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/RiskConcernAct | Version: 2.1 | |||
Draft as of 2023-09-29 | Computable Name: RiskConcernAct | |||
Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.136:2015-08-01 |
This template represents a risk concern.
It is a wrapper for a single risk concern which may be derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.).
A Risk Concern Act represents a health concern that is a risk. A risk is a clinical or socioeconomic condition that the patient does not currently have, but the probability of developing that condition rises to the level of concern such that an intervention and/or monitoring is needed.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Act
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Act | CDAR2.Act | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition | ||
classCode | 1..1 | cs | Fixed Value: ACT | |
moodCode | 1..1 | cs | Fixed Value: EVN | |
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:primary | 1..1 | II | ||
root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.136 | |
extension | 1..1 | st | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | ||
code | 1..1 | cs | Required Pattern: 281694009 | |
codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.96 | |
statusCode | 1..1 | CS | ||
code | 1..1 | cs | Binding: ProblemAct statusCode (required) | |
effectiveTime | 0..1 | IVL_TS | ||
author | 0..* | AuthorParticipation | Base for all types and resources | |
Slices for entryRelationship | 0..* | EntryRelationship | Where a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry. Slice: Unordered, Open by profile:observation, profile:act, profile:organizer | |
entryRelationship:problemObservation1 | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | ProblemObservation | Base for all types and resources | |
entryRelationship:allergy-IntoleranceObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | AllergyIntoleranceObservation | Base for all types and resources | |
entryRelationship:entryReferenceRefr | 0..* | EntryRelationship | The following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required. | |
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | EntryReference | Base for all types and resources | |
entryRelationship:entryReferenceComp | 0..* | EntryRelationship | The following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required. | |
typeCode | 1..1 | cs | Fixed Value: COMP | |
act | 1..1 | EntryReference | Base for all types and resources | |
entryRelationship:assessmentScaleObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | AssessmentScaleObservation | Base for all types and resources | |
entryRelationship:mentalStatusObservation1 | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
entryRelationship:self-CareActivitiesADLandIADL | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SelfCareActivitiesADLandIADL | Base for all types and resources | |
entryRelationship:mentalStatusObservation2 | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
entryRelationship:smokingStatus-MeaningfulUse | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SmokingStatusMeaningfulUse | Base for all types and resources | |
entryRelationship:encounterDiagnosis | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | EncounterDiagnosis | Base for all types and resources | |
entryRelationship:entryRelationship11 | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
organizer | 1..1 | FamilyHistoryOrganizer | Base for all types and resources | |
entryRelationship:functionalStatusObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | FunctionalStatusObservation | Base for all types and resources | |
entryRelationship:hospitalAdmissionDiagnosis | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | HospitalAdmissionDiagnosis | Base for all types and resources | |
entryRelationship:nutritionAssessment | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | NutritionAssessment | Base for all types and resources | |
entryRelationship:postprocedureDiagnosis | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | PostprocedureDiagnosis | Base for all types and resources | |
entryRelationship:pregnancyObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | PregnancyObservation | Base for all types and resources | |
entryRelationship:preoperativeDiagnosis | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | PreoperativeDiagnosis | Base for all types and resources | |
entryRelationship:reactionObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | ReactionObservation | Base for all types and resources | |
entryRelationship:resultObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | ResultObservation | Base for all types and resources | |
entryRelationship:sensoryStatus | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SensoryStatus | Base for all types and resources | |
entryRelationship:socialHistoryObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SocialHistoryObservation | Base for all types and resources | |
entryRelationship:substanceorDeviceAllergy-IntoleranceObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SubstanceOrDeviceAllergyIntoleranceObservation | Base for all types and resources | |
entryRelationship:tobaccoUse | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | TobaccoUse | Base for all types and resources | |
entryRelationship:vitalSignObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | VitalSignObservation | Base for all types and resources | |
entryRelationship:longitudinalCareWoundObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | LongitudinalCareWoundObservation | Base for all types and resources | |
entryRelationship:problemObservation2 | 0..* | EntryRelationship | The following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation. | |
typeCode | 1..1 | cs | Fixed Value: SPRT | |
observation | 1..1 | ProblemObservation | Base for all types and resources | |
entryRelationship:caregiverCharacteristics | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | CaregiverCharacteristics | Base for all types and resources | |
entryRelationship:culturalandReligiousObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | CulturalandReligiousObservation | Base for all types and resources | |
entryRelationship:characteristicsofHomeEnvironment | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | CharacteristicsofHomeEnvironment | Base for all types and resources | |
entryRelationship:nutritionalStatusObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | NutritionalStatusObservation | Base for all types and resources | |
entryRelationship:resultOrganizer | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
organizer | 1..1 | ResultOrganizer | Base for all types and resources | |
entryRelationship:priorityPreference1 | 0..* | EntryRelationship | The following entryRelationship represents the priority that the patient puts on the health concern. | |
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | PriorityPreference | Base for all types and resources | |
entryRelationship:priorityPreference2 | 0..* | EntryRelationship | The following entryRelationship represents the priority that the provider puts on the health concern. | |
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | PriorityPreference | Base for all types and resources | |
entryRelationship:problemConcernAct | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | ProblemConcernAct | Base for all types and resources | |
entryRelationship:entryReference3 | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | EntryReference | Base for all types and resources | |
reference | 0..* | Reference | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
externalDocument | 1..1 | ExternalDocumentReference | Base for all types and resources | |
Documentation for this format |
Path | Conformance | ValueSet |
Act.statusCode.code | required | ProblemAct statusCode |
Path | Conformance | ValueSet / Code |
Act.code | extensible | ActCode |
Act.statusCode | required | ActStatus |
Act.statusCode.code | required | ProblemAct statusCode |
Act.entryRelationship:problemObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:allergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceRefr.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceComp.typeCode | required | Fixed Value: COMP |
Act.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:self-CareActivitiesADLandIADL.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:smokingStatus-MeaningfulUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:encounterDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryRelationship11.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:functionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:hospitalAdmissionDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionAssessment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:postprocedureDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:pregnancyObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:preoperativeDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:reactionObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:sensoryStatus.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:socialHistoryObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:tobaccoUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:vitalSignObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:longitudinalCareWoundObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemObservation2.typeCode | required | Fixed Value: SPRT |
Act.entryRelationship:caregiverCharacteristics.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:culturalandReligiousObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:characteristicsofHomeEnvironment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultOrganizer.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemConcernAct.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReference3.typeCode | required | Fixed Value: REFR |
Act.reference.typeCode | required | Fixed Value: REFR |
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 |
Act.nullFlavor | required | NullFlavor |
Act.templateId:primary.nullFlavor | required | NullFlavor |
Act.code | extensible | ActCode |
Act.code.nullFlavor | required | NullFlavor |
Act.statusCode | required | ActStatus |
Act.statusCode.nullFlavor | required | NullFlavor |
Act.statusCode.code | required | ProblemAct statusCode |
Act.priorityCode | extensible | ActPriority |
Act.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066 ) |
Act.entryRelationship:problemObservation1.nullFlavor | required | NullFlavor |
Act.entryRelationship:problemObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:allergy-IntoleranceObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:allergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceRefr.nullFlavor | required | NullFlavor |
Act.entryRelationship:entryReferenceRefr.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceComp.nullFlavor | required | NullFlavor |
Act.entryRelationship:entryReferenceComp.typeCode | required | Fixed Value: COMP |
Act.entryRelationship:assessmentScaleObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation1.nullFlavor | required | NullFlavor |
Act.entryRelationship:mentalStatusObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:self-CareActivitiesADLandIADL.nullFlavor | required | NullFlavor |
Act.entryRelationship:self-CareActivitiesADLandIADL.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation2.nullFlavor | required | NullFlavor |
Act.entryRelationship:mentalStatusObservation2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:smokingStatus-MeaningfulUse.nullFlavor | required | NullFlavor |
Act.entryRelationship:smokingStatus-MeaningfulUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:encounterDiagnosis.nullFlavor | required | NullFlavor |
Act.entryRelationship:encounterDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryRelationship11.nullFlavor | required | NullFlavor |
Act.entryRelationship:entryRelationship11.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:functionalStatusObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:functionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:hospitalAdmissionDiagnosis.nullFlavor | required | NullFlavor |
Act.entryRelationship:hospitalAdmissionDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionAssessment.nullFlavor | required | NullFlavor |
Act.entryRelationship:nutritionAssessment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:postprocedureDiagnosis.nullFlavor | required | NullFlavor |
Act.entryRelationship:postprocedureDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:pregnancyObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:pregnancyObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:preoperativeDiagnosis.nullFlavor | required | NullFlavor |
Act.entryRelationship:preoperativeDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:reactionObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:reactionObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:resultObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:sensoryStatus.nullFlavor | required | NullFlavor |
Act.entryRelationship:sensoryStatus.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:socialHistoryObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:socialHistoryObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:tobaccoUse.nullFlavor | required | NullFlavor |
Act.entryRelationship:tobaccoUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:vitalSignObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:vitalSignObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:longitudinalCareWoundObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:longitudinalCareWoundObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemObservation2.nullFlavor | required | NullFlavor |
Act.entryRelationship:problemObservation2.typeCode | required | Fixed Value: SPRT |
Act.entryRelationship:caregiverCharacteristics.nullFlavor | required | NullFlavor |
Act.entryRelationship:caregiverCharacteristics.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:culturalandReligiousObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:culturalandReligiousObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:characteristicsofHomeEnvironment.nullFlavor | required | NullFlavor |
Act.entryRelationship:characteristicsofHomeEnvironment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionalStatusObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:nutritionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultOrganizer.nullFlavor | required | NullFlavor |
Act.entryRelationship:resultOrganizer.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference1.nullFlavor | required | NullFlavor |
Act.entryRelationship:priorityPreference1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference2.nullFlavor | required | NullFlavor |
Act.entryRelationship:priorityPreference2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemConcernAct.nullFlavor | required | NullFlavor |
Act.entryRelationship:problemConcernAct.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReference3.nullFlavor | required | NullFlavor |
Act.entryRelationship:entryReference3.typeCode | required | Fixed Value: REFR |
Act.reference.nullFlavor | required | NullFlavor |
Act.reference.typeCode | required | Fixed Value: REFR |
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.Act
Summary
Mandatory: 9 elements (36 nested mandatory elements)
Fixed Value: 38 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Act
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Act | CDAR2.Act | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition | ||
classCode | 1..1 | cs | Fixed Value: ACT | |
moodCode | 1..1 | cs | Fixed Value: EVN | |
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:primary | 1..1 | II | ||
root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.136 | |
extension | 1..1 | st | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | ||
code | 1..1 | cs | Required Pattern: 281694009 | |
codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.96 | |
statusCode | 1..1 | CS | ||
code | 1..1 | cs | Binding: ProblemAct statusCode (required) | |
effectiveTime | 0..1 | IVL_TS | ||
author | 0..* | AuthorParticipation | Base for all types and resources | |
Slices for entryRelationship | 0..* | EntryRelationship | Where a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry. Slice: Unordered, Open by profile:observation, profile:act, profile:organizer | |
entryRelationship:problemObservation1 | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | ProblemObservation | Base for all types and resources | |
entryRelationship:allergy-IntoleranceObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | AllergyIntoleranceObservation | Base for all types and resources | |
entryRelationship:entryReferenceRefr | 0..* | EntryRelationship | The following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required. | |
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | EntryReference | Base for all types and resources | |
entryRelationship:entryReferenceComp | 0..* | EntryRelationship | The following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required. | |
typeCode | 1..1 | cs | Fixed Value: COMP | |
act | 1..1 | EntryReference | Base for all types and resources | |
entryRelationship:assessmentScaleObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | AssessmentScaleObservation | Base for all types and resources | |
entryRelationship:mentalStatusObservation1 | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
entryRelationship:self-CareActivitiesADLandIADL | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SelfCareActivitiesADLandIADL | Base for all types and resources | |
entryRelationship:mentalStatusObservation2 | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
entryRelationship:smokingStatus-MeaningfulUse | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SmokingStatusMeaningfulUse | Base for all types and resources | |
entryRelationship:encounterDiagnosis | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | EncounterDiagnosis | Base for all types and resources | |
entryRelationship:entryRelationship11 | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
