abstractbaseDefinitioncopyrightdescription- Values Differ
experimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurl| Left: | Health Concern Act (http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct) |
| Right: | Health Concern Act (http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct) |
| Information | Act.typeId | StructureDefinition HealthConcernAct has added constraint that is not found in HealthConcernAct and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists()) |
| Information | Act.reference.typeId | StructureDefinition HealthConcernAct has added constraint that is not found in HealthConcernAct and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists()) |
| Information | Act.reference.externalDocument | StructureDefinition HealthConcernAct has a constraint that is removed in HealthConcernAct and it is uncertain whether they are compatible (setId.exists()) |
| Information | Act.reference.externalDocument | StructureDefinition HealthConcernAct has a constraint that is removed in HealthConcernAct and it is uncertain whether they are compatible (versionNumber.exists()) |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/cda/stds/core/StructureDefinition/Act | ||
| copyright | |||
| description | This template represents a health concern. It is a wrapper for a single health concern which may be derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.). A Health Concern Act is used to track non-optimal physical or psychological situations drawing the patient to the healthcare system. These may be from the perspective of the care team or from the perspective of the patient. When the underlying condition is of concern (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest), the statusCode is active. Only when the underlying condition is no longer of concern is the statusCode set to completed. The effectiveTime reflects the time that the underlying condition was felt to be a concern; it may or may not correspond to the effectiveTime of the condition (e.g., even five years later, a prior heart attack may remain a concern). Health concerns require intervention(s) to increase the likelihood of achieving the goals of care for the patient and they specify the condition oriented reasons for creating the plan. | This template represents a health concern. It is a wrapper for a single health concern which may be derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.). A Health Concern Act is used to track non-optimal physical or psychological situations drawing the patient to the healthcare system. These may be from the perspective of the care team or from the perspective of the patient. When the underlying condition is of concern (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest), the statusCode is active. Only when the underlying condition is no longer of concern is the statusCode set to completed. The effectiveTime reflects the time that the underlying condition was felt to be a concern; it may or may not correspond to the effectiveTime of the condition (e.g., even five years later, a prior heart attack may remain a concern). Health concerns require intervention(s) to increase the likelihood of achieving the goals of care for the patient and they specify the condition oriented reasons for creating the plan. #### Templates Used Although open templates may contain any valid CDA content, the following templates are specifically called out by this template: **Optional EntryRelationships**: [AllergyIntoleranceObservation](StructureDefinition-AllergyIntoleranceObservation.html), [AssessmentScaleObservation](StructureDefinition-AssessmentScaleObservation.html), [CaregiverCharacteristics](StructureDefinition-CaregiverCharacteristics.html), [CharacteristicsofHomeEnvironment](StructureDefinition-CharacteristicsofHomeEnvironment.html), [CulturalandReligiousObservation](StructureDefinition-CulturalandReligiousObservation.html), [EncounterDiagnosis](StructureDefinition-EncounterDiagnosis.html), [EntryReference](StructureDefinition-EntryReference.html), [FamilyHistoryOrganizer](StructureDefinition-FamilyHistoryOrganizer.html), [FunctionalStatusObservation](StructureDefinition-FunctionalStatusObservation.html), [HospitalAdmissionDiagnosis](StructureDefinition-HospitalAdmissionDiagnosis.html), [LongitudinalCareWoundObservation](StructureDefinition-LongitudinalCareWoundObservation.html), [MentalStatusObservation](StructureDefinition-MentalStatusObservation.html), [NutritionAssessment](StructureDefinition-NutritionAssessment.html), [NutritionalStatusObservation](StructureDefinition-NutritionalStatusObservation.html), [PostprocedureDiagnosis](StructureDefinition-PostprocedureDiagnosis.html), [PregnancyStatusObservation](StructureDefinition-PregnancyStatusObservation.html), [PreoperativeDiagnosis](StructureDefinition-PreoperativeDiagnosis.html), [PriorityPreference](StructureDefinition-PriorityPreference.html), [ProblemObservation](StructureDefinition-ProblemObservation.html), [ReactionObservation](StructureDefinition-ReactionObservation.html), [ResultObservation](StructureDefinition-ResultObservation.html), [ResultOrganizer](StructureDefinition-ResultOrganizer.html), [SelfCareActivitiesADLandIADL](StructureDefinition-SelfCareActivitiesADLandIADL.html), [SensoryStatus](StructureDefinition-SensoryStatus.html), [SmokingStatusMeaningfulUse](StructureDefinition-SmokingStatusMeaningfulUse.html), [SocialHistoryObservation](StructureDefinition-SocialHistoryObservation.html), [SubstanceOrDeviceAllergyIntoleranceObservation](StructureDefinition-SubstanceOrDeviceAllergyIntoleranceObservation.html), [TobaccoUse](StructureDefinition-TobaccoUse.html), [VitalSignObservation](StructureDefinition-VitalSignObservation.html) |
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| experimental | |||
| fhirVersion | 5.0.0 | ||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | logical | ||
| name | HealthConcernAct | ||
| publisher | Health Level Seven | ||
| purpose | |||
| status | draft | ||
| title | Health Concern Act | ||
| type | http://hl7.org/cda/stds/core/StructureDefinition/Act | ||
| url | http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct | ||
