abstractbaseDefinitioncopyrightdate- Values Differ
description- Values Differ
experimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurlversion- Values Differ
| Left: | Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation) |
| Right: | Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation) |
| Error | StructureDefinition.version | Values for version differ: '3.0.0' vs '4.0.0' |
| Information | StructureDefinition.date | Values for date differ: '2024-05-18T00:16:25-05:00' vs '2024-10-19T22:19:38+00:00' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) Functional Status, Mental/Cognitive Status, Alcohol Use, Substance Use, Physical Activity, SDOH Assessment' vs 'Intended to hold the calculated score, if a calculated score exists in the originating questionaire or scale from the contained Assessment Scale Observations, and the associated answer integer will be at observation.value.translationCode, if present' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/cda/stds/core/StructureDefinition/Observation | ||
| copyright | |||
| date | 2024-05-18T00:16:25-05:00 | 2024-10-19T22:19:38+00:00 |
|
| description | An assessment scale is a collection of observations that together can yield a calculated or non-calculated summary evaluation of a one or more conditions. Examples include the Braden Scale (assesses pressure ulcer risk), APACHE Score (estimates mortality in critically ill patients), Mini-Mental Status Exam (assesses cognitive function), APGAR Score (assesses the health of a newborn), Glasgow Coma Scale (assesses coma and impaired consciousness), and WE CARE (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education - a clinic-based screening and referral system developed for pediatric settings). When an Assessment Scale Observation is contained in a Problem Observation, a Social History Observation or a Procedure instance that is Social Determinant of Health focused, that Assessment scale **MAY** contain assessment scale observations that represent question and answer pairs from SDOH screening instruments that are represented in LOINC. Note that guidance on the use of LOINC in assessment scales already exists in Assessment Scale Observation constraints and Assessment Scale Supporting Observations constraints. | An assessment scale is a collection of observations that together can yield a calculated or non-calculated summary evaluation of a one or more conditions. Examples include the Braden Scale (assesses pressure ulcer risk), APACHE Score (estimates mortality in critically ill patients), Mini-Mental Status Exam (assesses cognitive function), APGAR Score (assesses the health of a newborn), Glasgow Coma Scale (assesses coma and impaired consciousness), and WE CARE (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education - a clinic-based screening and referral system developed for pediatric settings). When an Assessment Scale Observation is contained in a Problem Observation, a Social History Observation or a Procedure instance that is Social Determinant of Health focused, that Assessment scale **MAY** contain assessment scale observations that represent question and answer pairs from SDOH screening instruments that are represented in LOINC. Note that guidance on the use of LOINC in assessment scales already exists in Assessment Scale Observation constraints and Assessment Scale Supporting Observations constraints. The Observation value is used to record a calculated score using an integer. A LOINC answer concept is used when the assessment is non-calculated result. |
|
| experimental | |||
| fhirVersion | 5.0.0 | ||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | logical | ||
| name | AssessmentScaleObservation | ||
| publisher | Health Level Seven | ||
| purpose | |||
| status | draft | ||
| title | Assessment Scale Observation | ||
| type | http://hl7.org/cda/stds/core/StructureDefinition/Observation | ||
| url | http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation | ||
| version | 3.0.0 | 4.0.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Observation | C | 1..1 | Observation | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | C | 1..1 | Observation | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value | |||||||||||||
 nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| realmCode | 0..* | CS | 0..* | CS | |||||||||||||||||
 typeId | 0..1 | II | 0..1 | II | |||||||||||||||||
 nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||||||||
 st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||||||||
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||||||||||
| classCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: OBS | 1..1 | ?? | Binding: ?? (required) Fixed Value: OBS | |||||||||||||||
| moodCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | |||||||||||||||
| negationInd | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| id | 1..* | II | 1..* | II | |||||||||||||||||
| code | 1..1 | CD | Binding: ?? (example)
| 1..1 | CD | Binding: ?? (example)
| |||||||||||||||
| derivationExpr | 0..1 | ST | Such derivation expression can contain a text calculation of how the components total up to the summed score | 0..1 | ST | Such derivation expression can contain a text calculation of how the components total up to the summed score | |||||||||||||||
| text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| compression | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| integrityCheck | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| integrityCheckAlgorithm | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| language | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| mediaType | 0..1 | ?? | Binding: ?? (example) | 0..1 | ?? | Binding: ?? (example) | |||||||||||||||
| representation | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| xmlText | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | 0..1 | ?? | 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 | 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 | 0..1 | ED | |||||||||||||||||
| statusCode | 1..1 | CS | Binding: ?? (required) | 1..1 | CS | Binding: ?? (required) | |||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| code | 1..1 | ?? | Fixed Value: completed | 1..1 | ?? | Fixed Value: completed | |||||||||||||||
| codeSystem | 0..0 | 0..0 | |||||||||||||||||||
| codeSystemName | 0..0 | 0..0 | |||||||||||||||||||
| codeSystemVersion | 0..0 | 0..0 | |||||||||||||||||||
| displayName | 0..0 | 0..0 | |||||||||||||||||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||||||||||||||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||||||||||
| originalText | 0..0 | 0..0 | |||||||||||||||||||
