Template 2.16.840.1.113883. Functional Status Section


Template 2.16.840.1.113883. - FunctionalStatusSection
Id 2.16.840.1.113883.
Classification cdasectionlevel
Context Parent nodes of template element with id 2.16.840.1.113883.
Label conf‑697
Version valid from 2012‑01‑12 status draft
Description The Functional Status section describes the patient’s status of normal functioning at the time the Care Record was created. Functional statuses include information regarding the patient relative to:

• Ambulatory ability
• Mental status or competency
• Activities of Daily Living (ADLs), 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

Any deviation from normal function that the patient displays and is recorded in the record should be included. Of particular interest are those limitations that would in any way interfere with self care or the medical therapeutic process. In addition, an improvement, any change in or noting that the patient has normal functioning status is also valid for inclusion.
Item DT Card Conf Desc Label
treetree cda:templateId
II 1..1 M conf‑7920
treeblank treetree @root
1..1 F 2.16.840.1.113883.
treetree cda:code
CD 1..1 M conf‑7921
treeblank treetree @code
1..1 F 47420-5
treeblank treetree @codeSystem
1..1 F 2.16.840.1.113883.6.1
treeblank treetree @displayName
1..1 F Functional Status
treetree cda:title
ST 1..1 M conf‑7922
treetree cda:text
ED 1..1 M conf‑7923
treetree cda:entry
0..* O conf‑7961
Contains an element with template id 2.16.840.1.113883. with overridden cardinality 0 .. *
treetree cda:entry
0..* O conf‑9081
Contains an element with template id 2.16.840.1.113883. with overridden cardinality 0 .. *