Consolidated CDA Release 2.2
2.2 - CI Build

Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/cda-ccda-2.2/ and changes regularly. See the Directory of published versions

Resource Profile: Mental Status Organizer

Defining URL:http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.75
Version:2.2
Name:MentalStatusOrganizer
Title:Mental Status Organizer
Status:Active as of 11/24/21, 5:43 PM
Definition:

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.

Publisher:Health Level Seven
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.75

Formal Views of Profile Content

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

This structure is derived from CDAR2.Organizer

Summary

Mandatory: 12 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Organizer.templateId is sliced based on the values of value:extension, value:root
  • The element Organizer.component is sliced based on the value of value:observation

This structure is derived from CDAR2.Organizer

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organizer 1..1CDAR2.Organizer
... classCode 1..1codeRequired Pattern: CLUSTER
... moodCode 1..1code
... Slices for templateId 0..*IISlice: Unordered, Open by value:extension, value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.75
..... extension 1..1stringRequired Pattern: 2015-08-01
... code 1..1CDThe code selected indicates the category that groups the contained mental status observations (e.g., communication, learning and applying knowledge).
.... code I1..1string1198-14698: **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698).
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: completed
... effectiveTime I0..1IVL_TSThe effectiveTime is an interval that spans the effectiveTimes of the contained mental status observations. Because all contained mental status observations have a required time stamp, it is not required that this effectiveTime be populated.
1198-32426: The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426).
... Slices for component 0..*ElementSlice: Unordered, Open by value:observation
.... component:mentalStatus 1..*Element
..... observation 1..1MentalStatusObservation

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Organizer 1..1CDAR2.Organizer
... classCode 1..1codeBinding: ActClass (required)
Required Pattern: CLUSTER
... moodCode 1..1codeBinding: ActMood (required)
Fixed Value: EVN
... realmCode 0..*CS
... Slices for templateId 0..*IISlice: Unordered, Open by value:extension, value:root
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.75
..... extension 1..1stringRequired Pattern: 2015-08-01
... id 1..*II
... code 1..1CDThe code selected indicates the category that groups the contained mental status observations (e.g., communication, learning and applying knowledge).
Binding: v3 Code System ActCode (extensible)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code I1..1string1198-14698: **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698).
.... codeSystem 0..1string
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: completed
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime I0..1IVL_TSThe effectiveTime is an interval that spans the effectiveTimes of the contained mental status observations. Because all contained mental status observations have a required time stamp, it is not required that this effectiveTime be populated.
1198-32426: The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426).
... subject 0..1Element
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition
... Slices for component 0..*ElementSlice: Unordered, Open by value:observation
.... component:All Slices Content/Rules for all slices
..... typeCode 1..1codeFixed Value: COMP
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... observation 0..1Observation
..... regionOfInterest 0..1RegionOfInterest
..... observationMedia 0..1ObservationMedia
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
..... procedure 0..1Procedure
..... encounter 0..1Encounter
..... organizer 0..1Organizer
..... act 0..1Act
.... component:mentalStatus 1..*Element
..... typeCode 1..1codeFixed Value: COMP
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... observation 1..1MentalStatusObservation
..... regionOfInterest 0..1RegionOfInterest
..... observationMedia 0..1ObservationMedia
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
..... procedure 0..1Procedure
..... encounter 0..1Encounter
..... organizer 0..1Organizer
..... act 0..1Act

doco Documentation for this format

This structure is derived from CDAR2.Organizer

Summary

Mandatory: 12 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Organizer.templateId is sliced based on the values of value:extension, value:root
  • The element Organizer.component is sliced based on the value of value:observation

Differential View

This structure is derived from CDAR2.Organizer

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organizer 1..1CDAR2.Organizer
... classCode 1..1codeRequired Pattern: CLUSTER
... moodCode 1..1code
... Slices for templateId 0..*IISlice: Unordered, Open by value:extension, value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.75
..... extension 1..1stringRequired Pattern: 2015-08-01
... code 1..1CDThe code selected indicates the category that groups the contained mental status observations (e.g., communication, learning and applying knowledge).
.... code I1..1string1198-14698: **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698).
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: completed
... effectiveTime I0..1IVL_TSThe effectiveTime is an interval that spans the effectiveTimes of the contained mental status observations. Because all contained mental status observations have a required time stamp, it is not required that this effectiveTime be populated.
1198-32426: The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426).
... Slices for component 0..*ElementSlice: Unordered, Open by value:observation
.... component:mentalStatus 1..*Element
..... observation 1..1MentalStatusObservation

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organizer 1..1CDAR2.Organizer
... classCode 1..1codeBinding: ActClass (required)
Required Pattern: CLUSTER
... moodCode 1..1codeBinding: ActMood (required)
Fixed Value: EVN
... realmCode 0..*CS
... Slices for templateId 0..*IISlice: Unordered, Open by value:extension, value:root
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.75
..... extension 1..1stringRequired Pattern: 2015-08-01
... id 1..*II
... code 1..1CDThe code selected indicates the category that groups the contained mental status observations (e.g., communication, learning and applying knowledge).
Binding: v3 Code System ActCode (extensible)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code I1..1string1198-14698: **SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698).
.... codeSystem 0..1string
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: completed
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime I0..1IVL_TSThe effectiveTime is an interval that spans the effectiveTimes of the contained mental status observations. Because all contained mental status observations have a required time stamp, it is not required that this effectiveTime be populated.
1198-32426: The Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426).
... subject 0..1Element
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition
... Slices for component 0..*ElementSlice: Unordered, Open by value:observation
.... component:All Slices Content/Rules for all slices
..... typeCode 1..1codeFixed Value: COMP
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... observation 0..1Observation
..... regionOfInterest 0..1RegionOfInterest
..... observationMedia 0..1ObservationMedia
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
..... procedure 0..1Procedure
..... encounter 0..1Encounter
..... organizer 0..1Organizer
..... act 0..1Act
.... component:mentalStatus 1..*Element
..... typeCode 1..1codeFixed Value: COMP
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... observation 1..1MentalStatusObservation
..... regionOfInterest 0..1RegionOfInterest
..... observationMedia 0..1ObservationMedia
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
..... procedure 0..1Procedure
..... encounter 0..1Encounter
..... organizer 0..1Organizer
..... act 0..1Act

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Organizer.classCoderequiredPattern: CLUSTER
Organizer.moodCoderequiredFixed Value: EVN
Organizer.templateId:primary.nullFlavorrequiredNullFlavor
Organizer.codeextensibleActCode
Organizer.code.nullFlavorrequiredNullFlavor
Organizer.statusCoderequiredActStatus
Organizer.statusCode.nullFlavorrequiredNullFlavor
Organizer.subject.typeCoderequiredFixed Value: SBJ
Organizer.subject.contextControlCoderequiredFixed Value: OP
Organizer.subject.awarenessCodeextensibleTargetAwareness
Organizer.informant.typeCoderequiredFixed Value: INF
Organizer.informant.contextControlCoderequiredFixed Value: OP

Constraints

IdPathDetailsRequirements
1198-14698Organizer.code.code**SHOULD** be selected from ICF (codeSystem 2.16.840.1.113883.6.254) *OR* LOINC (codeSystem 2.16.840.1.113883.6.96) (CONF:1198-14698).
:
1198-32426Organizer.effectiveTimeThe Organizer **SHALL** have at least one of *code* or *effectiveTime* (CONF:1198-32426).
: