| Package | hl7.cda.us.ccda |
| Type | StructureDefinition |
| Id | HospitalDischargeStudiesSummarySection |
| FHIR Version | R5 |
| Source | http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda/StructureDefinition-HospitalDischargeStudiesSummarySection.html |
| URL | http://hl7.org/cda/us/ccda/StructureDefinition/HospitalDischargeStudiesSummarySection |
| Version | 4.0.0 |
| Status | draft |
| Date | 2025-06-26T21:09:45+00:00 |
| Name | HospitalDischargeStudiesSummarySection |
| Title | Hospital Discharge Studies Summary Section |
| Realm | us |
| Authority | hl7 |
| Description | This section records the results of observations generated by laboratories, imaging procedures, and other procedures. The scope includes hematology, chemistry, serology, virology, toxicology, microbiology, plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, nuclear medicine, pathology, and procedure observations. This section often includes notable results such as abnormal values or relevant trends, and could record all results for the period of time being documented. Laboratory results are typically generated by laboratories providing analytic services in areas such as chemistry, hematology, serology, histology, cytology, anatomic pathology, microbiology, and/or virology. These observations are based on analysis of specimens obtained from the patient and submitted to the laboratory. Imaging results are typically generated by a clinician reviewing the output of an imaging procedure, such as when a cardiologist reports the left ventricular ejection fraction based on the review of an echocardiogram. Procedure results are typically generated by a clinician wanting to provide more granular information about component observations made during the performance of a procedure, such as when a gastroenterologist reports the size of a polyp observed during a colonoscopy. Note that there are discrepancies between CCD and the lab domain model, such as the effectiveTime in specimen collection. |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Section |
| Kind | logical |
| StructureDefinition | |
| DischargeSummary | Discharge Summary |
| StructureDefinition | |
| Section | Section (CDA Class) |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition HospitalDischargeStudiesSummarySection
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Section | 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 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | ||
  Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
   templateId:section | 1..1 | II | ||
  @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.16 | |
  @extension | 0..0 | |||
| code | 1..1 | CE | Hospital discharge studies summary Narrative | |
| @code | 1..1 | cs | Required Pattern: 11493-4 | |
 @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | 1..1 | xhtml | ||
| Documentation for this format | ||||
FHIR{
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"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
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"name": "HospitalDischargeStudiesSummarySection",
"title": "Hospital Discharge Studies Summary Section",
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"date": "2025-06-26T21:09:45+00:00",
"publisher": "Health Level Seven",
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"description": "This section records the results of observations generated by laboratories, imaging procedures, and other procedures. The scope includes hematology, chemistry, serology, virology, toxicology, microbiology, plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, nuclear medicine, pathology, and procedure observations. This section often includes notable results such as abnormal values or relevant trends, and could record all results for the period of time being documented.\n\nLaboratory results are typically generated by laboratories providing analytic services in areas such as chemistry, hematology, serology, histology, cytology, anatomic pathology, microbiology, and/or virology. These observations are based on analysis of specimens obtained from the patient and submitted to the laboratory.\n\nImaging results are typically generated by a clinician reviewing the output of an imaging procedure, such as when a cardiologist reports the left ventricular ejection fraction based on the review of an echocardiogram.\n\nProcedure results are typically generated by a clinician wanting to provide more granular information about component observations made during the performance of a procedure, such as when a gastroenterologist reports the size of a polyp observed during a colonoscopy.\n\nNote that there are discrepancies between CCD and the lab domain model, such as the effectiveTime in specimen collection.",
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"max": "1",
"base": {
"path": "CD.sdtcValueSetVersion",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id": "Section.code.originalText",
"path": "Section.code.originalText",
"label": "Original Text",
"definition": "The text or phrase used as the basis for the coding.",
"min": 0,
"max": "1",
"base": {
"path": "CD.originalText",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id": "Section.code.qualifier",
"path": "Section.code.qualifier",
"label": "Qualifier",
"definition": "Specifies additional codes that increase the specificity of the the primary code.",
"min": 0,
"max": "0",
"base": {
"path": "CD.qualifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CR"
}
]
},
{
"id": "Section.code.translation",