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments |
|---|---|---|---|---|---|---|---|---|---|
 Act | C | 1..1 | Act | 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 | C | 1..1 | Act | 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 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| realmCode | 0..* | CS | 0..* | CS | |||||
 typeId | 0..1 | II | C | 0..1 | II |
| |||
 nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||
| displayable | 0..1 | ?? | 0..1 | ?? | |||||
| root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||
 extension | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |||
| classCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: ACT | 1..1 | ?? | Binding: ?? (required) Fixed Value: ACT | |||
| moodCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | |||
| negationInd | 0..1 | ?? | 0..1 | ?? | |||||
| id | 1..* | II | 1..* | II | |||||
| code | 1..1 | CD | Functional status assessment note Binding: ?? (example) | 1..1 | CD | Functional status assessment note Binding: ?? (example) | |||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| code | 1..1 | ?? | Required Pattern: 75310-3 | 1..1 | ?? | Required Pattern: 75310-3 | |||
| codeSystem | 1..1 | ??, ??, ?? | LOINC Required Pattern: 2.16.840.1.113883.6.1 | 1..1 | ??, ??, ?? | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |||
| codeSystemName | 0..1 | ?? | 0..1 | ?? | |||||
| codeSystemVersion | 0..1 | ?? | 0..1 | ?? | |||||
| displayName | 0..1 | ?? | 0..1 | ?? | |||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||
| originalText | 0..1 | ED | 0..1 | ED | |||||
| qualifier | 0..* | CR | 0..* | CR | |||||
| translation | 0..* | CD | 0..* | CD | |||||
| text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| compression | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| integrityCheck | 0..1 | ?? | 0..1 | ?? | |||||
| integrityCheckAlgorithm | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| language | 0..1 | ?? | 0..1 | ?? | |||||
| mediaType | 0..1 | ?? | Binding: ?? (example) | 0..1 | ?? | Binding: ?? (example) | |||
| representation | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| xmlText | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |||
| reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe | C | 0..1 | TEL | Constraints: value-starts-octothorpe | |
| thumbnail | 0..1 | ED | 0..1 | ED | |||||
| statusCode | 1..1 | CS | Binding: ?? (required) | 1..1 | CS | Binding: ?? (required) | |||
| nullFlavor | 0..0 | 0..0 | |||||||
| code | 1..1 | ?? | Binding: ?? (required) | 1..1 | ?? | Binding: ?? (required) | |||
| codeSystem | 0..0 | 0..0 | |||||||
| codeSystemName | 0..0 | 0..0 | |||||||
| codeSystemVersion | 0..0 | 0..0 | |||||||
| displayName | 0..0 | 0..0 | |||||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||
| originalText | 0..0 | 0..0 | |||||||
| qualifier | 0..0 | 0..0 | |||||||
| translation | 0..0 | 0..0 | |||||||
| effectiveTime | 0..1 | IVL_TS | 0..1 | IVL_TS | |||||
| priorityCode | 0..1 | CE | Binding: ?? (example) | 0..1 | CE | Binding: ?? (example) | |||
| languageCode | 0..1 | CS | Binding: ?? (required) | 0..1 | CS | Binding: ?? (required) | |||
| subject | 0..1 | Subject | 0..1 | Subject | |||||
| specimen | 0..* | Specimen | 0..* | Specimen | |||||
| performer | 0..* | Performer2 | 0..* | Performer2 | |||||
| author | 0..* | ?? | A health concern may be a patient or provider concern. If the author is set to the recordTarget (patient), this is a patient concern. If the author is set to a provider, this is a provider concern. If both patient and provider are set as authors, this is a concern of both the patient and the provider. | 0..* | ?? | A health concern may be a patient or provider concern. If the author is set to the recordTarget (patient), this is a patient concern. If the author is set to a provider, this is a provider concern. If both patient and provider are set as authors, this is a concern of both the patient and the provider. | |||
| informant | 0..* | Informant | 0..* | Informant | |||||
| participant | 0..* | Participant2 | 0..* | Participant2 | |||||
| Slices for entryRelationship | 0..* | EntryRelationship | When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962). Slice: Unordered, Open by profile:act, profile:observation, profile:organizer, value:typeCode | 0..* | EntryRelationship | When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962). Slice: Unordered, Open by profile:act, profile:observation, profile:organizer, value:typeCode | |||
| reference | 0..* | Reference | Where it is necessary to reference an external clinical document such as a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document. However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument. | 0..* | Reference | Where it is necessary to reference an external clinical document such as a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document. However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument. | |||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| realmCode | 0..* | CS | 0..* | CS | |||||
| typeId | 0..1 | II | C | 0..1 | II |
| |||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||
| displayable | 0..1 | ?? | 0..1 | ?? | |||||
| root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||
| extension | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||
| templateId | 0..* | II | 0..* | II | |||||
| typeCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: REFR | 1..1 | ?? | Binding: ?? (required) Fixed Value: REFR | |||
| seperatableInd | 0..1 | BL | 0..1 | BL | |||||
| externalAct | 0..1 | ExternalAct | 0..1 | ExternalAct | |||||
| externalObservation | 0..1 | ExternalObservation | 0..1 | ExternalObservation | |||||
| externalProcedure | 0..1 | ExternalProcedure | 0..1 | ExternalProcedure | |||||
| externalDocument | C | 1..1 | ?? | Base for all types and resources | 1..1 | ?? |
| ||
| precondition | 0..* | Precondition | 0..* | Precondition | |||||
| sdtcPrecondition2 | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | |||
| sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |||
| Documentation for this format | |||||||||