Consolidated CDA (C-CDA)
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Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

Logical Model: HealthConcernsSection - Detailed Descriptions

Draft as of 2024-12-19

Definitions for the HealthConcernsSection logical model.

Guidance on how to interpret the contents of this table can be found here

0. Section
Logical ContainerClinicalDocument (CDA Class)
ValidationInstance of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-health-status-obs: SHOULD contain Health Status Observation (entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/HealthStatusObservation')))
shall-health-concern-act: If section/@nullFlavor is not present, SHALL contain at least one Health Concern Act (nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct')).exists())
2. Section.nullFlavor
ShortIf a required section contains no information, the @nullFlavor MAY be set to NI
4. Section.templateId
Control1..?
SlicingThis element introduces a set of slices on Section.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
  • 6. Section.templateId:section
    Slice Namesection
    Control1..1
    8. Section.templateId:section.root
    Control1..?
    Pattern Value2.16.840.1.113883.10.20.22.2.58
    10. Section.templateId:section.extension
    Control1..?
    Pattern Value2015-08-01
    12. Section.code
    ShortHealth concerns Document
    Control1..?
    14. Section.code.code
    Control1..?
    Pattern Value75310-3
    16. Section.code.codeSystem
    Control1..?
    Pattern Value2.16.840.1.113883.6.1
    18. Section.title
    Control1..?
    20. Section.text
    Control1..?
    22. Section.entry
    SlicingThis element introduces a set of slices on Section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • profile @ observation
    • profile @ act
    • 24. Section.entry:healthStatus
      Slice NamehealthStatus
      Comments

      SHOULD contain zero or more [0..*] entry (CONF:1198-30483) such that it

      Control0..*
      26. Section.entry:healthStatus.observation
      Comments

      The entry, if present, SHALL contain exactly one [1..1] Health Status Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.5:2014-06-09) (CONF:1198-30484).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Health Status Observation)
      28. Section.entry:healthConcern
      Slice NamehealthConcern
      ShortIf section/@nullFlavor is not present:
      Comments

      SHALL contain at least one [1..*] entry (CONF:1198-30768)

      Control0..*
      30. Section.entry:healthConcern.act
      Comments

      SHALL contain exactly one [1..1] Health Concern Act (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.132:2015-08-01) (CONF:1198-30769).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Health Concern Act)
      32. Section.entry:riskConcern
      Slice NameriskConcern
      Comments

      MAY contain zero or more [0..*] entry (CONF:1198-32308)

      Control0..*
      34. Section.entry:riskConcern.act
      Comments

      SHALL contain exactly one [1..1] Risk Concern Act (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.136:2015-08-01) (CONF:1198-32309).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Risk Concern Act)