This page is part of the CCDA: Consolidated CDA Release (v4.0.0: CCDA 4.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0 . This is the current published version. For a full list of available versions, see the Directory of published versions
Logical Model:
Health Concerns Section
Official URL : http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection
Version :
4.0.0
Draft
as of 2025-06-20
Computable Name : HealthConcernsSection
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.2.58:2015-08-01
This section contains data describing an interest or worry about a health state or process that could possibly require attention, intervention, or management. A Health Concern is a health related matter that is of interest, importance or worry to someone, who may be the patient, patient's family or patient's health care provider. Health concerns are derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.). Health concerns can be medical, surgical, nursing, allied health or patient-reported concerns.
Problem Concerns are a subset of Health Concerns that have risen to the level of importance that they typically would belong on a classic "Problem List", such as "Diabetes Mellitus" or "Family History of Melanoma" or "Tobacco abuse". These are of broad interest to multiple members of the care team. Examples of other Health Concerns that might not typically be considered a Problem Concern include "Risk of Hyperkalemia" for a patient taking an ACE-inhibitor medication, or "Transportation difficulties" for someone who doesn't drive and has trouble getting to appointments, or "Under-insured" for someone who doesn't have sufficient insurance to properly cover their medical needs such as medications. These are typically most important to just a limited number of care team members.
Templates Used
Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:
Required Entries : HealthConcernAct
Recommended Entries : HealthStatusObservation
Optional Entries : RiskConcernAct
Usages:
Changes since version 3.0.0:
The resource metadata has changed (description)
Formal Views of Template Content
Description of Template, Differentials, Snapshots and how the different presentations work .
This structure is derived from Section
Name Flags Card. Type Description & Constraints Filter: Bindings
Section C 1 .. 1 Section XML Namespace: urn:hl7-org:v3@nullFlavor , realmCode , typeId , templateId , @ID , @classCode , @moodCode , id , code , title , text , confidentialityCode , languageCode , subject , author , informant , entry , component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-health-status-obs , shall-health-concern-act @nullFlavor 0 .. 1 cs If a required section contains no information, the @nullFlavor MAY be set to NI Slices for templateId 1 .. * II Slice: Unordered, Open by value:root, value:extension templateId:section 1..1
II @root 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.10.20.22.2.58 @extension 1..1
st Required Pattern: 2015-08-01 code 1..1
CE Health concerns Document @code 1..1
cs Required Pattern: 75310-3 @codeSystem 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.6.1 title 1..1
ST text 1..1
xhtml Slices for entry 0 .. * Entry Slice: Unordered, Open by profile:observation, profile:act entry:healthStatus 0..*
Entry observation 1..1
HealthStatusObservation entry:healthConcern 0..*
Entry If section/@nullFlavor is not present: act 1..1
HealthConcernAct entry:riskConcern 0..*
Entry act 1..1
RiskConcernAct
Constraints
Id Grade Path(s) Details Requirements shall-health-concern-act error Section If section/@nullFlavor is not present, SHALL contain at least one Health Concern Act should-health-status-obs warning Section SHOULD contain Health Status Observation
Name Flags Card. Type Description & Constraints Filter: Bindings
Section C 1..1
Section XML Namespace: urn:hl7-org:v3@nullFlavor , realmCode , typeId , templateId , @ID , @classCode , @moodCode , id , code , title , text , confidentialityCode , languageCode , subject , author , informant , entry , component Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-health-status-obs , shall-health-concern-act @nullFlavor 0..1
cs If a required section contains no information, the @nullFlavor MAY be set to NIBinding: 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 1 .. * II Slice: Unordered, Open by value:root, value:extension templateId:section 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: 2.16.840.1.113883.10.20.22.2.58 @extension 1..1
st Required Pattern: 2015-08-01 @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 1..1
CE Health concerns Document @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) @code 1..1
cs Required Pattern: 75310-3 @codeSystem 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.6.1 @codeSystemName 0..1
st @codeSystemVersion 0..1
st @displayName 0..1
st @sdtcValueSet 0..1
oid XML Namespace: urn:hl7-org:sdtcXML: valueSet (urn:hl7-org:sdtc)@sdtcValueSetVersion 0..1
st XML Namespace: urn:hl7-org:sdtcXML: valueSetVersion (urn:hl7-org:sdtc)originalText 0..1
ED translation 0..*
CD title 1..1
ST text 1..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 0 .. * Entry Slice: Unordered, Open by profile:observation, profile:act entry:healthStatus 0..*
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
Act encounter 0..1
Encounter observation 1..1
HealthStatusObservation observationMedia 0..1
