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 Probelm Concern Entry

Official URL: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.Problem.Concern.Entry | Version: 0.0.1-current
Draft as of 2025-11-04 | Computable Name: IHE_Problem_Concern_Entry

This entry is a specialization of the Concern Entry, wherein the subject of the concern is focused on a problem.

Usages:

- Use this Logical Model Profile: IHE Active Problems Section

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
--- | --- | --- | --- | ---
Act | C | 1..1 | IHE_PCC_Concern_Entry | 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: should-text-ref-value, should-author
@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 |
Slices for templateId | S | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:problem | S | 0..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.27
@extension |  | 0..1 | st |
templateId:allergies-and-intolerances | S | 0..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.6
@extension |  | 0..1 | st |
templateId:ihe-concern-entry |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.5.1
@extension |  | 0..1 | st |
templateId:ihe-prob-concern-entry | S | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.5.2
@extension |  | 0..1 | st |
@classCode |  | 1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id | S | 1..* | II |
code | S | 1..1 | CD | Binding: v3 Code System ActCode (example)
@nullFlavor |  | 1..1 | cs | Binding: CDANullFlavor (required) Required Pattern: NA
@code |  | 0..1 | cs |
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@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 |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
text |  | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@compression |  | 0..1 | cs | Binding: CDACompressionAlgorithm (required)
@integrityCheck |  | 0..1 | bin |
@integrityCheckAlgorithm |  | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language |  | 0..1 | cs |
@mediaType |  | 0..1 | cs | Binding: MediaType (example)
@representation |  | 0..1 | cs | Binding: CDABinaryDataEncoding (required)
xmlText |  | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe
thumbnail |  | 0..1 | ED |
statusCode | S | 1..1 | CS | The statusCode of the Concern Entry 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: ActStatus (required)
@code |  | 0..1 | cs |
@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)
effectiveTime | S | 1..1 | IVL_TS |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: CDASetOperator (required)
low | S | 1..1 | IVXB_TS | The effectiveTime/low of the Concern Entry asserts when the concern became active.
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high | S C | 0..1 | IVXB_TS | 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). Constraints: ihe-shall-time-high
priorityCode |  | 0..1 | CE | Binding: ActPriority (example)
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship | S | 1..* | EntryRelationship | The following entryRelationships represent identifying problems of concern and providing more information about the concern. Slice: Unordered, Open by profile:observation
entryRelationship:problem-entry | S | 1..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd |  | 1..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | IHE_PCC_Problem_Entry |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:allergies-and-ntolerances-entry | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd |  | 1..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | IHE_Allergies_And_Intolerances_Entry |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:problem.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:allergies-and-intolerances.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:ihe-concern-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:ihe-prob-concern-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2
Act.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2
Act.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5
Act.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5
Act.effectiveTime.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.effectiveTime.operator | Base | required | CDASetOperator | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Act.entryRelationship:problem-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:problem-entry.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:problem-entry.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5
Act.entryRelationship:allergies-and-ntolerances-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:allergies-and-ntolerances-entry.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:allergies-and-ntolerances-entry.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Act.typeId, Act.entryRelationship:problem-entry.typeId, Act.entryRelationship:allergies-and-ntolerances-entry.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
ihe-shall-time-high | error | Act.effectiveTime.high | If statusCode is aborted or completed then effectiveTime.high Shall be present and shall not be present otherwise | `(statusCode.code.exists(code=#aborted) or statusCode.code.exists(code=#completed) implies effectiveTime.high.exists() )`
should-author | warning | Act | SHOULD contain author | `author.exists()`
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