"path": "Section.code.translation",
"representation": [
"typeAttr"
],
"label": "Translation",
"definition": "A set of other concept descriptors that translate this concept descriptor into other code systems.",
"min": 0,
"max": "*",
"base": {
"path": "CD.translation",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CD"
}
]
},
{
"id": "Section.title",
"path": "Section.title",
"min": 1,
"max": "1",
"base": {
"path": "Section.title",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ST"
}
]
},
{
"id": "Section.text",
"path": "Section.text",
"representation": [
"cdaText"
],
"min": 1,
"max": "1",
"base": {
"path": "Section.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "xhtml"
}
]
},
{
"id": "Section.confidentialityCode",
"path": "Section.confidentialityCode",
"min": 0,
"max": "1",
"base": {
"path": "Section.confidentialityCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
]
},
{
"id": "Section.languageCode",
"path": "Section.languageCode",
"min": 0,
"max": "1",
"base": {
"path": "Section.languageCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/all-languages"
}
},
{
"id": "Section.subject",
"path": "Section.subject",
"min": 0,
"max": "1",
"base": {
"path": "Section.subject",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Subject"
}
]
},
{
"id": "Section.author",
"path": "Section.author",
"min": 0,
"max": "*",
"base": {
"path": "Section.author",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Author"
}
]
},
{
"id": "Section.informant",
"path": "Section.informant",
"min": 0,
"max": "*",
"base": {
"path": "Section.informant",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Informant"
}
]
},
{
"id": "Section.entry",
"path": "Section.entry",
"min": 0,
"max": "*",
"base": {
"path": "Section.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Entry"
}
]
},
{
"id": "Section.component",
"path": "Section.component",
"min": 0,
"max": "*",
"base": {
"path": "Section.component",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id": "Section.component.nullFlavor",
"path": "Section.component.nullFlavor",
"representation": [
"xmlAttr"
],
"label": "Exceptional Value Detail",
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min": 0,
"max": "1",
"base": {
"path": "ANY.nullFlavor",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id": "Section.component.realmCode",
"path": "Section.component.realmCode",
"definition": "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
"min": 0,
"max": "*",
"base": {
"path": "InfrastructureRoot.realmCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id": "Section.component.typeId",
"path": "Section.component.typeId",
"definition": "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
"min": 0,
"max": "1",
"base": {
"path": "InfrastructureRoot.typeId",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint": [
{
"key": "II-1",
"severity": "error",
"human": "An II instance must have either a root or an nullFlavor.",
"expression": "root.exists() or nullFlavor.exists()",
"source": "http://hl7.org/cda/stds/core/StructureDefinition/Section"
}
]
},
{
"id": "Section.component.typeId.nullFlavor",
"path": "Section.component.typeId.nullFlavor",
"representation": [
"xmlAttr"
],
"label": "Exceptional Value Detail",
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min": 0,
"max": "1",
"base": {
"path": "ANY.nullFlavor",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id": "Section.component.typeId.assigningAuthorityName",
"path": "Section.component.typeId.assigningAuthorityName",
"representation": [
"xmlAttr"
],
"label": "Assigning Authority Name",
"definition": "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"min": 0,
"max": "1",
"base": {
"path": "II.assigningAuthorityName",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id": "Section.component.typeId.displayable",
"path": "Section.component.typeId.displayable",
"representation": [
"xmlAttr"
],
"label": "Displayable",
"definition": "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min": 0,
"max": "1",
"base": {
"path": "II.displayable",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id": "Section.component.typeId.root",
"path": "Section.component.typeId.root",
"representation": [
"xmlAttr"
],
"label": "Root",
"definition": "Identifies the type as an HL7 Registered model",
"min": 1,
"max": "1",
"base": {
"path": "II.root",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString": "2.16.840.1.113883.1.3"
},
{
"id": "Section.component.typeId.extension",
"path": "Section.component.typeId.extension",
"representation": [
"xmlAttr"
],
"label": "Extension",
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"min": 1,
"max": "1",
"base": {
"path": "II.extension",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id": "Section.component.templateId",
"path": "Section.component.templateId",
"definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. 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.templateId",
"path": "Section.templateId",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "root"
}
],
"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": "2.16.840.1.113883.10.20.22.2.16"
},
{
"id": "Section.templateId:section.extension",
"path": "Section.templateId.extension",
"max": "0"
},
{
"id": "Section.code",
"path": "Section.code",
"short": "Hospital discharge studies summary Narrative",
"min": 1
},
{
"id": "Section.code.code",
"path": "Section.code.code",
"min": 1,
"patternCode": "11493-4"
},
{
"id": "Section.code.codeSystem",
"path": "Section.code.codeSystem",
"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
}
]
}
}