| qualifier | 0..0 | 0..0 | |||||||||||||||||||
| translation | 0..0 | 0..0 | |||||||||||||||||||
| effectiveTime | 1..1 | IVL_TS | Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards) | 1..1 | IVL_TS | Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards) | |||||||||||||||
| priorityCode | 0..1 | CE | Binding: ?? (example) | 0..1 | CE | Binding: ?? (example) | |||||||||||||||
| repeatNumber | 0..1 | IVL_INT | 0..1 | IVL_INT | |||||||||||||||||
| languageCode | 0..1 | CS | Binding: ?? (required) | 0..1 | CS | Binding: ?? (required) | |||||||||||||||
| value | 1..1 | ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | (USCDI) Functional Status, Mental/Cognitive Status, Alcohol Use, Substance Use, Physical Activity, SDOH Assessment | 1..1 | ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | Intended to hold the calculated score, if a calculated score exists in the originating questionaire or scale from the contained Assessment Scale Observations, and the associated answer integer will be at observation.value.translationCode, if present | |||||||||||||||
| interpretationCode | 0..* | CE | Binding: ?? (required) | 0..* | CE | Binding: ?? (required) | |||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| code | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| codeSystem | 0..1 | ??, ??, ?? | 0..1 | ??, ??, ?? | |||||||||||||||||
| codeSystemName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| codeSystemVersion | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| displayName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||||||||||||||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||||||||||
| originalText | 0..1 | ED | 0..1 | ED | |||||||||||||||||
| qualifier | 0..0 | 0..0 | |||||||||||||||||||
| translation | 0..* | CD | 0..* | CD | |||||||||||||||||
| methodCode | 0..* | CE | Binding: ?? (example) | 0..* | CE | Binding: ?? (example) | |||||||||||||||
| targetSiteCode | 0..* | CD | 0..* | CD | |||||||||||||||||
| subject | 0..1 | Subject | 0..1 | Subject | |||||||||||||||||
| specimen | 0..* | Specimen | 0..* | Specimen | |||||||||||||||||
| performer | 0..* | Performer2 | 0..* | Performer2 | |||||||||||||||||
| author | 0..* | Author | 0..* | Author | |||||||||||||||||
| informant | 0..* | Informant | 0..* | Informant | |||||||||||||||||
| participant | 0..* | Participant2 | 0..* | Participant2 | |||||||||||||||||
| Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, value:typeCode | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, value:typeCode | |||||||||||||||
| reference | 0..* | Reference | 0..* | Reference | |||||||||||||||||
| precondition | 0..* | Precondition | 0..* | Precondition | |||||||||||||||||
| sdtcPrecondition2 | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | |||||||||||||||
| referenceRange | 0..* | InfrastructureRoot | The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain) | 0..* | InfrastructureRoot | The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain) | |||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| realmCode | 0..* | CS | 0..* | CS | |||||||||||||||||
| typeId | 0..1 | II | 0..1 | II | |||||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||||||||
| st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||||||||
| templateId | 0..* | II | 0..* | II | |||||||||||||||||
| typeCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: REFV | 0..1 | ?? | Binding: ?? (required) Fixed Value: REFV | |||||||||||||||
 observationRange | C | 1..1 | ObservationRange | should-text: SHOULD contain text should-text-ref-value: SHOULD contain text/reference/@value | C | 1..1 | ObservationRange | should-text: SHOULD contain text should-text-ref-value: SHOULD contain text/reference/@value | |||||||||||||
 nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| realmCode | 0..* | CS | 0..* | CS | |||||||||||||||||
| typeId | 0..1 | II | 0..1 | II | |||||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||||||||
| st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||||||||
| templateId | 0..* | II | 0..* | II | |||||||||||||||||
| classCode | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| moodCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: EVN.CRT | 0..1 | ?? | Binding: ?? (required) Fixed Value: EVN.CRT | |||||||||||||||
| code | 0..1 | CD | Binding: ?? (example) | 0..1 | CD | Binding: ?? (example) | |||||||||||||||
| text | 0..1 | ED | The text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain) | 0..1 | ED | The text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain) | |||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| compression | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| integrityCheck | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| integrityCheckAlgorithm | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| language | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| mediaType | 0..1 | ?? | Binding: ?? (example) | 0..1 | ?? | Binding: ?? (example) | |||||||||||||||
| representation | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| xmlText | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | 0..1 | ?? | 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 | 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 | 0..1 | ED | |||||||||||||||||
| value | 0..1 | BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS | 0..1 | BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS | |||||||||||||||||
| interpretationCode | 0..1 | CE | Binding: ?? (required) | 0..1 | CE | Binding: ?? (required) | |||||||||||||||
| sdtcPrecondition1 | 0..* | InfrastructureRoot | XML: precondition1 (urn:hl7-org:sdtc) | 0..* | InfrastructureRoot | XML: precondition1 (urn:hl7-org:sdtc) | |||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| realmCode | 0..* | CS | 0..* | CS | |||||||||||||||||
| typeId | 0..1 | II | 0..1 | II | |||||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||||||||
| st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||||||||
| templateId | 0..* | II | 0..* | II | |||||||||||||||||
| typeCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: PRCN | 0..1 | ?? | Binding: ?? (required) Fixed Value: PRCN | |||||||||||||||
| conjunctionCode | 1..1 | CS | XML Namespace: urn:hl7-org:sdtc Binding: ?? (required) | 1..1 | CS | XML Namespace: urn:hl7-org:sdtc Binding: ?? (required) | |||||||||||||||
| criterion1 | 1..1 | Criterion | XML Namespace: urn:hl7-org:sdtc | 1..1 | Criterion | XML Namespace: urn:hl7-org:sdtc | |||||||||||||||
| sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |||||||||||||||
| Documentation for this format | |||||||||||||||||||||