Publication Build: This will be filled in by the publication tooling
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.13 | Version: 2.1.0-draft1 | |||
| Active as of 2023-01-16 | Computable Name: ChiefComplaintandReasonforVisitSection | |||
| Other Identifiers: id: urn:oid:2.16.840.1.113883.10.20.22.2.13 | ||||
This section records the patient’s chief complaint (the patient’s own description) and/or the reason for the patient’s visit (the provider’s description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Section
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | 1..1 | CDAR2.Section | Base for all types and resources | |
![]() ![]() | 0..* | II | Slice: Unordered, Open by value:root | |
![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.2.13 | |
![]() ![]() | 1..1 | CE | ||
![]() ![]() ![]() | 1..1 | string | Required Pattern: 46239-0 | |
![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() | 1..1 | ED | ||
![]() ![]() | 1..1 | xhtml | ||
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | 1..1 | CDAR2.Section | Base for all types and resources | |
![]() ![]() | 1..1 | code | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
![]() ![]() | 1..1 | code | Binding: ActMood (required) Fixed Value: EVN | |
![]() ![]() | 0..* | II | Slice: Unordered, Open by value:root | |
![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.2.13 | |
![]() ![]() | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
![]() ![]() ![]() | 1..1 | string | Required Pattern: 46239-0 | |
![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() | 1..1 | ED | ||
![]() ![]() | S | 1..1 | xhtml | |
Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Section.classCode | required | Fixed Value: DOCSECT |
| Section.moodCode | required | Fixed Value: EVN |
| Section.code | extensible | DocumentSectionType |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
| Path | Conformance | ValueSet / Code |
| Section.nullFlavor | required | NullFlavor |
| Section.classCode | required | Fixed Value: DOCSECT |
| Section.moodCode | required | Fixed Value: EVN |
| Section.templateId:primary.nullFlavor | required | NullFlavor |
| Section.code | extensible | DocumentSectionType |
| Section.code.nullFlavor | required | NullFlavor |
| Section.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Section.subject.typeCode | required | Fixed Value: SBJ |
| Section.subject.contextControlCode | required | Fixed Value: OP |
| Section.subject.awarenessCode | extensible | TargetAwareness |
| Section.informant.typeCode | required | Fixed Value: INF |
| Section.informant.contextControlCode | required | Fixed Value: OP |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| only-one-statement | error | Section.entry | SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
This structure is derived from CDAR2.Section
Summary
Mandatory: 7 elements
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Section
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | 1..1 | CDAR2.Section | Base for all types and resources | |
![]() ![]() | 0..* | II | Slice: Unordered, Open by value:root | |
![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.2.13 | |
![]() ![]() | 1..1 | CE | ||
![]() ![]() ![]() | 1..1 | string | Required Pattern: 46239-0 | |
![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() | 1..1 | ED | ||
![]() ![]() | 1..1 | xhtml | ||
Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | 1..1 | CDAR2.Section | Base for all types and resources | |
![]() ![]() | 1..1 | code | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
![]() ![]() | 1..1 | code | Binding: ActMood (required) Fixed Value: EVN | |
![]() ![]() | 0..* | II | Slice: Unordered, Open by value:root | |
![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.2.13 | |
![]() ![]() | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
![]() ![]() ![]() | 1..1 | string | Required Pattern: 46239-0 | |
![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() | 1..1 | ED | ||
![]() ![]() | S | 1..1 | xhtml | |
Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Section.classCode | required | Fixed Value: DOCSECT |
| Section.moodCode | required | Fixed Value: EVN |
| Section.code | extensible | DocumentSectionType |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
Snapshot View
| Path | Conformance | ValueSet / Code |
| Section.nullFlavor | required | NullFlavor |
| Section.classCode | required | Fixed Value: DOCSECT |
| Section.moodCode | required | Fixed Value: EVN |
| Section.templateId:primary.nullFlavor | required | NullFlavor |
| Section.code | extensible | DocumentSectionType |
| Section.code.nullFlavor | required | NullFlavor |
| Section.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Section.subject.typeCode | required | Fixed Value: SBJ |
| Section.subject.contextControlCode | required | Fixed Value: OP |
| Section.subject.awarenessCode | extensible | TargetAwareness |
| Section.informant.typeCode | required | Fixed Value: INF |
| Section.informant.contextControlCode | required | Fixed Value: OP |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| only-one-statement | error | Section.entry | SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
This structure is derived from CDAR2.Section
Summary
Mandatory: 7 elements
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron