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

## Logical Model: Health Concerns Section

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:

- Use this Logical Model: Care Plan

### Formal Views of Profile Content

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

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

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

#### Constraints

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

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Section.nullFlavor | required | Fixed Value: NI
Section.code | extensible | DocumentSectionType

#### Constraints

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. : |

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
@ID |  | 0..1 | xs:ID |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required) Fixed Value: NI
@classCode |  | 0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT
@moodCode |  | 0..1 | cs | Binding: ActMood (required) Fixed Value: EVN
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:extension, value:root
templateId:primary |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@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
id |  | 0..1 | II |
code |  | 1..1 | CE | Binding: DocumentSectionType (extensible)
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: 75310-3
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
title |  | 1..1 | ST |
text | S | 1..1 | xhtml |
confidentialityCode |  | 0..1 | CE |
languageCode |  | 0..1 | CS | Binding: HumanLanguage (required)
subject |  | 0..1 | Subject |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
Slices for entry |  | 1..* | Entry | Slice: Unordered, Open by profile:observation.resolve()
entry:healthStatus |  | 0..* | Entry |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 0..1 | cs | Binding: x_ActRelationshipEntry (required)
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | HealthStatusObservation | Base for all types and resources
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entry:healthConcern | C | 1..* | Entry | If section/@nullFlavor is not present: sectionNullFlavorNotPresent: Required when section/@nullFlavor is not present.
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 0..1 | cs | Binding: x_ActRelationshipEntry (required)
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
act | C | 1..1 | HealthConcernAct | Base for all types and resources
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entry:riskConcern |  | 0..* | Entry |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 0..1 | cs | Binding: x_ActRelationshipEntry (required)
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
act |  | 1..1 | RiskConcernAct | Base for all types and resources
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
component |  | 0..* | InfrastructureRoot |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
Documentation for this format

#### Terminology Bindings

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

#### Constraints

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:

- Health Status Observation (http://hl7.org/cda/us/ccda/StructureDefinition/HealthStatusObservation)
- Health Concern Act (http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct)
- Risk Concern Act (http://hl7.org/cda/us/ccda/StructureDefinition/RiskConcernAct)

Slices

This structure defines the following Slices:

- The element Section.templateId is sliced based on the values of value:extension, value:root
- The element Section.entry is sliced based on the value of profile:observation.resolve()

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

#### Constraints

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

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Section.nullFlavor | required | Fixed Value: NI
Section.code | extensible | DocumentSectionType

#### Constraints

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

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
@ID |  | 0..1 | xs:ID |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required) Fixed Value: NI
@classCode |  | 0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT
@moodCode |  | 0..1 | cs | Binding: ActMood (required) Fixed Value: EVN
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:extension, value:root
templateId:primary |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@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
id |  | 0..1 | II |
code |  | 1..1 | CE | Binding: DocumentSectionType (extensible)
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: 75310-3
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
title |  | 1..1 | ST |
text | S | 1..1 | xhtml |
confidentialityCode |  | 0..1 | CE |
languageCode |  | 0..1 | CS | Binding: HumanLanguage (required)
subject |  | 0..1 | Subject |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
Slices for entry |  | 1..* | Entry | Slice: Unordered, Open by profile:observation.resolve()
entry:healthStatus |  | 0..* | Entry |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 0..1 | cs | Binding: x_ActRelationshipEntry (required)
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | HealthStatusObservation | Base for all types and resources
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entry:healthConcern | C | 1..* | Entry | If section/@nullFlavor is not present: sectionNullFlavorNotPresent: Required when section/@nullFlavor is not present.
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 0..1 | cs | Binding: x_ActRelationshipEntry (required)
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
act | C | 1..1 | HealthConcernAct | Base for all types and resources
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entry:riskConcern |  | 0..* | Entry |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 0..1 | cs | Binding: x_ActRelationshipEntry (required)
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
act |  | 1..1 | RiskConcernAct | Base for all types and resources
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
component |  | 0..* | InfrastructureRoot |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
Documentation for this format

#### Terminology Bindings

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

#### Constraints

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:

- Health Status Observation (http://hl7.org/cda/us/ccda/StructureDefinition/HealthStatusObservation)
- Health Concern Act (http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct)
- Risk Concern Act (http://hl7.org/cda/us/ccda/StructureDefinition/RiskConcernAct)

Slices

This structure defines the following Slices:

- The element Section.templateId is sliced based on the values of value:extension, value:root
- The element Section.entry is sliced based on the value of profile:observation.resolve()

Other representations of profile: CSV, Excel