1.3.6.1.4.1.19376.1.5.3.1.1.12.3.4

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The PCC Wiki Content is used only for development of IHE PCC Content. The Normative content of the PCC Technical Framework and the current supplements can be found at http://www.ihe.net/Technical_Framework/index.cfm#PCC

Trial.gif Geriatric Depression Score Observation 1.3.6.1.4.1.19376.1.5.3.1.1.12.3.4

The Geriatric Depression Scale is a summated rating scale over 30 yes or no questions for total scores that range from 0-30. This entry shows how to record the Geriatric Depression Score and its component assessment scores.


Uses

See Templates using Geriatric Depression Score Observation

Specification
Geriatric Depression Score Observation Example

<observation classCode='OBS' moodCode='EVN'>
 <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
 <templateId root='2.16.840.1.113883.10.20.1.31'/>
 <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.12.3.4'/>
 <id root=' ' extension=' '/>
 <code code='48544-1' 
       displayName='Geriatric Depression Scale Total' 
       codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
 <text><reference value='#xxx'/></text>
 <statusCode code='completed'/>
 <effectiveTime value=' '/>
 <repeatNumber value=' '/>
 <value xsi:type='INT' value=' '/>
 <interpretationCode code=' ' codeSystem=' ' codeSystemName=' '/>
 <methodCode code=' ' codeSystem=' ' codeSystemName=' '/>
 <targetSiteCode code=' ' codeSystem=' ' codeSystemName=' '/>
 <!-- From 0 to 30 entries, containing some or all of the assessment components -->
 <entryRelationship typeCoded='COMP'>
   <observation classCode='OBS' moodCode='EVN'>
     <tempateId root='1.3.6.1.4.1.19376.1.5.3.1.1.12.3.5'/>
        :
   </observation>
 </entryRelationship>
</observation>


<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
<templateId root='2.16.840.1.113883.10.20.1.31'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.12.3.4'/>

These <templateId> elements identify this entry as a Geriatric Depression Score Observation. Furthermore, they identify it as a CCD Result entry, and a Simple Observation. They shall be present as shown above.

<code code='48544-1' displayName='Geriatric Depression Scale Total' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>

The <code> element identifies this observation as being a Geriatric Depression Score.

<value xsi:type='INT' value=' '/>

The <value> element shall be present, and records the Geriatric Depression Score for the patient. The value shall be within the range of 0 to 30 inclusive.

<interpretationCode code=' ' codeSystem=' ' codeSystemName=' '/>

The <interpretationCode> should be present to indicate the interpretation of the assessment score. It shall contain a code from the table below using SNOMED CT. When SNOMED CT codes are sent in the <interpretationCode> element, the <translation> element described above shall be present. These interpretations are provided to assist decision support systems that are making secondary use of the assessment information, and are not intended to replace the score values.

Geriatric Depression Score Interpretation Codes
Geriatric Depression Score SNOMED CT Code Description
0-9 134417007 Level of mood – normal
10-19 310496002 Moderate depression
20-30 310497006 Severe depression


<methodCode code=' ' codeSystem=' ' codeSystemName=' '/>
<targetSiteCode code=' ' codeSystem=' ' codeSystemName=' '/>

The <methodCode> and <targetSiteCode> elements shall not be used in a Geriatric Depression Score Observation.

<!-- From 0 to 30 entries, containing some or all of the assessment components -->
<entryRelationship typeCoded='COMP'>
 <observation classCode='OBS' moodCode='EVN'>
  <tempateId root='1.3.6.1.4.1.19376.1.5.3.1.1.12.3.5'/>

The Geriatric Depression Score is made up of 30 assessments. Each assessment is scored individually. The overall score indicates the patient risk for depression. The individual components may help the reciever of the information determine appropriate interventions, but need not be present to make the score usefull. Thus, a Braden Score Observation may transmit some or all of its component assessments. See Geriatric Depression Score Component for details on encoding the assessment components.