Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions

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Resource Profile: Health Concerns Section (V2)

Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.58				Version: 2.2
Active as of 2022-05-13				Computable Name: HealthConcernsSection
Other Identifiers: : 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:

• Use this Resource Profile: Care Plan

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
Section.nullFlavor	required	Pattern: 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
Section.subject.typeCode	required	Fixed Value: SBJ
Section.subject.contextControlCode	required	Fixed Value: OP
Section.subject.awarenessCode	extensible	TargetAwareness
Section.informant.typeCode	required	Fixed Value: INF
Section.informant.contextControlCode	required	Fixed Value: OP

Constraints

Id	Grade	Path	Details	Requirements
only-one-statement	error	Section.entry	SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
only-one-statement	error	Section.entry:healthStatus	SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
only-one-statement	error	Section.entry:healthConcern	SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
sectionNullFlavorNotPresent	error	Section.entry:healthConcern	Required when section/@nullFlavor is not present. :
only-one-statement	error	Section.entry:riskConcern	SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1