Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

General Status Section

[Section: templateId 2.16.840.1.113883.]

The General Status section describes general observations and readily observable attributes of the patient, including affect and demeanor, apparent age compared to actual age, gender, ethnicity, nutritional status based on appearance, body build and habitus (e.g., muscular, cachectic, obese), developmental or other deformities, gait and mobility, personal hygiene, evidence of distress, and voice quality and speech.

  1. SHALL contain exactly one [1..1] templateId ( CONF:10457 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883."
  2. SHALL contain exactly one [1..1] code (CONF:15472)/@code="10210-3" GENERAL STATUS (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:15473)
  3. SHALL contain exactly one [1..1] title (CONF:7987)
  4. SHALL contain exactly one [1..1] text (CONF:7988)