This structure is derived from IHE_PCC_Concern_Entry

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act |  |  | IHE_PCC_Concern_Entry | XML Namespace: urn:hl7-org:v3 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
Slices for templateId |  |  |  | Content/Rules for all slices
templateId:ihe-prob-concern-entry |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.5.2
Slices for entryRelationship |  |  |  | Content/Rules for all slices
entryRelationship:problem-entry |  | 1..* | EntryRelationship |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act | C | 1..1 | IHE_PCC_Concern_Entry | 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: should-text-ref-value, should-author
@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 |
Slices for templateId | S | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:problem | S | 0..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.27
@extension |  | 0..1 | st |
templateId:allergies-and-intolerances | S | 0..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.6
@extension |  | 0..1 | st |
templateId:ihe-concern-entry |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.5.1
@extension |  | 0..1 | st |
templateId:ihe-prob-concern-entry | S | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.5.2
@extension |  | 0..1 | st |
@classCode |  | 1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id | S | 1..* | II |
code | S | 1..1 | CD | Binding: v3 Code System ActCode (example)
@nullFlavor |  | 1..1 | cs | Binding: CDANullFlavor (required) Required Pattern: NA
@code |  | 0..1 | cs |
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@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 |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
text |  | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@compression |  | 0..1 | cs | Binding: CDACompressionAlgorithm (required)
@integrityCheck |  | 0..1 | bin |
@integrityCheckAlgorithm |  | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language |  | 0..1 | cs |
@mediaType |  | 0..1 | cs | Binding: MediaType (example)
@representation |  | 0..1 | cs | Binding: CDABinaryDataEncoding (required)
xmlText |  | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe
thumbnail |  | 0..1 | ED |
statusCode | S | 1..1 | CS | The statusCode of the Concern Entry 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: ActStatus (required)
@code |  | 0..1 | cs |
@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)
effectiveTime | S | 1..1 | IVL_TS |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: CDASetOperator (required)
low | S | 1..1 | IVXB_TS | The effectiveTime/low of the Concern Entry asserts when the concern became active.
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high | S C | 0..1 | IVXB_TS | 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). Constraints: ihe-shall-time-high
priorityCode |  | 0..1 | CE | Binding: ActPriority (example)
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship | S | 1..* | EntryRelationship | The following entryRelationships represent identifying problems of concern and providing more information about the concern. Slice: Unordered, Open by profile:observation
entryRelationship:problem-entry | S | 1..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd |  | 1..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | IHE_PCC_Problem_Entry |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:allergies-and-ntolerances-entry | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd |  | 1..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | IHE_Allergies_And_Intolerances_Entry |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:problem.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:allergies-and-intolerances.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:ihe-concern-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:ihe-prob-concern-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2
Act.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2
Act.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5
Act.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5
Act.effectiveTime.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.effectiveTime.operator | Base | required | CDASetOperator | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Act.entryRelationship:problem-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:problem-entry.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:problem-entry.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5
Act.entryRelationship:allergies-and-ntolerances-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:allergies-and-ntolerances-entry.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:allergies-and-ntolerances-entry.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Act.typeId, Act.entryRelationship:problem-entry.typeId, Act.entryRelationship:allergies-and-ntolerances-entry.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
ihe-shall-time-high | error | Act.effectiveTime.high | If statusCode is aborted or completed then effectiveTime.high Shall be present and shall not be present otherwise | `(statusCode.code.exists(code=#aborted) or statusCode.code.exists(code=#completed) implies effectiveTime.high.exists() )`
should-author | warning | Act | SHOULD contain author | `author.exists()`
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

This structure is derived from IHE_PCC_Concern_Entry

Summary

Mandatory: 3 elements

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act | C | 1..1 | IHE_PCC_Concern_Entry | 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: should-text-ref-value, should-author
@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 |
Slices for templateId | S | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:problem | S | 0..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.27
@extension |  | 0..1 | st |
templateId:allergies-and-intolerances | S | 0..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.6
@extension |  | 0..1 | st |
templateId:ihe-concern-entry |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.5.1
@extension |  | 0..1 | st |
templateId:ihe-prob-concern-entry | S | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.5.2
@extension |  | 0..1 | st |
@classCode |  | 1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id | S | 1..* | II |
code | S | 1..1 | CD | Binding: v3 Code System ActCode (example)
@nullFlavor |  | 1..1 | cs | Binding: CDANullFlavor (required) Required Pattern: NA
@code |  | 0..1 | cs |
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@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 |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
text |  | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@compression |  | 0..1 | cs | Binding: CDACompressionAlgorithm (required)
@integrityCheck |  | 0..1 | bin |
@integrityCheckAlgorithm |  | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language |  | 0..1 | cs |
@mediaType |  | 0..1 | cs | Binding: MediaType (example)
@representation |  | 0..1 | cs | Binding: CDABinaryDataEncoding (required)
xmlText |  | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe
thumbnail |  | 0..1 | ED |
statusCode | S | 1..1 | CS | The statusCode of the Concern Entry 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: ActStatus (required)
@code |  | 0..1 | cs |
@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)
effectiveTime | S | 1..1 | IVL_TS |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: CDASetOperator (required)
low | S | 1..1 | IVXB_TS | The effectiveTime/low of the Concern Entry asserts when the concern became active.
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high | S C | 0..1 | IVXB_TS | 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). Constraints: ihe-shall-time-high
priorityCode |  | 0..1 | CE | Binding: ActPriority (example)
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship | S | 1..* | EntryRelationship | The following entryRelationships represent identifying problems of concern and providing more information about the concern. Slice: Unordered, Open by profile:observation
entryRelationship:problem-entry | S | 1..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd |  | 1..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | IHE_PCC_Problem_Entry |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:allergies-and-ntolerances-entry | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd |  | 1..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | IHE_Allergies_And_Intolerances_Entry |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:problem.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:allergies-and-intolerances.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:ihe-concern-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:ihe-prob-concern-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2
Act.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2
Act.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5
Act.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5
Act.effectiveTime.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.effectiveTime.operator | Base | required | CDASetOperator | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Act.entryRelationship:problem-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:problem-entry.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:problem-entry.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5
Act.entryRelationship:allergies-and-ntolerances-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:allergies-and-ntolerances-entry.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:allergies-and-ntolerances-entry.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Act.typeId, Act.entryRelationship:problem-entry.typeId, Act.entryRelationship:allergies-and-ntolerances-entry.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
ihe-shall-time-high | error | Act.effectiveTime.high | If statusCode is aborted or completed then effectiveTime.high Shall be present and shall not be present otherwise | `(statusCode.code.exists(code=#aborted) or statusCode.code.exists(code=#completed) implies effectiveTime.high.exists() )`
should-author | warning | Act | SHOULD contain author | `author.exists()`
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

