor.
: root.exists() or nullFlavor.exists()
should-authorwarningOrganizer.component:mentalStatus.observationSHOULD contain author
: author.exists()
should-effectiveTimewarningOrganizerSHOULD contain effectiveTime
: effectiveTime.exists()
should-sdtctext-ref-valuewarningOrganizerSHOULD contain text/reference/@value
: sdtcText.reference.value.exists()
should-text-ref-valuewarningOrganizer.component:mentalStatus.observationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorOrganizer.sdtcText.referenceIf 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