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
Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/1.3.6.1.4.1.19376.1.5.3.1.3.4 | Version: 2.2 | |||
Active as of 2022-05-13 | Computable Name: HistoryofPresentIllnessSection | |||
Other Identifiers: : 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 patients 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
Summary
Mandatory: 7 elements
Slices
This structure defines the following Slices:
This structure is derived from CDAR2.Section
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Section | 1..1 | CDAR2.Section | ||
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.3.4 | |
code | 1..1 | CE | ||
code | 1..1 | string | Required Pattern: 10164-2 | |
codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
title | 1..1 | ED | ||
text | 1..1 | xhtml | ||
Documentation for this format |
This structure is derived from CDAR2.Section
Summary
Mandatory: 7 elements
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Section
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Section | 1..1 | CDAR2.Section | ||
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.3.4 | |
code | 1..1 | CE | ||
code | 1..1 | string | Required Pattern: 10164-2 | |
codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
title | 1..1 | ED | ||
text | 1..1 | xhtml | ||
Documentation for this format |
Snapshot View
Other representations of profile: CSV, Excel, Schematron
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 |
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 |
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 |