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draft Template  Physical Function Section

Id 2.16.756.5.30.1.1.10.3.75 Effective Date 2018‑09‑04 18:48:05
Status draft Draft Version Label 2018
Name cdachsmcp_section_PhysicalFunctionSection Display Name Physical Function Section
Description This section reports scores from section G of the Minimum Data Set.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.75
Label CDA‑CH‑SMCP
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 2 templates, Uses 1 template
Used by as Name Version
2.16.756.5.30.1.1.10.3.57 Containment draft Functional Status Assessment Section - coded (2018) 2017‑09‑13 16:31:37
2.16.756.5.30.1.1.10.1.11 link draft Social-medical care plan V2 (2018) 2017‑08‑24 18:00:03
Uses as Name Version
2.16.756.5.30.1.1.10.4.108 Containment draft Evaluation Observation (2018) DYNAMIC
Relationship Specialization: template 2.16.756.5.30.1.1.10.3.40 (2016‑11‑11)
Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.1.12.2.5 (2017‑03‑27 07:17:28)
Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.75"/>  <templateId root="2.16.756.5.30.1.1.10.3.40"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.12.2.5"/>  <id root="8B31C242-F4C1-4E3D-BF7A-4E2EF820A58E"/>  <code code="46006-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Physical functioning and structural problems"/>  <title>Fonction physique</title>  <text>Narrative text</text>  <entry>
    <!-- template 2.16.756.5.30.1.1.10.4.108 'Evaluation Observation' -->
  </entry></section>
Item DT Card Conf Description Label
hl7:section
 CDA-dotsSMCP
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.75
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.40
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.1.12.2.5
hl7:id
 II 0 … 1 An ID for this section MAY be filled for traceability. CDA-dotsSMCP
@root
 uid 1 … 1 R MUST contain a GUID or the OID of the system that issued the ID mentioned in the extension. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
@extension
 st 0 … 1   If the extension ist specified, it MUST contain a unique ID within the system defined by the OID in the root.
hl7:code
 CE 1 … 1 M Fixed, machine readable code of this section. CDA-dotsSMCP
@code
 CONF 1 … 1 F 46006-3
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@codeSystemName
 1 … 1 F LOINC
@displayName
 1 … 1 F Physical functioning and structural problems
hl7:title
 ST 1 … 1 M Fixed human readable title of this section.
  • [ge]: 'Physische Funktion'
  • [fr]: 'Fonction physique'
  • [en]: 'Physical Function'
 CDA-dotsSMCP
  Variable let Name languageCode  
  Value substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='ge') or (text()='Physische Funktion')  
  Message The German title must read 'Physische Funktion'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='Fonction physique')  
  Message The French title must read 'Fonction physique'  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='Physical Function')  
  Message The English title must read 'Physical Function'  
hl7:text
 SD.TEXT 1 … 1 R Human readable text of this section. CDA-dotsSMCP
hl7:entry
 0 … * Contains 2.16.756.5.30.1.1.10.4.108 Evaluation Observation (DYNAMIC) CDA-dotsSMCP
treeblank where [hl7:observation [hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.108'] and hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.76'] and hl7:templateId [@root = '1.3.6.1.4.1.19376.1.5.3.1.1.12.3.6'] and hl7:templateId [@root = '1.3.6.1.4.1.19376.1.5.3.1.4.13'] and hl7:templateId [@root = '2.16.840.1.113883.10.20.1.31']]]
  Schematron assert role red error  
  test //hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.1.12.3.7' or //hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.1.12.3.6'  
  Message At least one Survey Panel or Survey Observation shall be present.  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('45602-0')])=1  
  Message The field 8.1 (S'alimenter, boire) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('45608-7')])=1  
  Message The field 8.2 (Bain, douche) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('45600-4')])=1  
  Message The field 8.3 (S'habiller) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('45606-1')])=1  
  Message The field 8.4 (Hygiène personnelle) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('45619-4')])=1  
  Message The field 8.5 (Continence urinaire) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('69667-4')])=1  
  Message The field 8.6 (Continence fécale) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('45604-6')])=1  
  Message The field 8.7 (Utilisation des toilettes) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('46490-9')])=1  
  Message The field 9.1 (Usage du téléphone) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('46488-3')])=1  
  Message The field 9.2 (Ménage courant) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('46485-9')])=1  
  Message The field 9.3 (Préparation des repas) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('46489-1')])=1  
  Message The field 9.4 (Faire les courses) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('46487-5')])=1  
  Message The field 9.5 (Faire la lessive, entretenir le linge) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('X-TAKMEDI')])=1  
  Message The field 9.6 (Gestion des médicaments) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('X-ADMMGT')])=1  
  Message The field 9.7 (Gestion de l’argent – Capacité) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('X-MGTST')])=1  
  Message The field 9.8 (Gérer ses liens sociaux) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('45588-1')])=1  
  Message The field 10.1 (Transferts (lit-fauteuil-debout)) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('45596-4')])=1  
  Message The field 10.2 (Déplacement à l'intérieur sur le même étage) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('45893-5')])=1  
  Message The field 10.3 (Marcher à l’intérieur sur le même étage) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('45598-0')])=1  
  Message The field 10.4 (Se déplacer à l’extérieur) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('X-USETRSPT')])=1  
  Message The field 10.5 (Utilisation des moyens de transports) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('X-USESTRS')])=1  
  Message The field 10.6 (Monter/descendre les escaliers) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('X-USEELVTR')])=1  
  Message The field 10.7 (Utilisation de l’élévateur (cigogne)) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('45536-0')])=1  
  Message The field 10.8 (Utilisation des moyens auxiliaires) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('46529-4')])=1  
  Message The field 11.1 (Vision) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('46530-2')])=1  
  Message The field 11.2 (Audition) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('46531-0')])=1  
  Message The field 11.3 (Se faire comprendre) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('45483-5')])=1  
  Message The field 12.1 (Mémoire à court terme) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('X-ORIENTATION')])=1  
  Message The field 12.2 (Orientation) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('42849-0')])=1  
  Message The field 12.3 (Signes d'état confusionnel) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('57217-2')])=1  
  Message The field 12.4 (Comprendre les autres) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('54624-2')])=1  
  Message The field 12.5 (Facultés cognitives pour les décisions courantes) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('X-AVQSCORE')])=1  
  Message The field 13.1 (AVQ échelle hiérarchique) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('79535-1')])=1  
  Message The field 13.2 (Echelle de performance cognitive version 2) is required in exactly one entry. If evaluation is unknown, provide CD datatype with nullFlavor="UNK".