ObservationMedia organizer 0..1
Organizer procedure 0..1
Procedure regionOfInterest 0..1
RegionOfInterest substanceAdministration 0..1
SubstanceAdministration supply 0..1
Supply entry:healthConcern 0..*
Entry If section/@nullFlavor is not present: @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 1..1
HealthConcernAct 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 entry:riskConcern 0..*
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 1..1
RiskConcernAct 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
Terminology Bindings
Path Conformance ValueSet / Code URI Section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.templateId:section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.classCode required Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer
Section.moodCode required Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood
Section.code.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.languageCode required AllLanguages http://hl7.org/fhir/ValueSet/all-languages
From the FHIR Standard
Section.entry:healthStatus.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthStatus.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthStatus.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.entry:healthConcern.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthConcern.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthConcern.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.entry:riskConcern.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:riskConcern.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:riskConcern.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.component.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.component.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Constraints
Id Grade Path(s) Details Requirements II-1 error Section.typeId, Section.entry:healthStatus.typeId, Section.entry:healthConcern.typeId, Section.entry:riskConcern.typeId, Section.component.typeId An II instance must have either a root or an nullFlavor. shall-health-concern-act error Section If section/@nullFlavor is not present, SHALL contain at least one Health Concern Act should-health-status-obs warning Section SHOULD contain Health Status Observation
Name Flags Card. Type Description & Constraints Filter: Bindings
Section C 1..1
Section XML Namespace: urn:hl7-org:v3@nullFlavor , realmCode , typeId , templateId , @ID , @classCode , @moodCode , id , code , title , text , confidentialityCode , languageCode , subject , author , informant , entry , component Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-health-status-obs , shall-health-concern-act @nullFlavor 0..1
cs If a required section contains no information, the @nullFlavor MAY be set to NIBinding: 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 1 .. * II Slice: Unordered, Open by value:root, value:extension templateId:section 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: 2.16.840.1.113883.10.20.22.2.58 @extension 1..1
st Required Pattern: 2015-08-01 @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 1..1
CE Health concerns Document @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) @code 1..1
cs Required Pattern: 75310-3 @codeSystem 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.6.1 @codeSystemName 0..1
st @codeSystemVersion 0..1
st @displayName 0..1
st @sdtcValueSet 0..1
oid XML Namespace: urn:hl7-org:sdtcXML: valueSet (urn:hl7-org:sdtc)@sdtcValueSetVersion 0..1
st XML Namespace: urn:hl7-org:sdtcXML: valueSetVersion (urn:hl7-org:sdtc)originalText 0..1
ED translation 0..*
CD title 1..1
ST text 1..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 0 .. * Entry Slice: Unordered, Open by profile:observation, profile:act entry:healthStatus 0..*
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
Act encounter 0..1
Encounter observation 1..1
HealthStatusObservation observationMedia 0..1
ObservationMedia organizer 0..1
Organizer procedure 0..1
Procedure regionOfInterest 0..1
RegionOfInterest substanceAdministration 0..1
SubstanceAdministration supply 0..1
Supply entry:healthConcern 0..*
Entry If section/@nullFlavor is not present: @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 1..1
HealthConcernAct 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 entry:riskConcern 0..*
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 1..1
RiskConcernAct 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
Terminology Bindings
Path Conformance ValueSet / Code URI Section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.templateId:section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.classCode required Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer
Section.moodCode required Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood
Section.code.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.languageCode required AllLanguages http://hl7.org/fhir/ValueSet/all-languages
From the FHIR Standard
Section.entry:healthStatus.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthStatus.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthStatus.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.entry:healthConcern.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthConcern.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthConcern.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.entry:riskConcern.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:riskConcern.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:riskConcern.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.component.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.component.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Constraints
