Paramedicine Summary Of Care CDA
0.0.1-current - ci-build
Paramedicine Summary Of Care CDA
0.0.1-current - ci-build
Paramedicine Summary Of Care CDA, published by IHE Patient Care Coordination Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/PCC.PCSc/ and changes regularly. See the Directory of published versions
| Official URL: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.Active.Problems.Section | Version: 0.0.1-current | |||
| Draft as of 2025-11-04 | Computable Name: IHE_PCC_Active_Problems_Section | |||
The active problem section shall contain a narrative description of the conditions currently being monitored for the patient. It shall include entries for patient conditions as described in the Entry Content Module.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Section |
C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: ihe-shall-problem-concern-act |
  @nullFlavor |
0..1 | cs | If a required section contains no information, the @nullFlavor MAY be set to NI Binding: CDANullFlavor (required) | |
 realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
 @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
 @extension |
1..1 | st | ||
 Slices for templateId |
2..* | II | Slice: Unordered, Open by value:root, value:extension | |
  templateId:astm-parent |
S | 1..1 | II | |
  @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
S | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.11 |
 @extension |
0..1 | st | ||
 templateId:activeProblemsSection |
S | 1..1 | II | |
 @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
S | 1..1 | oid, uuid, ruid | Required Pattern: .3.6.1.4.1.19376.1.5.3.1.3.6 |
| @extension |
0..1 | st | ||
| @ID |
0..1 | xs:ID | ||
| @classCode |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
0..1 | II | ||
| code |
S | 1..1 | CE | Problem list - Reported |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
S | 1..1 | cs | Required Pattern: 11450-4 |
| @codeSystem |
S | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 |
| @codeSystemName |
0..1 | st | Required Pattern: LOINC | |
| @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 |
S | 0..1 | ST | |
| text |
S | 0..1 | xhtml | |
| confidentialityCode |
0..1 | CE | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| subject |
0..1 | Subject | ||
| author |
0..* | Author | ||
| informant |
0..* | Informant | ||
| Slices for entry |
1..* | Entry | If section/@nullFlavor is not present: Slice: Unordered, Open by profile:act, profile:observation | |
| entry:problem-Concern-Entry |
S | 1..* | Entry | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
 @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: x_ActRelationshipEntry (required) | |
| @contextConductionInd |
0..1 | bl | Fixed Value: true | |
| act |
0..1 | IHE_Problem_Concern_Entry | ||
| 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: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| 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 | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.templateId:astm-parent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.templateId:activeProblemsSection.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v6.5 |
| Section.moodCode | Base | required | CDAActMood | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| Section.entry:problem-Concern-Entry.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.entry:problem-Concern-Entry.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.entry:problem-Concern-Entry.typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
| Section.component.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.component.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | Section.typeId, Section.entry:problem-Concern-Entry.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| ihe-shall-problem-concern-act | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Entry |
nullFlavor.exists() or entry.where(act.hasTemplateIdOf('https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE_Problem_Concern_Entry')).exists()
|
This structure is derived from Section
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Section |
C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: ihe-shall-problem-concern-act |
| @nullFlavor |
0..1 | cs | If a required section contains no information, the @nullFlavor MAY be set to NI | |
| Slices for templateId |
2..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:astm-parent |
S | 1..1 | II | |
| @root |
S | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.11 |
| templateId:activeProblemsSection |
S | 1..1 | II | |
| @root |
S | 1..1 | oid, uuid, ruid | Required Pattern: .3.6.1.4.1.19376.1.5.3.1.3.6 |
| code |
S | 1..1 | CE | Problem list - Reported |
| @code |
S | 1..1 | cs | Required Pattern: 11450-4 |
| @codeSystem |
S | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 |
| @codeSystemName |
0..1 | st | Required Pattern: LOINC | |
| title |
S | 0..1 | ST | |
| text |
S | 0..1 | xhtml | |
| Slices for entry |
1..* | Entry | If section/@nullFlavor is not present: Slice: Unordered, Open by profile:act, profile:observation | |
| entry:problem-Concern-Entry |
S | 1..* | Entry | |
| act |
0..1 | IHE_Problem_Concern_Entry | ||
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ihe-shall-problem-concern-act | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Entry |
nullFlavor.exists() or entry.where(act.hasTemplateIdOf('https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE_Problem_Concern_Entry')).exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Section |