Differential View

This structure is derived from IHE_PCC_Concern_Entry

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act |  |  | IHE_PCC_Concern_Entry | XML Namespace: urn:hl7-org:v3 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
Slices for templateId |  |  |  | Content/Rules for all slices
templateId:ihe-prob-concern-entry |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.5.2
Slices for entryRelationship |  |  |  | Content/Rules for all slices
entryRelationship:problem-entry |  | 1..* | EntryRelationship |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act | C | 1..1 | IHE_PCC_Concern_Entry | 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: should-text-ref-value, should-author
@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 |
Slices for templateId | S | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:problem | S | 0..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.27
@extension |  | 0..1 | st |
templateId:allergies-and-intolerances | S | 0..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.6
@extension |  | 0..1 | st |
templateId:ihe-concern-entry |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.5.1
@extension |  | 0..1 | st |
templateId:ihe-prob-concern-entry | S | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.5.2
@extension |  | 0..1 | st |
@classCode |  | 1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id | S | 1..* | II |
code | S | 1..1 | CD | Binding: v3 Code System ActCode (example)
@nullFlavor |  | 1..1 | cs | Binding: CDANullFlavor (required) Required Pattern: NA
@code |  | 0..1 | cs |
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@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 |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
text |  | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@compression |  | 0..1 | cs | Binding: CDACompressionAlgorithm (required)
@integrityCheck |  | 0..1 | bin |
@integrityCheckAlgorithm |  | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language |  | 0..1 | cs |
@mediaType |  | 0..1 | cs | Binding: MediaType (example)
@representation |  | 0..1 | cs | Binding: CDABinaryDataEncoding (required)
xmlText |  | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe
thumbnail |  | 0..1 | ED |
statusCode | S | 1..1 | CS | The statusCode of the Concern Entry 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: ActStatus (required)
@code |  | 0..1 | cs |
@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)
effectiveTime | S | 1..1 | IVL_TS |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: CDASetOperator (required)
low | S | 1..1 | IVXB_TS | The effectiveTime/low of the Concern Entry asserts when the concern became active.
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high | S C | 0..1 | IVXB_TS | 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). Constraints: ihe-shall-time-high
priorityCode |  | 0..1 | CE | Binding: ActPriority (example)
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship | S | 1..* | EntryRelationship | The following entryRelationships represent identifying problems of concern and providing more information about the concern. Slice: Unordered, Open by profile:observation
entryRelationship:problem-entry | S | 1..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd |  | 1..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | IHE_PCC_Problem_Entry |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:allergies-and-ntolerances-entry | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd |  | 1..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | IHE_Allergies_And_Intolerances_Entry |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:problem.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:allergies-and-intolerances.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:ihe-concern-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:ihe-prob-concern-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2
Act.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2
Act.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5
Act.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5
Act.effectiveTime.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.effectiveTime.operator | Base | required | CDASetOperator | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Act.entryRelationship:problem-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:problem-entry.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:problem-entry.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5
Act.entryRelationship:allergies-and-ntolerances-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:allergies-and-ntolerances-entry.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:allergies-and-ntolerances-entry.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Act.typeId, Act.entryRelationship:problem-entry.typeId, Act.entryRelationship:allergies-and-ntolerances-entry.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
ihe-shall-time-high | error | Act.effectiveTime.high | If statusCode is aborted or completed then effectiveTime.high Shall be present and shall not be present otherwise | `(statusCode.code.exists(code=#aborted) or statusCode.code.exists(code=#completed) implies effectiveTime.high.exists() )`
should-author | warning | Act | SHOULD contain author | `author.exists()`
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

This structure is derived from IHE_PCC_Concern_Entry

Summary

Mandatory: 3 elements

Other representations of profile: CSV, Excel