FHIR IG Statistics: StructureDefinition/2.16.840.1.113883.10.20.22.2.58
| Package | hl7.cda.us.ccdar2dot2 |
| Type | StructureDefinition |
| Id | 2.16.840.1.113883.10.20.22.2.58 |
| FHIR Version | R4 |
| Source | http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda-2.2/StructureDefinition-2.16.840.1.113883.10.20.22.2.58.html |
| URL | http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.58 |
| Version | 2.2 |
| Status | active |
| Date | 2022-05-13T15:50:12+00:00 |
| Name | HealthConcernsSection |
| Title | Health Concerns Section |
| Realm | us |
| Authority | hl7 |
| Description | 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. |
| Type | Section |
| Kind | resource |
Resources that use this resource
Resources that this resource uses
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Source
{
"resourceType": "StructureDefinition",
"id": "2.16.840.1.113883.10.20.22.2.58",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.58",
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"date": "2022-05-13T15:50:12+00:00",
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"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.",
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"label": "Code System",
"definition": "Specifies the code system that defines the code.",
"requirements": "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-28808).",
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"path": "Section.code.sdtcValueSet",
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"definition": "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
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"path": "Section.code.sdtcValueSetVersion",
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"requirements": "SHALL contain exactly one [1..1] text (CONF:1198-28810).",
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"code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"
}
]
},
{
"id": "Section.entry",
"path": "Section.entry",
"slicing": {
"discriminator": [
{
"type": "profile",
"path": "observation.resolve()"
}
]
},
"min": 0,
"max": "*",
"base": {
"path": "Section.entry",
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"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "only-one-statement",
"severity": "error",
"human": "SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act.",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source": "http://hl7.org/fhir/cda/StructureDefinition/Section"
}
]
},
{
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"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Section.entry.typeCode",
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"max": "1"
},
"type": [
{
"code": "code"
}
],
"defaultValueCode": "COMP"
},
{
"id": "Section.entry.contextConductionInd",
"path": "Section.entry.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Section.entry.contextConductionInd",
"min": 1,
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},
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}
],
"defaultValueBoolean": true
},
{
"id": "Section.entry.observation",
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]
},
{
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"base": {
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},
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{
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}
]
},
{
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"base": {
"path": "Section.entry.observationMedia",
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"max": "1"
},
"type": [
{
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}
]
},
{
"id": "Section.entry.substanceAdministration",
"path": "Section.entry.substanceAdministration",
"min": 0,
"max": "1",
"base": {
"path": "Section.entry.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
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}
]
},
{
"id": "Section.entry.supply",
"path": "Section.entry.supply",
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"base": {
"path": "Section.entry.supply",
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},
"type": [
{
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]
},
{
"id": "Section.entry.procedure",
"path": "Section.entry.procedure",
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},
"type": [
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]
},
{
"id": "Section.entry.encounter",
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},
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]
},
{
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},
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]
},
{
"id": "Section.entry.act",
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},
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]
},
{
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"max": "*",
"base": {
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},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "only-one-statement",
"severity": "error",
"human": "SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act.",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
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]
},
{
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],
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},
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],
"defaultValueCode": "COMP"
},
{
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}
],
"defaultValueBoolean": true
},
{
"id": "Section.entry:healthStatus.observation",
"path": "Section.entry.observation",
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],
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},
{
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]
},
{
"id": "Section.entry:healthStatus.substanceAdministration",
"path": "Section.entry.substanceAdministration",
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"max": "0",
"base": {
"path": "Section.entry.substanceAdministration",
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},
{
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"max": "0",
"base": {
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},
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"max": "0",
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},
"type": [
{
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},
{
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},
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]
},
{
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{
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},
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]
},
{
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"requirements": "SHALL contain at least one [1..*] entry (CONF:1198-30768)",
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},
"type": [
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],
"constraint": [
{
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"human": "SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act.",
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{
"key": "sectionNullFlavorNotPresent",
"severity": "error",
"human": "Required when section/@nullFlavor is not present."
