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

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

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 reflects an ongoing concern on behalf of the provider that placed the concern on a patient's problem list. So long as the underlying condition is of concern to the provider (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest to the provider), 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, the clinician may remain concerned about a prior heart attack). The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved. The effectiveTime/low of the Problem Concern Act asserts when the concern became active. The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition). A Problem Concern Act can contain one Problem Observation (templateId 2.16.840.1.113883.10.20.22.4.4). The Problem Observation is a discrete observation of a condition, and therefore will have a statusCode of "completed". For instance, a Concern may contain a Problem Observation of "chest pain" that is still ongoing: - Problem Concern 1 --- Problem Observation: Chest Pain (effectiveTime.high is empty) Or a Concern may contain a Problem Observation of "chest pain" that is still worrisome but the problem happened in the past: - Problem Concern 1 --- Problem Observation: Chest Pain (effectiveTime.high is present and in the past) Many systems display the nested Problem Observation with the most recent author time stamp, and provide a mechanism for viewing prior observations.
          .experimental
            .fhirVersion5.0.0
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#US
                  .kindlogical
                    .nameProblemConcernAct
                      .publisherHealth Level Seven
                        .purpose
                          .statusdraft
                            .titleProblem Concern Act
                              .typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                                .urlhttp://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct
                                  .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..1CDBinding: ?? (example)1..1CDBinding: ?? (example)
                                                              .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                .... code 1..1??Required Pattern: CONC1..1??Required Pattern: CONC
                                                                  .... codeSystem 1..1??, ??, ??Required Pattern: 2.16.840.1.113883.5.61..1??, ??, ??Required Pattern: 2.16.840.1.113883.5.6
                                                                    .... 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..1CSThe statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved.
                                                                                                          Binding: ?? (required)                                                                                                          		1..1CSThe statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved.
                                                                                                          Binding: ?? (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 1..1IVL_TS1..1IVL_TS
                                                                                                                                    .... nullFlavor 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                      .... value 0..1??Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] 0..1??Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
                                                                                                                                        .... operator 0..1??Binding: ?? (required)0..1??Binding: ?? (required)
                                                                                                                                          .... low 1..1IVXB_TSThe effectiveTime/low of the Problem Concern Act asserts when the concern became active.1..1IVXB_TSThe effectiveTime/low of the Problem Concern Act asserts when the concern became active.
                                                                                                                                            .... center 0..1TS0..1TS
                                                                                                                                              .... width 0..1PQ0..1PQ
                                                                                                                                                .... high 0..1IVXB_TSThe effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition).0..1IVXB_TSThe effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition).
                                                                                                                                                  ... 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..*??Base for all types and resources
                                                                                                                                                            		0..*??Base for all types and resources
                                                                                                                                                              ... informant 0..*Informant0..*Informant
                                                                                                                                                                ... participant 0..*Participant20..*Participant2
                                                                                                                                                                  ... Slices for entryRelationship 1..*EntryRelationshipThe following entryRelationship represents the importance of the concern to a provider.
                                                                                                                                                                  Slice: Unordered, Open by profile:observation
                                                                                                                                                                  		1..*EntryRelationshipThe following entryRelationship represents the importance of the concern to a provider.
                                                                                                                                                                  Slice: Unordered, Open by profile:observation
                                                                                                                                                                    ... reference 0..*Reference0..*Reference
                                                                                                                                                                      ... 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