Id Grade Path(s) Details Requirements II-1 error Section.typeId, Section.entry:healthStatus.typeId, Section.entry:healthConcern.typeId, Section.entry:riskConcern.typeId, Section.component.typeId An II instance must have either a root or an nullFlavor. shall-health-concern-act error Section If section/@nullFlavor is not present, SHALL contain at least one Health Concern Act should-health-status-obs warning Section SHOULD contain Health Status Observation
This structure is derived from Section
Summary
Mandatory: 9 elements(3 nested mandatory elements)
Structures
This structure refers to these other structures:
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
Differential View
This structure is derived from Section
Name Flags Card. Type Description & Constraints Filter: Bindings
Section C 1 .. 1 Section XML Namespace: urn:hl7-org:v3@nullFlavor , realmCode , typeId , templateId , @ID , @classCode , @moodCode , id , code , title , text , confidentialityCode , languageCode , subject , author , informant , entry , component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-health-status-obs , shall-health-concern-act @nullFlavor 0 .. 1 cs If a required section contains no information, the @nullFlavor MAY be set to NI Slices for templateId 1 .. * II Slice: Unordered, Open by value:root, value:extension templateId:section 1..1
II @root 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.10.20.22.2.58 @extension 1..1
st Required Pattern: 2015-08-01 code 1..1
CE Health concerns Document @code 1..1
cs Required Pattern: 75310-3 @codeSystem 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.6.1 title 1..1
ST text 1..1
xhtml Slices for entry 0 .. * Entry Slice: Unordered, Open by profile:observation, profile:act entry:healthStatus 0..*
Entry observation 1..1
HealthStatusObservation entry:healthConcern 0..*
Entry If section/@nullFlavor is not present: act 1..1
HealthConcernAct entry:riskConcern 0..*
Entry act 1..1
RiskConcernAct
Constraints
Id Grade Path(s) Details Requirements shall-health-concern-act error Section If section/@nullFlavor is not present, SHALL contain at least one Health Concern Act should-health-status-obs warning Section SHOULD contain Health Status Observation
Key Elements View
Name Flags Card. Type Description & Constraints Filter: Bindings
Section C 1..1
Section XML Namespace: urn:hl7-org:v3@nullFlavor , realmCode , typeId , templateId , @ID , @classCode , @moodCode , id , code , title , text , confidentialityCode , languageCode , subject , author , informant , entry , component Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-health-status-obs , shall-health-concern-act @nullFlavor 0..1
cs If a required section contains no information, the @nullFlavor MAY be set to NIBinding: 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 1 .. * II Slice: Unordered, Open by value:root, value:extension templateId:section 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: 2.16.840.1.113883.10.20.22.2.58 @extension 1..1
st Required Pattern: 2015-08-01 @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 1..1
CE Health concerns Document @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) @code 1..1
cs Required Pattern: 75310-3 @codeSystem 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.6.1 @codeSystemName 0..1
st @codeSystemVersion 0..1
st @displayName 0..1
st @sdtcValueSet 0..1
oid XML Namespace: urn:hl7-org:sdtcXML: valueSet (urn:hl7-org:sdtc)@sdtcValueSetVersion 0..1
st XML Namespace: urn:hl7-org:sdtcXML: valueSetVersion (urn:hl7-org:sdtc)originalText 0..1
ED translation 0..*
CD title 1..1
ST text 1..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 0 .. * Entry Slice: Unordered, Open by profile:observation, profile:act entry:healthStatus 0..*
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
Act encounter 0..1
Encounter observation 1..1
HealthStatusObservation observationMedia 0..1
ObservationMedia organizer 0..1
Organizer procedure 0..1
Procedure regionOfInterest 0..1
RegionOfInterest substanceAdministration 0..1
SubstanceAdministration supply 0..1
Supply entry:healthConcern 0..*
Entry If section/@nullFlavor is not present: @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 1..1
HealthConcernAct 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 entry:riskConcern 0..*
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 1..1
RiskConcernAct 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
Terminology Bindings
Path Conformance ValueSet / Code URI Section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.templateId:section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.classCode required Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer
Section.moodCode required Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood
Section.code.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.languageCode required AllLanguages http://hl7.org/fhir/ValueSet/all-languages
From the FHIR Standard