organizer | 1..1 | FamilyHistoryOrganizer | Base for all types and resources | |
entryRelationship:functionalStatusObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | FunctionalStatusObservation | Base for all types and resources | |
entryRelationship:hospitalAdmissionDiagnosis | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | HospitalAdmissionDiagnosis | Base for all types and resources | |
entryRelationship:nutritionAssessment | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | NutritionAssessment | Base for all types and resources | |
entryRelationship:postprocedureDiagnosis | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | PostprocedureDiagnosis | Base for all types and resources | |
entryRelationship:pregnancyObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | PregnancyObservation | Base for all types and resources | |
entryRelationship:preoperativeDiagnosis | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | PreoperativeDiagnosis | Base for all types and resources | |
entryRelationship:reactionObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | ReactionObservation | Base for all types and resources | |
entryRelationship:resultObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | ResultObservation | Base for all types and resources | |
entryRelationship:sensoryStatus | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SensoryStatus | Base for all types and resources | |
entryRelationship:socialHistoryObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SocialHistoryObservation | Base for all types and resources | |
entryRelationship:substanceorDeviceAllergy-IntoleranceObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SubstanceOrDeviceAllergyIntoleranceObservation | Base for all types and resources | |
entryRelationship:tobaccoUse | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | TobaccoUse | Base for all types and resources | |
entryRelationship:vitalSignObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | VitalSignObservation | Base for all types and resources | |
entryRelationship:longitudinalCareWoundObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | LongitudinalCareWoundObservation | Base for all types and resources | |
entryRelationship:problemObservation2 | 0..* | EntryRelationship | The following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation. | |
typeCode | 1..1 | cs | Fixed Value: SPRT | |
observation | 1..1 | ProblemObservation | Base for all types and resources | |
entryRelationship:caregiverCharacteristics | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | CaregiverCharacteristics | Base for all types and resources | |
entryRelationship:culturalandReligiousObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | CulturalandReligiousObservation | Base for all types and resources | |
entryRelationship:characteristicsofHomeEnvironment | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | CharacteristicsofHomeEnvironment | Base for all types and resources | |
entryRelationship:nutritionalStatusObservation | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | NutritionalStatusObservation | Base for all types and resources | |
entryRelationship:resultOrganizer | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
organizer | 1..1 | ResultOrganizer | Base for all types and resources | |
entryRelationship:priorityPreference1 | 0..* | EntryRelationship | The following entryRelationship represents the priority that the patient puts on the health concern. | |
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | PriorityPreference | Base for all types and resources | |
entryRelationship:priorityPreference2 | 0..* | EntryRelationship | The following entryRelationship represents the priority that the provider puts on the health concern. | |
typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | PriorityPreference | Base for all types and resources | |
entryRelationship:problemConcernAct | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | ProblemConcernAct | Base for all types and resources | |
entryRelationship:entryReference3 | 0..* | EntryRelationship | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | EntryReference | Base for all types and resources | |
reference | 0..* | Reference | ||
typeCode | 1..1 | cs | Fixed Value: REFR | |
externalDocument | 1..1 | ExternalDocumentReference | Base for all types and resources | |
Documentation for this format |
Path | Conformance | ValueSet |
Act.statusCode.code | required | ProblemAct statusCode |
Key Elements View
Path | Conformance | ValueSet / Code |
Act.code | extensible | ActCode |
Act.statusCode | required | ActStatus |
Act.statusCode.code | required | ProblemAct statusCode |
Act.entryRelationship:problemObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:allergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceRefr.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceComp.typeCode | required | Fixed Value: COMP |
Act.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:self-CareActivitiesADLandIADL.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:smokingStatus-MeaningfulUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:encounterDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryRelationship11.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:functionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:hospitalAdmissionDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionAssessment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:postprocedureDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:pregnancyObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:preoperativeDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:reactionObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:sensoryStatus.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:socialHistoryObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:tobaccoUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:vitalSignObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:longitudinalCareWoundObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemObservation2.typeCode | required | Fixed Value: SPRT |
