description: This template represents the patient's physical function (e.g., mobility status, instrumental activities of daily living, self-care status) and problems that limit function (dyspnea, dysphagia). The template may include assessment scale observations, identify supporting caregivers, and provide information about non-medicinal supplies. This template is used to represent physical or developmental function of all patient populations.
package_name: hl7.cda.us.ccda
derivation: constraint
name: FunctionalStatusObservation
type: http://hl7.org/cda/stds/core/StructureDefinition/Observation
elements:
  entryRelationship:
    index: 17
    slicing:
      rules: open
      discriminator:
      - {path: supply, type: profile}
      - {path: observation, type: profile}
      - {path: typeCode, type: value}
      min: null
      slices:
        nonMedSupply:
          match: {typeCode: REFR}
          schema:
            index: 18
            elements:
              typeCode:
                pattern: {type: Code, value: REFR}
                index: 19
              supply: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Supply', index: 20}
            required: [supply]
        caregiverCharacteristics:
          match: {typeCode: REFR}
          schema:
            index: 21
            elements:
              typeCode:
                pattern: {type: Code, value: REFR}
                index: 22
              observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', index: 23}
            required: [observation]
        assessmentScaleObservation:
          match: {typeCode: COMP}
          schema:
            short: '𝗨𝗦𝗖𝗗𝗜: Functional Status'
            index: 24
            elements:
              typeCode:
                pattern: {type: Code, value: COMP}
                index: 25
              observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', index: 26}
            required: [observation]
  referenceRange: {short: referenceRange could be used to represent normal or expected capability for the function being evaluated., index: 27}
  value:
    constraint:
      1098-14234: {human: 'If coded, **SHOULD** contain a code from SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-14234).', source: 'http://hl7.org/cda/us/ccda/StructureDefinition/FunctionalStatusObservation', severity: warning, expression: codeSystem.exists() implies codeSystem = '2.16.840.1.113883.6.96'}
    index: 15
  classCode:
    pattern: {type: Code, value: OBS}
    index: 4
  author: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Author', index: 16}
  id: {index: 6}
  code:
    short: Functional status
    index: 7
    elements:
      code:
        pattern: {type: Code, value: 54522-8}
        index: 8
      codeSystem:
        short: LOINC
        pattern: {type: String, value: 2.16.840.1.113883.6.1}
        index: 9
    required: [codeSystem, code]
  moodCode:
    pattern: {type: Code, value: EVN}
    index: 5
  effectiveTime: {index: 14}
  templateId:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: root, type: value}
      - {path: extension, type: value}
      min: 1
      slices:
        functional-status-obs:
          match: {root: 2.16.840.1.113883.10.20.22.4.67, extension: '2014-06-09'}
          schema:
            _required: true
            index: 1
            elements:
              root:
                pattern: {type: String, value: 2.16.840.1.113883.10.20.22.4.67}
                index: 2
              extension:
                pattern: {type: String, value: '2014-06-09'}
                index: 3
            required: [root, extension]
            extensions: {}
  statusCode:
    index: 12
    elements:
      code:
        pattern: {type: Code, value: completed}
        index: 13
    required: [code]
  text:
    short: SHOULD reference the portion of section narrative text corresponding to this entry
    index: 10
    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/FunctionalStatusObservation', severity: error, expression: value.exists() implies value.startsWith('#')}
        index: 11
package_version: 4.0.0-ballot
class: logical
kind: logical
url: http://hl7.org/cda/us/ccda/StructureDefinition/FunctionalStatusObservation
base: http://hl7.org/cda/stds/core/StructureDefinition/Observation
version: 4.0.0-ballot
required: [id, effectiveTime, value, statusCode, templateId]