Section.entry:healthStatus.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthStatus.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthStatus.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.entry:healthConcern.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthConcern.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthConcern.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.entry:riskConcern.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:riskConcern.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:riskConcern.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.component.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.component.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Constraints
Id Grade Path(s) Details Requirements II-1 error Section.typeId, Section.entry:healthStatus.typeId, Section.entry:healthConcern.typeId, Section.entry:riskConcern.typeId, Section.component.typeId An II instance must have either a root or an nullFlavor. shall-health-concern-act error Section If section/@nullFlavor is not present, SHALL contain at least one Health Concern Act should-health-status-obs warning Section SHOULD contain Health Status Observation
Snapshot View
Name Flags Card. Type Description & Constraints Filter: Bindings
Section C 1..1
Section XML Namespace: urn:hl7-org:v3@nullFlavor , realmCode , typeId , templateId , @ID , @classCode , @moodCode , id , code , title , text , confidentialityCode , languageCode , subject , author , informant , entry , component Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-health-status-obs , shall-health-concern-act @nullFlavor 0..1
cs If a required section contains no information, the @nullFlavor MAY be set to NIBinding: 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 1 .. * II Slice: Unordered, Open by value:root, value:extension templateId:section 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: 2.16.840.1.113883.10.20.22.2.58 @extension 1..1
st Required Pattern: 2015-08-01 @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 1..1
CE Health concerns Document @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) @code 1..1
cs Required Pattern: 75310-3 @codeSystem 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.6.1 @codeSystemName 0..1
st @codeSystemVersion 0..1
st @displayName 0..1
st @sdtcValueSet 0..1
oid XML Namespace: urn:hl7-org:sdtcXML: valueSet (urn:hl7-org:sdtc)@sdtcValueSetVersion 0..1
st XML Namespace: urn:hl7-org:sdtcXML: valueSetVersion (urn:hl7-org:sdtc)originalText 0..1
ED translation 0..*
CD title 1..1
ST text 1..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 0 .. * Entry Slice: Unordered, Open by profile:observation, profile:act entry:healthStatus 0..*
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
Act encounter 0..1
Encounter observation 1..1
HealthStatusObservation observationMedia 0..1
ObservationMedia organizer 0..1
Organizer procedure 0..1
Procedure regionOfInterest 0..1
RegionOfInterest substanceAdministration 0..1
SubstanceAdministration supply 0..1
Supply entry:healthConcern 0..*
Entry If section/@nullFlavor is not present: @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 1..1
HealthConcernAct 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 entry:riskConcern 0..*
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 1..1
RiskConcernAct 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
Terminology Bindings
Path Conformance ValueSet / Code URI Section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.templateId:section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.classCode required Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer
Section.moodCode required Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood
Section.code.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.languageCode required AllLanguages http://hl7.org/fhir/ValueSet/all-languages
From the FHIR Standard
Section.entry:healthStatus.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthStatus.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthStatus.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.entry:healthConcern.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthConcern.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:healthConcern.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.entry:riskConcern.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:riskConcern.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:riskConcern.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.component.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.component.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Constraints
Id Grade Path(s) Details Requirements II-1 error Section.typeId, Section.entry:healthStatus.typeId, Section.entry:healthConcern.typeId, Section.entry:riskConcern.typeId, Section.component.typeId An II instance must have either a root or an nullFlavor. shall-health-concern-act error Section If section/@nullFlavor is not present, SHALL contain at least one Health Concern Act should-health-status-obs warning Section SHOULD contain Health Status Observation
This structure is derived from Section
Summary
Mandatory: 9 elements(3 nested mandatory elements)
Structures
This structure refers to these other structures:
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
Section 
Slices for templateId 
templateId:section 
@extension 
observation 
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Propose a change 
