Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build
Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build
Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection | Version: 2.1 | |||
| Draft as of 2023-09-29 | Computable Name: HealthConcernsSection | |||
| Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.2.58:2015-08-01 | ||||
This section contains data describing an interest or worry about a health state or process that could possibly require attention, intervention, or management. A Health Concern is a health related matter that is of interest, importance or worry to someone, who may be the patient, patient’s family or patient’s health care provider. Health concerns are derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.). Health concerns can be medical, surgical, nursing, allied health or patient-reported concerns.
Problem Concerns are a subset of Health Concerns that have risen to the level of importance that they typically would belong on a classic “Problem List”, such as “Diabetes Mellitus” or “Family History of Melanoma” or “Tobacco abuse”. These are of broad interest to multiple members of the care team. Examples of other Health Concerns that might not typically be considered a Problem Concern include “Risk of Hyperkalemia” for a patient taking an ACE-inhibitor medication, or “Transportation difficulties” for someone who doesn’t drive and has trouble getting to appointments, or “Under-insured” for someone who doesn’t have sufficient insurance to properly cover their medical needs such as medications. These are typically most important to just a limited number of care team members.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Section
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Section | 1..1 | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources | |
 nullFlavor | 0..1 | cs | Fixed Value: NI | |
  Slices for templateId | 1..* | II | Slice: Unordered, Open by value:extension, value:root | |
   templateId:primary | 1..1 | II | ||
  root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.58 | |
  extension | 1..1 | st | Required Pattern: 2015-08-01 | |
| code | 1..1 | CE | ||
| code | 1..1 | cs | Required Pattern: 75310-3 | |
 codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | 1..1 | xhtml | ||
 Slices for entry | 1..* | Entry | Slice: Unordered, Open by profile:observation.resolve() | |
 entry:healthStatus | 0..* | Entry | ||
  observation | 1..1 | HealthStatusObservation | Base for all types and resources | |
| entry:healthConcern | C | 1..* | Entry | If section/@nullFlavor is not present: sectionNullFlavorNotPresent: Required when section/@nullFlavor is not present. |
| act | 1..1 | HealthConcernAct | Base for all types and resources | |
| entry:riskConcern | 0..* | Entry | ||
| act | 1..1 | RiskConcernAct | Base for all types and resources | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| sectionNullFlavorNotPresent | error | Section.entry:healthConcern | Required when section/@nullFlavor is not present. : |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Section | 1..1 | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources | |
 @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) Fixed Value: NI | |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:extension, value:root | |
| templateId:primary | 1..1 | II | ||
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.58 | |
| @extension | 1..1 | st | Required Pattern: 2015-08-01 | |
| code | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
| @code | 1..1 | cs | Required Pattern: 75310-3 | |
| @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | S | 1..1 | xhtml | |
| Slices for entry | 1..* | Entry | Slice: Unordered, Open by profile:observation.resolve() | |
| entry:healthStatus | 0..* | Entry | ||
| observation | 1..1 | HealthStatusObservation | Base for all types and resources | |
| entry:healthConcern | C | 1..* | Entry | If section/@nullFlavor is not present: sectionNullFlavorNotPresent: Required when section/@nullFlavor is not present. |
| act | C | 1..1 | HealthConcernAct | Base for all types and resources |
| entry:riskConcern | 0..* | Entry | ||
| act | 1..1 | RiskConcernAct | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Section.nullFlavor | required | Fixed Value: NI |
| Section.code | extensible | DocumentSectionType |
| Id | Grade | Path(s) | Details | Requirements |
| 4515-32962 | error | Section.entry:healthConcern.act | When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| sectionNullFlavorNotPresent | error | Section.entry:healthConcern | Required when section/@nullFlavor is not present. : |
| Path | Conformance | ValueSet / Code |
| Section.nullFlavor | required | Fixed Value: NI |
| Section.classCode | required | Fixed Value: DOCSECT |
| Section.moodCode | required | Fixed Value: EVN |
| Section.templateId:primary.nullFlavor | required | NullFlavor |
| Section.code | extensible | DocumentSectionType |
| Section.code.nullFlavor | required | NullFlavor |
| Section.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Section.entry:healthStatus.nullFlavor | required | NullFlavor |
| Section.entry:healthStatus.typeCode | required | XActRelationshipEntry |
| Section.entry:healthConcern.nullFlavor | required | NullFlavor |
| Section.entry:healthConcern.typeCode | required | XActRelationshipEntry |
| Section.entry:riskConcern.nullFlavor | required | NullFlavor |
| Section.entry:riskConcern.typeCode | required | XActRelationshipEntry |
| Section.component.nullFlavor | required | NullFlavor |
| Id | Grade | Path(s) | Details | Requirements |
| 4515-32962 | error | Section.entry:healthConcern.act | When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| sectionNullFlavorNotPresent | error | Section.entry:healthConcern | Required when section/@nullFlavor is not present. : |
This structure is derived from CDAR2.Section
Summary
Mandatory: 12 elements (2 nested mandatory elements)
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Section
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Section | 1..1 | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources | |
| nullFlavor | 0..1 | cs | Fixed Value: NI | |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:extension, value:root | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.58 | |
| extension | 1..1 | st | Required Pattern: 2015-08-01 | |
| code | 1..1 | CE | ||
| code | 1..1 | cs | Required Pattern: 75310-3 | |
| codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | 1..1 | xhtml | ||
| Slices for entry | 1..* | Entry | Slice: Unordered, Open by profile:observation.resolve() | |
| entry:healthStatus | 0..* | Entry | ||
| observation | 1..1 | HealthStatusObservation | Base for all types and resources | |
| entry:healthConcern | C | 1..* | Entry | If section/@nullFlavor is not present: sectionNullFlavorNotPresent: Required when section/@nullFlavor is not present. |
| act | 1..1 | HealthConcernAct | Base for all types and resources | |
| entry:riskConcern | 0..* | Entry | ||
| act | 1..1 | RiskConcernAct | Base for all types and resources | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| sectionNullFlavorNotPresent | error | Section.entry:healthConcern | Required when section/@nullFlavor is not present. : |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Section | 1..1 | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources | |
| @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) Fixed Value: NI | |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:extension, value:root | |
| templateId:primary | 1..1 | II | ||
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.58 | |
| @extension | 1..1 | st | Required Pattern: 2015-08-01 | |
| code | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
| @code | 1..1 | cs | Required Pattern: 75310-3 | |
| @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | S | 1..1 | xhtml | |
| Slices for entry | 1..* | Entry | Slice: Unordered, Open by profile:observation.resolve() | |
| entry:healthStatus | 0..* | Entry | ||
| observation | 1..1 | HealthStatusObservation | Base for all types and resources | |
| entry:healthConcern | C | 1..* | Entry | If section/@nullFlavor is not present: sectionNullFlavorNotPresent: Required when section/@nullFlavor is not present. |
| act | C | 1..1 | HealthConcernAct | Base for all types and resources |
| entry:riskConcern | 0..* | Entry | ||
| act | 1..1 | RiskConcernAct | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Section.nullFlavor | required | Fixed Value: NI |
| Section.code | extensible | DocumentSectionType |
| Id | Grade | Path(s) | Details | Requirements |
| 4515-32962 | error | Section.entry:healthConcern.act | When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| sectionNullFlavorNotPresent | error | Section.entry:healthConcern | Required when section/@nullFlavor is not present. : |
Snapshot View
| Path | Conformance | ValueSet / Code |
| Section.nullFlavor | required | Fixed Value: NI |
| Section.classCode | required | Fixed Value: DOCSECT |
| Section.moodCode | required | Fixed Value: EVN |
| Section.templateId:primary.nullFlavor | required | NullFlavor |
| Section.code | extensible | DocumentSectionType |
| Section.code.nullFlavor | required | NullFlavor |
| Section.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Section.entry:healthStatus.nullFlavor | required | NullFlavor |
| Section.entry:healthStatus.typeCode | required | XActRelationshipEntry |
| Section.entry:healthConcern.nullFlavor | required | NullFlavor |
| Section.entry:healthConcern.typeCode | required | XActRelationshipEntry |
| Section.entry:riskConcern.nullFlavor | required | NullFlavor |
| Section.entry:riskConcern.typeCode | required | XActRelationshipEntry |
| Section.component.nullFlavor | required | NullFlavor |
| Id | Grade | Path(s) | Details | Requirements |
| 4515-32962 | error | Section.entry:healthConcern.act | When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| sectionNullFlavorNotPresent | error | Section.entry:healthConcern | Required when section/@nullFlavor is not present. : |
This structure is derived from CDAR2.Section
Summary
Mandatory: 12 elements (2 nested mandatory elements)
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#2.1 based on FHIR 5.0.0. Generated 2023-09-29
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