}
]
},
{
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],
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{
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},
{
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},
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]
},
{
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],
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{
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],
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},
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],
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},
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},
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},
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},
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},
{
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},
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},
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]
},
{
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"path": "Section.entry.act",
"requirements": "SHALL contain exactly one [1..1] Risk Concern Act (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.136:2015-08-01) (CONF:1198-32309).",
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],
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},
{
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"min": 0,
"max": "*"
},
"type": [
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]
},
{
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"path": "Section.component.typeCode",
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],
"definition": "Drawn from concept domain DocumentSectionType",
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"max": "1",
"base": {
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},
"type": [
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],
"defaultValueCode": "COMP",
"fixedCode": "COMP"
},
{
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],
"min": 1,
"max": "1",
"base": {
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},
"type": [
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],
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},
{
"id": "Section.component.section",
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"max": "1",
"base": {
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},
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]
},
"differential": {
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"path": "Section"
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{
"id": "Section.nullFlavor",
"path": "Section.nullFlavor",
"requirements": "MAY contain zero or one [0..1] @nullFlavor=\"NI\" No information (CodeSystem: HL7NullFlavor urn:oid:2.16.840.1.113883.5.1008) (CONF:1198-32802).",
"min": 0,
"max": "1",
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},
{
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"path": "Section.templateId",
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{
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],
"rules": "open"
}
},
{
"id": "Section.templateId:primary",
"path": "Section.templateId",
"sliceName": "primary",
"requirements": "SHALL contain exactly one [1..1] templateId (CONF:1198-28804) such that it",
"min": 1,
"max": "1"
},
{
"id": "Section.templateId:primary.root",
"path": "Section.templateId.root",
"requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.2.58\" (CONF:1198-28805).",
"min": 1,
"max": "1",
"patternString": "2.16.840.1.113883.10.20.22.2.58"
},
{
"id": "Section.templateId:primary.extension",
"path": "Section.templateId.extension",
"requirements": "SHALL contain exactly one [1..1] @extension=\"2015-08-01\" (CONF:1198-32862).",
"min": 1,
"max": "1",
"patternString": "2015-08-01"
},
{
"id": "Section.code",
"path": "Section.code",
"requirements": "SHALL contain exactly one [1..1] code (CONF:1198-28806).",
"min": 1,
"max": "1"
},
{
"id": "Section.code.code",
"path": "Section.code.code",
"requirements": "This code SHALL contain exactly one [1..1] @code=\"75310-3\" Health concerns document (CONF:1198-28807).",
"min": 1,
"max": "1",
"patternString": "75310-3"
},
{
"id": "Section.code.codeSystem",
"path": "Section.code.codeSystem",
"requirements": "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-28808).",
"min": 1,
"max": "1",
"patternString": "2.16.840.1.113883.6.1"
},
{
"id": "Section.title",
"path": "Section.title",
"requirements": "SHALL contain exactly one [1..1] title (CONF:1198-28809).",
"min": 1,
"max": "1"
},
{
"id": "Section.text",
"path": "Section.text",
"requirements": "SHALL contain exactly one [1..1] text (CONF:1198-28810).",
"min": 1,
"max": "1"
},
{
"id": "Section.entry",
"path": "Section.entry",
"slicing": {
"discriminator": [
{
"type": "profile",
"path": "observation.resolve()"
}
]
},
"min": 0,
"max": "*"
},
{
"id": "Section.entry:healthStatus",
"path": "Section.entry",
"sliceName": "healthStatus",
"requirements": "SHOULD contain zero or more [0..*] entry (CONF:1198-30483)",
"min": 0,
"max": "*"
},
{
"id": "Section.entry:healthStatus.observation",
"path": "Section.entry.observation",
"requirements": "The entry, if present, SHALL contain exactly one [1..1] Health Status Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.5:2014-06-09) (CONF:1198-30484).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.5"
]
}
]
},
{
"id": "Section.entry:healthConcern",
"path": "Section.entry",
"sliceName": "healthConcern",
"short": "If section/@nullFlavor is not present:",
"requirements": "SHALL contain at least one [1..*] entry (CONF:1198-30768)",
"min": 1,
"max": "*",
"constraint": [
{
"key": "sectionNullFlavorNotPresent",
"severity": "error",
"human": "Required when section/@nullFlavor is not present."
}
]
},
{
"id": "Section.entry:healthConcern.act",
"path": "Section.entry.act",
"requirements": "SHALL contain exactly one [1..1] Health Concern Act (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.132:2015-08-01) (CONF:1198-30769).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.132"
]
}
]
},
{
"id": "Section.entry:riskConcern",
"path": "Section.entry",
"sliceName": "riskConcern",
"requirements": "MAY contain zero or more [0..*] entry (CONF:1198-32308)",
"min": 0,
"max": "*"
},
{
"id": "Section.entry:riskConcern.act",
"path": "Section.entry.act",
"requirements": "SHALL contain exactly one [1..1] Risk Concern Act (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.136:2015-08-01) (CONF:1198-32309).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.136"
]
}
]
}
]
}
}
Section 
Slices for templateId 
templateId:primary 
extension 
observation 
FHIR