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

## Logical Model: IHE Active Problems Section

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:

- Use this Logical Model Profile: IHE Medical Summary CDA

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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

#### Terminology Bindings

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

#### Constraints

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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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

#### Constraints

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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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

#### Terminology Bindings

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

#### Constraints

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:

- IHE Probelm Concern Entry (https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Problem.Concern.Entry)

Slices

This structure defines the following Slices:

- The element 2 is sliced based on the values of Section.templateId
- The element 2 is sliced based on the values of Section.entry

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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

#### Terminology Bindings

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

#### Constraints

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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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

#### Constraints

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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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

#### Terminology Bindings

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

#### Constraints

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:

- IHE Probelm Concern Entry (https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Problem.Concern.Entry)

Slices

This structure defines the following Slices:

- The element 2 is sliced based on the values of Section.templateId
- The element 2 is sliced based on the values of Section.entry

Other representations of profile: CSV, Excel