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/HistoryofPresentIllnessSection | Version: 2.1 | |||
Draft as of 2023-09-29 | Computable Name: HistoryofPresentIllnessSection | |||
Other Identifiers: id: urn:oid:1.3.6.1.4.1.19376.1.5.3.1.3.4 |
The History of Present Illness section describes the history related to the reason for the encounter. It contains the historical details leading up to and pertaining to the patient’s current complaint or reason for seeking medical care.
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![]() |
---|---|---|---|---|
![]() ![]() | 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 | ||
![]() ![]() ![]() | 1..* | II | Slice: Unordered, Open by value:root | |
![]() ![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() ![]() | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.3.4 | |
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | CE | ||
![]() ![]() ![]() ![]() | 1..1 | cs | Required Pattern: 10164-2 | |
![]() ![]() ![]() ![]() | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() | 1..1 | ST | ||
![]() ![]() ![]() | 1..1 | xhtml | ||
![]() |
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 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 | |
![]() ![]() ![]() | 1..* | II | Slice: Unordered, Open by value:root | |
![]() ![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() ![]() | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.3.4 | |
![]() ![]() ![]() | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
![]() ![]() ![]() ![]() | 1..1 | cs | Required Pattern: 10164-2 | |
![]() ![]() ![]() ![]() | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() | 1..1 | ST | ||
![]() ![]() ![]() | S | 1..1 | xhtml | |
![]() |
Path | Conformance | ValueSet |
Section.code | extensible | DocumentSectionType |
Id | Grade | Path(s) | Details | Requirements |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
Path | Conformance | ValueSet / Code |
Section.nullFlavor | required | NullFlavor |
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.component.nullFlavor | required | NullFlavor |
Id | Grade | Path(s) | Details | Requirements |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
This structure is derived from CDAR2.Section
Summary
Mandatory: 8 elements
Prohibited: 1 element
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Section
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 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 | ||
![]() ![]() ![]() | 1..* | II | Slice: Unordered, Open by value:root | |
![]() ![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() ![]() | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.3.4 | |
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | CE | ||
![]() ![]() ![]() ![]() | 1..1 | cs | Required Pattern: 10164-2 | |
![]() ![]() ![]() ![]() | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() | 1..1 | ST | ||
![]() ![]() ![]() | 1..1 | xhtml | ||
![]() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 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 | |
![]() ![]() ![]() | 1..* | II | Slice: Unordered, Open by value:root | |
![]() ![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() ![]() | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.3.4 | |
![]() ![]() ![]() | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
![]() ![]() ![]() ![]() | 1..1 | cs | Required Pattern: 10164-2 | |
![]() ![]() ![]() ![]() | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() | 1..1 | ST | ||
![]() ![]() ![]() | S | 1..1 | xhtml | |
![]() |
Path | Conformance | ValueSet |
Section.code | extensible | DocumentSectionType |
Id | Grade | Path(s) | Details | Requirements |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
Snapshot View
Path | Conformance | ValueSet / Code |
Section.nullFlavor | required | NullFlavor |
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.component.nullFlavor | required | NullFlavor |
Id | Grade | Path(s) | Details | Requirements |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
This structure is derived from CDAR2.Section
Summary
Mandatory: 8 elements
Prohibited: 1 element
Slices
This structure defines the following Slices: