Profile Comparison between http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct vs http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct

Left:Health Concern Act (http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct)
Right:Health Concern Act (http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct)

Messages

ErrorStructureDefinition.versionValues for version differ: '3.0.0' vs '4.0.0'
InformationStructureDefinition.dateValues for date differ: '2024-05-18T00:16:25-05:00' vs '2024-10-19T22:19:38+00:00'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/cda/stds/core/StructureDefinition/Act
      .copyright
        .date2024-05-18T00:16:25-05:002024-10-19T22:19:38+00:00
        • Values Differ
        .descriptionThis template represents a health concern. It is a wrapper for a single health 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 Health Concern Act is used to track non-optimal physical or psychological situations drawing the patient to the healthcare system. These may be from the perspective of the care team or from the perspective of the patient. When the underlying condition is of concern (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest), the statusCode is active. Only when the underlying condition is no longer of concern is the statusCode set to completed. The effectiveTime reflects the time that the underlying condition was felt to be a concern; it may or may not correspond to the effectiveTime of the condition (e.g., even five years later, a prior heart attack may remain a concern). Health concerns require intervention(s) to increase the likelihood of achieving the goals of care for the patient and they specify the condition oriented reasons for creating the plan.
          .experimental
            .fhirVersion5.0.0
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#US
                  .kindlogical
                    .nameHealthConcernAct
                      .publisherHealth Level Seven
                        .purpose
                          .statusdraft
                            .titleHealth Concern Act
                              .typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                                .urlhttp://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct
                                  .version3.0.04.0.0
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                  .. Act C1..1ActBase for all types and resources
                                  Instance of this type are validated by templateId
                                  Logical Container: ClinicalDocument (CDA Class)
                                  should-text-ref-value: SHOULD contain text/reference/@value
                                  should-author: SHOULD contain author
                                  C1..1ActBase for all types and resources
                                  Instance of this type are validated by templateId
                                  Logical Container: ClinicalDocument (CDA Class)
                                  should-text-ref-value: SHOULD contain text/reference/@value
                                  should-author: SHOULD contain author
                                    ... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                      ... realmCode 0..*CS0..*CS
                                        ... typeId 0..1II0..1II
                                          .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                            .... assigningAuthorityName 0..1??0..1??
                                              .... displayable 0..1??0..1??
                                                .... root 1..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.31..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.3
                                                  .... st-simple 1..1stringPrimitive Type string
                                                  URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                  1..1stringPrimitive Type string
                                                  URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                    ... classCode 1..1??Binding: ?? (required)
                                                    Fixed Value: ACT
                                                    1..1??Binding: ?? (required)
                                                    Fixed Value: ACT
                                                      ... moodCode 1..1??Binding: ?? (required)
                                                      Fixed Value: EVN
                                                      1..1??Binding: ?? (required)
                                                      Fixed Value: EVN
                                                        ... negationInd 0..1??0..1??
                                                          ... id 1..*II1..*II
                                                            ... code 1..1CDFunctional status assessment note
                                                            Binding: ?? (example)
                                                            1..1CDFunctional status assessment note
                                                            Binding: ?? (example)
                                                              .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                .... code 1..1??Required Pattern: 75310-31..1??Required Pattern: 75310-3
                                                                  .... codeSystem 1..1??, ??, ??LOINC
                                                                  Required Pattern: 2.16.840.1.113883.6.1
                                                                  1..1??, ??, ??LOINC
                                                                  Required Pattern: 2.16.840.1.113883.6.1
                                                                    .... codeSystemName 0..1??0..1??
                                                                      .... codeSystemVersion 0..1??0..1??
                                                                        .... displayName 0..1??0..1??
                                                                          .... sdtcValueSet 0..1??XML: valueSet (urn:hl7-org:sdtc)0..1??XML: valueSet (urn:hl7-org:sdtc)
                                                                            .... sdtcValueSetVersion 0..1??XML: valueSetVersion (urn:hl7-org:sdtc)0..1??XML: valueSetVersion (urn:hl7-org:sdtc)
                                                                              .... originalText 0..1ED0..1ED
                                                                                .... qualifier 0..*CR0..*CR
                                                                                  .... translation 0..*CD0..*CD
                                                                                    ... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
                                                                                      .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                        .... compression 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                          .... integrityCheck 0..1??0..1??
                                                                                            .... integrityCheckAlgorithm 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                              .... language 0..1??0..1??
                                                                                                .... mediaType 0..1??Binding: ?? (example)0..1??Binding: ?? (example)
                                                                                                  .... representation 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                    .... xmlText 0..1??Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.0..1??Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
                                                                                                      .... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrativeC0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
                                                                                                        .... thumbnail 0..1ED0..1ED
                                                                                                          ... statusCode 1..1CSBinding: ?? (required)1..1CSBinding: ?? (required)
                                                                                                            .... nullFlavor 0..00..0
                                                                                                              .... code 1..1??Binding: ?? (required)1..1??Binding: ?? (required)
                                                                                                                .... codeSystem 0..00..0
                                                                                                                  .... codeSystemName 0..00..0
                                                                                                                    .... codeSystemVersion 0..00..0
                                                                                                                      .... displayName 0..00..0
                                                                                                                        .... sdtcValueSet 0..1??XML: valueSet (urn:hl7-org:sdtc)0..1??XML: valueSet (urn:hl7-org:sdtc)
                                                                                                                          .... sdtcValueSetVersion 0..1??XML: valueSetVersion (urn:hl7-org:sdtc)0..1??XML: valueSetVersion (urn:hl7-org:sdtc)
                                                                                                                            .... originalText 0..00..0
                                                                                                                              .... qualifier 0..00..0
                                                                                                                                .... translation 0..00..0
                                                                                                                                  ... effectiveTime 0..1IVL_TS0..1IVL_TS
