1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1

Development Only

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1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 Section

Template ID	Coded Functional Status Assessment
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: Ambulatory ability Mental status or competency Activities of Daily Living (ADL’s) including bathing, dressing, feeding, grooming Home/living situation having an effect on the health status of the patient Ability to care for self Social activity, including issues with social cognition, participation with friends and acquaintances other than family members Occupation activity, including activities partly or directly related to working, housework or volunteering, family and home responsibilities or activities related to home and family Communication ability, including issues with speech, writing or cognition required for communication Perception, including sight, hearing, taste, skin sensation, kinesthetic sense, proprioception, or balance
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	O	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 subsections shall be present

Parent Template

The parent of this template is Functional Status.

Sample 1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 Section

<component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.17'/> <templateId root='Coded Functional Status Assessment'/> <id root=' ' extension=' '/> <code code='47420-5' displayName='Functional Status Assessment' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text> Text as described above </text>  <component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.12.2.2'/> <!-- Optional Pain Scale Assessment Section content --> </section> </component>  <component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.12.2.3'/> <!-- Optional Braden Score Assessment Section content --> </section> </component>  <component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.12.2.4'/> <!-- Optional Geriatric Depression Scale Section content --> </section> </component>  <component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.12.2.5'/> <!-- Optional Minimum Data Set Section content --> </section> </component>     </section> </component>

Schematron

<pattern name='Template_Coded Functional Status Assessment'> 
 <rule context='*[cda:templateId/@root="Coded Functional Status Assessment"]'> 
     <!-- Verify that the template id is used on the appropriate type of object --> 
   <assert test='../cda:section'> 
      Error: The 1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 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 1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 is not present. 
   </assert> 
   <!-- Verify the section type code --> 
   <assert test='cda:code[@code = "47420-5"]'> 
     Error: The section type code of a 1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 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"]'> 
     <!-- Note any missing optional elements -->
     Note: This 1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 Section does not contain a(n) Pain Scale Assessment Section.
     See http://wiki.ihe.net/index.php?title=Coded Functional Status Assessment
   </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 1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 Section does not contain a(n) Braden Score Assessment Section.
     See http://wiki.ihe.net/index.php?title=Coded Functional Status Assessment
   </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 1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 Section does not contain a(n) Geriatric Depression Scale Section.
     See http://wiki.ihe.net/index.php?title=Coded Functional Status Assessment
   </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 1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 Section does not contain a(n) Minimum Data Set Section.
     See http://wiki.ihe.net/index.php?title=Coded Functional Status Assessment
   </assert>

     <assert test="./cda:component/cda:section/cda:templateId[
       @root = '1.3.6.1.4.1.19376.1.5.3.1.1.12.2.2' or
       @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 subsections must be 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 1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 Section