Package | hl7.cda.us.ccda |
Type | StructureDefinition |
Id | AdmissionDiagnosisSection |
FHIR Version | R5 |
Source | http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda/StructureDefinition-AdmissionDiagnosisSection.html |
URL | http://hl7.org/cda/us/ccda/StructureDefinition/AdmissionDiagnosisSection |
Version | 4.0.0 |
Status | draft |
Date | 2025-06-26T21:09:45+00:00 |
Name | AdmissionDiagnosisSection |
Title | Admission Diagnosis Section |
Realm | us |
Authority | hl7 |
Description | This section contains a narrative description of the problems or diagnoses identified by the clinician at the time of the patient's admission. This section may contain a coded entry which represents the admitting diagnoses. #### Templates Used Although open templates may contain any valid CDA content, the following templates are specifically called out by this template: **Optional Entries**: [HospitalAdmissionDiagnosis](StructureDefinition-HospitalAdmissionDiagnosis.html) |
Type | http://hl7.org/cda/stds/core/StructureDefinition/Section |
Kind | logical |
StructureDefinition | |
DischargeSummary | Discharge Summary |
TransferSummary | Transfer Summary |
StructureDefinition | |
Act | Act (CDA Class) |
Section | Section (CDA Class) |
HospitalAdmissionDiagnosis | Hospital Admission Diagnosis |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition AdmissionDiagnosisSection
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
![]() ![]() | C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@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-entry |
![]() ![]() ![]() | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
![]() ![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() ![]() | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.43 | |
![]() ![]() ![]() ![]() ![]() | 1..1 | st | Required Pattern: 2015-08-01 | |
![]() ![]() ![]() | 1..1 | CE | Hospital admission diagnosis Narrative - Reported | |
![]() ![]() ![]() ![]() | 1..1 | cs | Required Pattern: 46241-6 | |
![]() ![]() ![]() ![]() | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() ![]() | 1..* | CD | Slice: Unordered, Open by value:code, value:codeSystem | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CD | Admission Diagnosis | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | cs | Required Pattern: 42347-5 | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() | 1..1 | ST | ||
![]() ![]() ![]() | 1..1 | xhtml | ||
![]() ![]() ![]() | 0..* | Entry | Slice: Unordered, Open by profile:observation, profile:organizer | |
![]() ![]() ![]() ![]() | 0..1 | Entry | ||
![]() ![]() ![]() ![]() ![]() | 1..1 | HospitalAdmissionDiagnosis | ||
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The value of this attribute provides a unique identifier for the templates in question", "min": 0, "max": "*", "base": { "path": "InfrastructureRoot.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/cda/stds/core/StructureDefinition/II" } ] }, { "id": "Section.component.typeCode", "path": "Section.component.typeCode", "representation": [ "xmlAttr" ], "definition": "Drawn from concept domain DocumentSectionType", "min": 0, "max": "1", "base": { "path": "Section.component.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code", "profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ] } ], "fixedCode": "COMP" }, { "id": "Section.component.contextConductionInd", "path": "Section.component.contextConductionInd", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Section.component.contextConductionInd", "min": 0, "max": "1" }, "type": [ { "code": "boolean", "profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ] } ], "fixedBoolean": true }, { "id": "Section.component.section", "path": "Section.component.section", "min": 1, "max": "1", "base": { "path": "Section.component.section", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/cda/stds/core/StructureDefinition/Section" } ] } ] }, "differential": { "element": [ { "id": "Section", "path": "Section", "constraint": [ { "key": "should-entry", "severity": "warning", "human": "SHOULD contain entry", "expression": "entry.exists()", "source": "http://hl7.org/cda/us/ccda/StructureDefinition/AdmissionDiagnosisSection" } ] }, { "id": "Section.templateId", "path": "Section.templateId", "slicing": { "discriminator": [ { "type": "value", "path": "root" }, { "type": "value", "path": "extension" } ], "rules": "open" }, "min": 1 }, { "id": "Section.templateId:section", "path": "Section.templateId", "sliceName": "section", "min": 1, "max": "1" }, { "id": "Section.templateId:section.root", "path": "Section.templateId.root", "min": 1, "patternString": "2.16.840.1.113883.10.20.22.2.43" }, { "id": "Section.templateId:section.extension", "path": "Section.templateId.extension", "min": 1, "patternString": "2015-08-01" }, { "id": "Section.code", "path": "Section.code", "short": "Hospital admission diagnosis Narrative - Reported", "min": 1 }, { "id": "Section.code.code", "path": "Section.code.code", "min": 1, "patternCode": "46241-6" }, { "id": "Section.code.codeSystem", "path": "Section.code.codeSystem", "min": 1, "patternString": "2.16.840.1.113883.6.1" }, { "id": "Section.code.translation", "path": "Section.code.translation", "slicing": { "discriminator": [ { "type": "value", "path": "code" }, { "type": "value", "path": "codeSystem" } ], "rules": "open" }, "min": 1 }, { "id": "Section.code.translation:admissionDiag", "path": "Section.code.translation", "sliceName": "admissionDiag", "short": "Admission Diagnosis", "comment": "SHALL contain exactly one [1..1] @code=\"42347-5\" Admission Diagnosis (CONF:1198-32750).", "min": 1, "max": "1" }, { "id": "Section.code.translation:admissionDiag.code", "path": "Section.code.translation.code", "min": 1, "patternCode": "42347-5" }, { "id": "Section.code.translation:admissionDiag.codeSystem", "path": "Section.code.translation.codeSystem", "short": "LOINC", "min": 1, "patternString": "2.16.840.1.113883.6.1" }, { "id": "Section.title", "path": "Section.title", "min": 1 }, { "id": "Section.text", "path": "Section.text", "min": 1 }, { "id": "Section.entry", "path": "Section.entry", "slicing": { "discriminator": [ { "type": "profile", "path": "observation" }, { "type": "profile", "path": "organizer" } ], "rules": "open" }, "comment": "SHALL contain at least one [1..*] entry such that it" }, { "id": "Section.entry:hospitaladmissiondiagnosis", "path": "Section.entry", "sliceName": "hospitaladmissiondiagnosis", "comment": "SHOULD contain zero or one [0..1] entry (CONF:1198-9934).", "min": 0, "max": "1" }, { "id": "Section.entry:hospitaladmissiondiagnosis.act", "path": "Section.entry.act", "comment": "The entry, if present, SHALL contain exactly one [1..1] Hospital Admission Diagnosis (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.34:2015-08-01) (CONF:1198-15481).", "min": 1, "type": [ { "code": "http://hl7.org/cda/stds/core/StructureDefinition/Act", "profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/HospitalAdmissionDiagnosis" ] } ] } ] } }