                                                                                                                                    ... priorityCode 0..1CEBinding: ?? (example)0..1CEBinding: ?? (example)
                                                                                                                                      ... languageCode 0..1CSBinding: ?? (required)0..1CSBinding: ?? (required)
                                                                                                                                        ... subject 0..1Subject0..1Subject
                                                                                                                                          ... specimen 0..*Specimen0..*Specimen
                                                                                                                                            ... performer 0..*Performer20..*Performer2
                                                                                                                                              ... author 0..*??A health concern may be a patient or provider concern. If the author is set to the recordTarget (patient), this is a patient concern. If the author is set to a provider, this is a provider concern. If both patient and provider are set as authors, this is a concern of both the patient and the provider.
                                                                                                                                              0..*??A health concern may be a patient or provider concern. If the author is set to the recordTarget (patient), this is a patient concern. If the author is set to a provider, this is a provider concern. If both patient and provider are set as authors, this is a concern of both the patient and the provider.
                                                                                                                                                ... informant 0..*Informant0..*Informant
                                                                                                                                                  ... participant 0..*Participant20..*Participant2
                                                                                                                                                    ... Slices for entryRelationship 0..*EntryRelationshipWhen 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).
                                                                                                                                                    Slice: Unordered, Open by profile:act, profile:observation, profile:organizer, value:typeCode
                                                                                                                                                    0..*EntryRelationshipWhen 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).
                                                                                                                                                    Slice: Unordered, Open by profile:act, profile:observation, profile:organizer, value:typeCode
                                                                                                                                                      ... reference 0..*ReferenceWhere it is necessary to reference an external clinical document such as a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document. However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument.
                                                                                                                                                      0..*ReferenceWhere it is necessary to reference an external clinical document such as a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document. However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument.
                                                                                                                                                        .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                          .... realmCode 0..*CS0..*CS
                                                                                                                                                            .... typeId 0..1II0..1II
                                                                                                                                                              ..... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                                                ..... assigningAuthorityName 0..1??0..1??
                                                                                                                                                                  ..... displayable 0..1??0..1??
                                                                                                                                                                    ..... root 1..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.31..1??, ??, ??Fixed Value: 2.16.840.1.113883.1.3
                                                                                                                                                                      ..... st-simple 1..1stringPrimitive Type string
                                                                                                                                                                      URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                                                                                                                                      1..1stringPrimitive Type string
                                                                                                                                                                      URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
                                                                                                                                                                        .... templateId 0..*II0..*II
                                                                                                                                                                          .... typeCode 1..1??Binding: ?? (required)
                                                                                                                                                                          Fixed Value: REFR
                                                                                                                                                                          1..1??Binding: ?? (required)
                                                                                                                                                                          Fixed Value: REFR
                                                                                                                                                                            .... seperatableInd 0..1BL0..1BL
                                                                                                                                                                              .... externalAct 0..1ExternalAct0..1ExternalAct
                                                                                                                                                                                .... externalObservation 0..1ExternalObservation0..1ExternalObservation
                                                                                                                                                                                  .... externalProcedure 0..1ExternalProcedure0..1ExternalProcedure
                                                                                                                                                                                    .... externalDocument C1..1??Base for all types and resources
                                                                                                                                                                                    should-setId: SHOULD contain setId
                                                                                                                                                                                    should-versionNumber: SHOULD contain versionNumber
                                                                                                                                                                                    C1..1??Base for all types and resources
                                                                                                                                                                                    should-setId: SHOULD contain setId
                                                                                                                                                                                    should-versionNumber: SHOULD contain versionNumber
                                                                                                                                                                                      ... precondition 0..*Precondition0..*Precondition
                                                                                                                                                                                        ... sdtcPrecondition2 0..*Precondition2XML: precondition2 (urn:hl7-org:sdtc)
                                                                                                                                                                                        0..*Precondition2XML: precondition2 (urn:hl7-org:sdtc)
                                                                                                                                                                                          ... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
                                                                                                                                                                                          0..*InFulfillmentOf1XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

                                                                                                                                                                                            doco Documentation for this format