HL7.CDA.US.CCDAR2DOT2\Findings Section (DIR) - Definitions

Consolidated CDA Release 2.2
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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

Resource Profile: FindingsSectionDIR - Detailed Descriptions

Active as of 2022-05-13

Definitions for the 2.16.840.1.113883.10.20.6.1.2 resource profile.

1. Section
Control	1..1
Invariants	Defined on this element 81-8532: This section SHOULD contain only the direct observations in the report, with topics such as Reason for Study, History, and Impression placed in separate sections. However, in cases where the source of report content provides a single block of text not separated into these sections, that text SHALL be placed in the Findings section (CONF:81-8532). (: )
2. Section.ID
Control	0..1
Type	string
3. Section.nullFlavor
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
4. Section.classCode
Control	1..1
Binding	The codes SHALL be taken from http://terminology.hl7.org/ValueSet/v3-ActClassOrganizer
Type	code
Default Value	DOCSECT
Fixed Value	DOCSECT
5. Section.moodCode
Control	1..1
Binding	The codes SHALL be taken from ActMood
Type	code
Default Value	EVN
Fixed Value	EVN
6. Section.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Slicing	This element introduces a set of slices on Section.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ root
7. Section.templateId:primary
SliceName	primary
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain exactly one [1..1] templateId (CONF:81-8531) such that it
8. Section.templateId:primary.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
9. Section.templateId:primary.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string
10. Section.templateId:primary.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean
11. Section.templateId:primary.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control	1..1
Type	string
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.1.2" (CONF:81-10456).
Pattern Value	2.16.840.1.113883.10.20.6.1.2
12. Section.templateId:primary.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..1
Type	string
13. Section.id
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/II
14. Section.code
Control	0..1
Binding	The codes SHALL be taken from DocumentSectionType; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
15. Section.title
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ST
16. Section.text
Control	0..1
Type	xhtml
Must Support	true
17. Section.confidentialityCode
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
18. Section.languageCode
Control	0..1
Binding	The codes SHALL be taken from HumanLanguage
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
19. Section.subject
Control	0..1
Type	Element
20. Section.subject.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationTargetSubject
Type	code
Default Value	SBJ
Fixed Value	SBJ
21. Section.subject.contextControlCode
Control	1..1
Binding	The codes SHALL be taken from ContextControl
Type	code
Default Value	OP
Fixed Value	OP
22. Section.subject.awarenessCode
Control	0..1
Binding	The codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
23. Section.subject.relatedSubject
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
24. Section.author
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Author
25. Section.informant
Control	0..*
Type	Element
26. Section.informant.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationInformationGenerator
Type	code
Default Value	INF
Fixed Value	INF
27. Section.informant.contextControlCode
Control	1..1
Binding	The codes SHALL be taken from ContextControl
Type	code
Default Value	OP
Fixed Value	OP
28. Section.informant.assignedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
29. Section.informant.relatedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
30. Section.entry
Control	0..*
Type	Element
Invariants	Defined on this element only-one-statement: 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)
31. Section.entry.typeCode
Control	1..1
Type	code
Default Value	COMP
32. Section.entry.contextConductionInd
Control	1..1
Type	boolean
Default Value	true
33. Section.entry.observation
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
34. Section.entry.regionOfInterest
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
35. Section.entry.observationMedia
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
36. Section.entry.substanceAdministration
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
37. Section.entry.supply
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
38. Section.entry.procedure
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
39. Section.entry.encounter
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
40. Section.entry.organizer
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
41. Section.entry.act
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
42. Section.component
Control	0..*
Type	Element
43. Section.component.typeCode
Definition	Drawn from concept domain DocumentSectionType
Control	1..1
Type	code
Default Value	COMP
Fixed Value	COMP
44. Section.component.contextConductionInd
Control	1..1
Type	boolean
Default Value	true
45. Section.component.section
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Section

IG © 2019+ Health Level Seven. Package hl7.cda.us.ccdar2dot2#2.2 based on FHIR 4.0.1. Generated 2022-05-13
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