Difference between revisions of "1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1"
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− | {{CDA Section|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1| | + | {{CDA Section|Coded Functional Status Assessment|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1|Trial|LOINC=47420-5|LOINCName=Functional Status Assessment|Parent=1.3.6.1.4.1.19376.1.5.3.1.3.17|ParentName=Functional Status |
|The coded functional status assessment section provided a machine readable and narrative description of the patient’s status of normal functioning at the time the document was created. | |The coded functional status assessment section provided a machine readable and narrative description of the patient’s status of normal functioning at the time the document was created. | ||
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* Communication ability, including issues with speech, writing or cognition required for communication | * Communication ability, including issues with speech, writing or cognition required for communication | ||
* Perception, including sight, hearing, taste, skin sensation, kinesthetic sense, proprioception, or balance | * Perception, including sight, hearing, taste, skin sensation, kinesthetic sense, proprioception, or balance | ||
− | |Section|Pain Scale Assessment| | + | |Section|Pain Scale Assessment|R|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.2| |
|Section|Braden Score Assessment|O|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.3| | |Section|Braden Score Assessment|O|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.3| | ||
|Section|Geriatric Depression Scale|O|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.4| | |Section|Geriatric Depression Scale|O|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.4| | ||
|Section|Minimum Data Set|O|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.5| | |Section|Minimum Data Set|O|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.5| | ||
− | |Note=At least one of the above subsections shall be present | + | |Note=At least one of the above optional subsections shall be present |
+ | |Standards={{Std|CDAR2}} | ||
+ | {{Std|CRS}} | ||
+ | {{Std|CCD}} | ||
+ | {{Std|LOINC}} | ||
+ | {{Std|SNOMED}} | ||
+ | |Schematron= | ||
+ | <assert test="./cda:component/cda:section/cda:templateId[ | ||
+ | @root = '1.3.6.1.4.1.19376.1.5.3.1.1.12.2.3' or | ||
+ | @root = '1.3.6.1.4.1.19376.1.5.3.1.1.12.2.4' or | ||
+ | @root = '1.3.6.1.4.1.19376.1.5.3.1.1.12.2.5']"> | ||
+ | At least one of the optional subsections must be in a coded functional assessment. | ||
+ | See <nowiki>http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1</nowiki> | ||
+ | </assert> | ||
}} | }} |
Latest revision as of 14:12, 23 August 2007
Development Only
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 https://www.ihe.net/resources/technical_frameworks/#pcc
Coded Functional Status Assessment Section
Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 | |
---|---|---|
Parent Template | Functional Status (1.3.6.1.4.1.19376.1.5.3.1.3.17) | |
General Description | The coded functional status assessment section provided a machine readable and narrative description of the patient’s status of normal functioning at the time the document was created.
Functional status includes information concerning:
| |
LOINC Code | Opt | Description |
47420-5 | R | Functional Status Assessment |
Subsections | Opt | Description |
1.3.6.1.4.1.19376.1.5.3.1.1.12.2.2 | R | Pain Scale Assessment |
1.3.6.1.4.1.19376.1.5.3.1.1.12.2.3 | O | Braden Score Assessment |
1.3.6.1.4.1.19376.1.5.3.1.1.12.2.4 | O | Geriatric Depression Scale |
1.3.6.1.4.1.19376.1.5.3.1.1.12.2.5 | O | Minimum Data Set |
At least one of the above optional subsections shall be present
Standards
Parent Template
The parent of this template is Functional Status.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1'> <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1"]'> <!-- Verify that the template id is used on the appropriate type of object --> <assert test='../cda:section'> Error: The Coded Functional Status Assessment can only be used on sections. </assert> <!-- Verify that the parent templateId is also present. --> <assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.17"]'> Error: The parent template identifier for Coded Functional Status Assessment is not present. </assert> <!-- Verify the section type code --> <assert test='cda:code[@code = "47420-5"]'> Error: The section type code of a Coded Functional Status Assessment must be 47420-5 </assert> <assert test='cda:code[@codeSystem = "2.16.840.1.113883.6.1"]'> Error: The section type code must come from the LOINC code system (2.16.840.1.113883.6.1). </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.12.2.2"]'> <!-- Verify that all required data elements are present --> Error: The Coded Functional Status Assessment Section must contain a(n) Pain Scale Assessment Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.12.2.3"]'> <!-- Note any missing optional elements --> Note: This Coded Functional Status Assessment Section does not contain a(n) Braden Score Assessment Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.12.2.4"]'> <!-- Note any missing optional elements --> Note: This Coded Functional Status Assessment Section does not contain a(n) Geriatric Depression Scale Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.12.2.5"]'> <!-- Note any missing optional elements --> Note: This Coded Functional Status Assessment Section does not contain a(n) Minimum Data Set Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 </assert> <assert test="./cda:component/cda:section/cda:templateId[ @root = '1.3.6.1.4.1.19376.1.5.3.1.1.12.2.3' or @root = '1.3.6.1.4.1.19376.1.5.3.1.1.12.2.4' or @root = '1.3.6.1.4.1.19376.1.5.3.1.1.12.2.5']"> At least one of the optional subsections must be in a coded functional assessment. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 </assert> </rule> </pattern>
Uses
See Templates using the Coded Functional Status Assessment Section