C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: ihe-shall-problem-concern-act |
| @nullFlavor |
0..1 | cs | If a required section contains no information, the @nullFlavor MAY be set to NI Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| Slices for templateId |
2..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:astm-parent |
S | 1..1 | II | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
S | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.11 |
| @extension |
0..1 | st | ||
| templateId:activeProblemsSection |
S | 1..1 | II | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
S | 1..1 | oid, uuid, ruid | Required Pattern: .3.6.1.4.1.19376.1.5.3.1.3.6 |
| @extension |
0..1 | st | ||
| @ID |
0..1 | xs:ID | ||
| @classCode |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
0..1 | II | ||
| code |
S | 1..1 | CE | Problem list - Reported |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
S | 1..1 | cs | Required Pattern: 11450-4 |
| @codeSystem |
S | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 |
| @codeSystemName |
0..1 | st | Required Pattern: LOINC | |
| @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 |
S | 0..1 | ST | |
| text |
S | 0..1 | xhtml | |
| confidentialityCode |
0..1 | CE | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| subject |
0..1 | Subject | ||
| author |
0..* | Author | ||
| informant |
0..* | Informant | ||
| Slices for entry |
1..* | Entry | If section/@nullFlavor is not present: Slice: Unordered, Open by profile:act, profile:observation | |
| entry:problem-Concern-Entry |
S | 1..* | Entry | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: x_ActRelationshipEntry (required) | |
| @contextConductionInd |
0..1 | bl | Fixed Value: true | |
| act |
0..1 | IHE_Problem_Concern_Entry | ||
| 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: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| 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 | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.templateId:astm-parent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.templateId:activeProblemsSection.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v6.5 |
| Section.moodCode | Base | required | CDAActMood | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| Section.entry:problem-Concern-Entry.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.entry:problem-Concern-Entry.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.entry:problem-Concern-Entry.typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
| Section.component.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.component.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | Section.typeId, Section.entry:problem-Concern-Entry.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| ihe-shall-problem-concern-act | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Entry |
nullFlavor.exists() or entry.where(act.hasTemplateIdOf('https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE_Problem_Concern_Entry')).exists()
|
This structure is derived from Section
Summary
Mandatory: 9 elements
Must-Support: 10 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Section |
C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: ihe-shall-problem-concern-act |
| @nullFlavor |
0..1 | cs | If a required section contains no information, the @nullFlavor MAY be set to NI Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| Slices for templateId |
2..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:astm-parent |
S | 1..1 | II | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
S | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.11 |
| @extension |
0..1 | st | ||
| templateId:activeProblemsSection |
S | 1..1 | II | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
S | 1..1 | oid, uuid, ruid | Required Pattern: .3.6.1.4.1.19376.1.5.3.1.3.6 |
| @extension |
0..1 | st | ||
| @ID |
0..1 | xs:ID | ||
| @classCode |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
0..1 | II | ||
| code |
S | 1..1 | CE | Problem list - Reported |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
S | 1..1 | cs | Required Pattern: 11450-4 |
| @codeSystem |
S | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 |
| @codeSystemName |
0..1 | st | Required Pattern: LOINC | |
| @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 |
S | 0..1 | ST | |
| text |
S | 0..1 | xhtml | |
| confidentialityCode |
0..1 | CE | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| subject |
0..1 | Subject | ||
| author |
0..* | Author | ||
| informant |
0..* | Informant | ||
| Slices for entry |
1..* | Entry | If section/@nullFlavor is not present: Slice: Unordered, Open by profile:act, profile:observation | |
| entry:problem-Concern-Entry |
S | 1..* | Entry | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: x_ActRelationshipEntry (required) | |
| @contextConductionInd |
0..1 | bl | Fixed Value: true | |
| act |
0..1 | IHE_Problem_Concern_Entry | ||
| 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: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| 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 | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.templateId:astm-parent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.templateId:activeProblemsSection.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v6.5 |
| Section.moodCode | Base | required | CDAActMood | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| Section.entry:problem-Concern-Entry.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.entry:problem-Concern-Entry.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.entry:problem-Concern-Entry.typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
