description: 'This template represents an assessment of patients perception of their physical, cognitive, intellectual, or psychiatric disabilities. It may contain an Assessment Scale Observation that holds the six-item set of questions used on the American Community Survey (ACS) to gauge disability, defined here: [HHS Implementation Guidance on Data Collection Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status](https://aspe.hhs.gov/basic-report/hhs-implementation-guidance-data-collection-standards-race-ethnicity-sex-primary-language-and-disability-status)\nThis template SHOULD be included zero or more times [0..*] in the Functional Status Section or the Functional Status Organizer.'
package_name: hl7.cda.us.ccda
derivation: constraint
name: DisabilityStatusObservation
type: http://hl7.org/cda/stds/core/StructureDefinition/Observation
elements:
  entryRelationship:
    index: 15
    slicing:
      rules: open
      discriminator:
      - {path: observation, type: profile}
      - {path: typeCode, type: value}
      min: null
      slices:
        entryRelationship1:
          match: {typeCode: COMP}
          schema:
            short: entryRelationship
            array: true
            index: 16
            elements:
              typeCode:
                pattern: {type: Code, value: COMP}
                index: 17
              observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', short: 'A system **MAY** record the six-item set of questions and their answers options from the American Community Survey (ACS) in the Assessment Scale Observation using the [Disability Status Assessment ](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1099.49/expansion) value set (CONF:4537-33057).', index: 18}
            required: [observation]
  value:
    type: http://hl7.org/cda/stds/core/StructureDefinition/CD
    binding: {strength: preferred, valueSet: 'http://loinc.org/vs/LL5052-7'}
    index: 14
  classCode:
    pattern: {type: Code, value: OBS}
    index: 4
  code:
    short: Disability Status [CUBS]
    index: 6
    elements:
      code:
        pattern: {type: Code, value: 89571-4}
        index: 7
      codeSystem:
        short: LOINC
        pattern: {type: String, value: 2.16.840.1.113883.6.1}
        index: 8
    required: [codeSystem, code]
  moodCode:
    pattern: {type: Code, value: EVN}
    index: 5
  effectiveTime: {index: 13}
  templateId:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: root, type: value}
      - {path: extension, type: value}
      min: 1
      slices:
        disability-status-obs:
          match: {root: 2.16.840.1.113883.10.20.22.4.505, extension: '2023-05-01'}
          schema:
            _required: true
            index: 1
            elements:
              root:
                pattern: {type: String, value: 2.16.840.1.113883.10.20.22.4.505}
                index: 2
              extension:
                pattern: {type: String, value: '2023-05-01'}
                index: 3
            required: [root, extension]
            extensions: {}
  statusCode:
    index: 11
    elements:
      code:
        pattern: {type: Code, value: completed}
        index: 12
    required: [code]
  text:
    short: SHOULD reference the portion of section narrative text corresponding to this entry
    index: 9
    elements:
      reference:
        constraint:
          value-starts-octothorpe: {human: 'If reference/@value is present, it SHALL begin with a ''#'' and SHALL point to its corresponding narrative', source: 'http://hl7.org/cda/us/ccda/StructureDefinition/DisabilityStatusObservation', severity: error, expression: value.exists() implies value.startsWith('#')}
        index: 10
package_version: 3.0.0-ballot
class: logical
kind: logical
url: http://hl7.org/cda/us/ccda/StructureDefinition/DisabilityStatusObservation
base: http://hl7.org/cda/stds/core/StructureDefinition/Observation
version: 3.0.0-ballot
required: [effectiveTime, value, statusCode, templateId]