Switch branches/tags
Nothing to show
Find file Copy path
Fetching contributors…
Cannot retrieve contributors at this time
64 lines (62 sloc) 3.19 KB
<!-- This is an example of how to affirmatively assert there is no mental status impairment -->
<!-- Note that in C-CDA 1.1, functional and cognitive status (mental) are within the same section -->
<!-- If no information is known (i.e. assessment not performed), then a pattern of null entries would be more appropriate -->
<!-- This example uses terminology to assert 'No Impairment' rather than 'Impairment' and negationInd='true' (as value.negationInd) since template design didn't include guidance on negation. -->
<!-- The test data also included the No Impairment code. -->
<!-- Section not backwards compaitble with prior 2.16.840.1.113883. since new section -->
<templateId root="2.16.840.1.113883." extension="2015-08-01" />
<code code="10190-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MENTAL STATUS" />
<title>MENTAL STATUS</title>
<!-- Narrative organized as a single table. Some systems may prefer separate tables for functional vs. cognitive assessments -->
<tr ID="MS_Narrative1">
<td ID="MS_Type1">Cognitive Status</td>
<td>August 15 2012, 5:32pm</td>
<td ID="MS_Finding1">No impairment</td>
<!-- Template for Mental Status Observation. Note other templates may apply. -->
<!-- We chose to use terminology to state 'no impairment' over negation since the C-CDA Mental Status template design didn't include guidance on negation-->
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883."/>
<templateId root="2.16.840.1.113883." extension="2015-08-01"/>
<id root="faa09c19-fa1f-4a6c-ae79-10a3b711550f"/>
<code codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="373930000" displayName="Cognitive function finding">
<reference value="#MS_Type1"></reference>
<translation code="75275-8"
displayName="Cognitive function"
<reference value="#MS_Narrative1"/>
<statusCode code="completed"/>
<low value="20120815173215+0500"/>
<value xsi:type="CD" code="66557003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="No Impairment">
<reference value="#MS_Finding1"/>