| Section.component.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.component.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | Section.typeId, Section.entry:problem-Concern-Entry.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| ihe-shall-problem-concern-act | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Entry |
nullFlavor.exists() or entry.where(act.hasTemplateIdOf('https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE_Problem_Concern_Entry')).exists()
|
Differential View
This structure is derived from Section
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Section |
C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: ihe-shall-problem-concern-act |
| @nullFlavor |
0..1 | cs | If a required section contains no information, the @nullFlavor MAY be set to NI | |
| Slices for templateId |
2..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:astm-parent |
S | 1..1 | II | |
| @root |
S | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.11 |
| templateId:activeProblemsSection |
S | 1..1 | II | |
| @root |
S | 1..1 | oid, uuid, ruid | Required Pattern: .3.6.1.4.1.19376.1.5.3.1.3.6 |
| code |
S | 1..1 | CE | Problem list - Reported |
| @code |
S | 1..1 | cs | Required Pattern: 11450-4 |
| @codeSystem |
S | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 |
| @codeSystemName |
0..1 | st | Required Pattern: LOINC | |
| title |
S | 0..1 | ST | |
| text |
S | 0..1 | xhtml | |
| Slices for entry |
1..* | Entry | If section/@nullFlavor is not present: Slice: Unordered, Open by profile:act, profile:observation | |
| entry:problem-Concern-Entry |
S | 1..* | Entry | |
| act |
0..1 | IHE_Problem_Concern_Entry | ||
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ihe-shall-problem-concern-act | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Entry |
nullFlavor.exists() or entry.where(act.hasTemplateIdOf('https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE_Problem_Concern_Entry')).exists()
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Section |
C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: ihe-shall-problem-concern-act |
| @nullFlavor |
0..1 | cs | If a required section contains no information, the @nullFlavor MAY be set to NI Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| Slices for templateId |
2..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:astm-parent |
S | 1..1 | II | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
S | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.11 |
| @extension |
0..1 | st | ||
| templateId:activeProblemsSection |
S | 1..1 | II | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
S | 1..1 | oid, uuid, ruid | Required Pattern: .3.6.1.4.1.19376.1.5.3.1.3.6 |
| @extension |
0..1 | st | ||
| @ID |
0..1 | xs:ID | ||
| @classCode |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
| id |
0..1 | II | ||
| code |
S | 1..1 | CE | Problem list - Reported |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
S | 1..1 | cs | Required Pattern: 11450-4 |
| @codeSystem |
S | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 |
| @codeSystemName |
0..1 | st | Required Pattern: LOINC | |
| @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 |
S | 0..1 | ST | |
| text |
S | 0..1 | xhtml | |
| confidentialityCode |
0..1 | CE | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| subject |
0..1 | Subject | ||
| author |
0..* | Author | ||
| informant |
0..* | Informant | ||
| Slices for entry |
1..* | Entry | If section/@nullFlavor is not present: Slice: Unordered, Open by profile:act, profile:observation | |
| entry:problem-Concern-Entry |
S | 1..* | Entry | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: x_ActRelationshipEntry (required) | |
| @contextConductionInd |
0..1 | bl | Fixed Value: true | |
| act |
0..1 | IHE_Problem_Concern_Entry | ||
| 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: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| 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 | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.templateId:astm-parent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.templateId:activeProblemsSection.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v6.5 |
| Section.moodCode | Base | required | CDAActMood | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| Section.entry:problem-Concern-Entry.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.entry:problem-Concern-Entry.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.entry:problem-Concern-Entry.typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
| Section.component.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Section.component.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | Section.typeId, Section.entry:problem-Concern-Entry.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| ihe-shall-problem-concern-act | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Entry |
nullFlavor.exists() or entry.where(act.hasTemplateIdOf('https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE_Problem_Concern_Entry')).exists()
|
This structure is derived from Section
Summary
Mandatory: 9 elements
Must-Support: 10 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
IG © 2023+ IHE Patient Care Coordination Technical Committee. Package ihe.pcc.pscc#0.0.1-current based on FHIR 5.0.0. Generated 2025-11-04
Links: Table of Contents |
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