Act.entryRelationship:caregiverCharacteristics.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:culturalandReligiousObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:characteristicsofHomeEnvironment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultOrganizer.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemConcernAct.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReference3.typeCode | required | Fixed Value: REFR |
Act.reference.typeCode | required | Fixed Value: REFR |
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 |
Act.nullFlavor | required | NullFlavor |
Act.templateId:primary.nullFlavor | required | NullFlavor |
Act.code | extensible | ActCode |
Act.code.nullFlavor | required | NullFlavor |
Act.statusCode | required | ActStatus |
Act.statusCode.nullFlavor | required | NullFlavor |
Act.statusCode.code | required | ProblemAct statusCode |
Act.priorityCode | extensible | ActPriority |
Act.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066 ) |
Act.entryRelationship:problemObservation1.nullFlavor | required | NullFlavor |
Act.entryRelationship:problemObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:allergy-IntoleranceObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:allergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceRefr.nullFlavor | required | NullFlavor |
Act.entryRelationship:entryReferenceRefr.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceComp.nullFlavor | required | NullFlavor |
Act.entryRelationship:entryReferenceComp.typeCode | required | Fixed Value: COMP |
Act.entryRelationship:assessmentScaleObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation1.nullFlavor | required | NullFlavor |
Act.entryRelationship:mentalStatusObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:self-CareActivitiesADLandIADL.nullFlavor | required | NullFlavor |
Act.entryRelationship:self-CareActivitiesADLandIADL.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation2.nullFlavor | required | NullFlavor |
Act.entryRelationship:mentalStatusObservation2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:smokingStatus-MeaningfulUse.nullFlavor | required | NullFlavor |
Act.entryRelationship:smokingStatus-MeaningfulUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:encounterDiagnosis.nullFlavor | required | NullFlavor |
Act.entryRelationship:encounterDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryRelationship11.nullFlavor | required | NullFlavor |
Act.entryRelationship:entryRelationship11.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:functionalStatusObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:functionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:hospitalAdmissionDiagnosis.nullFlavor | required | NullFlavor |
Act.entryRelationship:hospitalAdmissionDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionAssessment.nullFlavor | required | NullFlavor |
Act.entryRelationship:nutritionAssessment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:postprocedureDiagnosis.nullFlavor | required | NullFlavor |
Act.entryRelationship:postprocedureDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:pregnancyObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:pregnancyObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:preoperativeDiagnosis.nullFlavor | required | NullFlavor |
Act.entryRelationship:preoperativeDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:reactionObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:reactionObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:resultObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:sensoryStatus.nullFlavor | required | NullFlavor |
Act.entryRelationship:sensoryStatus.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:socialHistoryObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:socialHistoryObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:tobaccoUse.nullFlavor | required | NullFlavor |
Act.entryRelationship:tobaccoUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:vitalSignObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:vitalSignObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:longitudinalCareWoundObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:longitudinalCareWoundObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemObservation2.nullFlavor | required | NullFlavor |
Act.entryRelationship:problemObservation2.typeCode | required | Fixed Value: SPRT |
Act.entryRelationship:caregiverCharacteristics.nullFlavor | required | NullFlavor |
Act.entryRelationship:caregiverCharacteristics.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:culturalandReligiousObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:culturalandReligiousObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:characteristicsofHomeEnvironment.nullFlavor | required | NullFlavor |
Act.entryRelationship:characteristicsofHomeEnvironment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionalStatusObservation.nullFlavor | required | NullFlavor |
Act.entryRelationship:nutritionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultOrganizer.nullFlavor | required | NullFlavor |
Act.entryRelationship:resultOrganizer.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference1.nullFlavor | required | NullFlavor |
Act.entryRelationship:priorityPreference1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference2.nullFlavor | required | NullFlavor |
Act.entryRelationship:priorityPreference2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemConcernAct.nullFlavor | required | NullFlavor |
Act.entryRelationship:problemConcernAct.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReference3.nullFlavor | required | NullFlavor |
Act.entryRelationship:entryReference3.typeCode | required | Fixed Value: REFR |
Act.reference.nullFlavor | required | NullFlavor |
Act.reference.typeCode | required | Fixed Value: REFR |
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.Act
Summary
Mandatory: 9 elements (36 nested mandatory elements)
Fixed Value: 38 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices: