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| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.33 | Version: 2.1.0-draft1 | |||
| Active as of 2023-01-16 | Computable Name: HospitalDischargeDiagnosis | |||
| Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.33:2015-08-01 | ||||
This template represents problems or diagnoses present at the time of discharge which occurred during the hospitalization or need to be monitored after hospitalization. It requires at least one Problem Observation entry.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Act
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | 1..1 | CDAR2.Act | Base for all types and resources | |
![]() ![]() | 1..1 | code | Required Pattern: ACT | |
![]() ![]() | 1..1 | code | Required Pattern: EVN | |
![]() ![]() | 0..* | II | Slice: Unordered, Open by value:extension, value:root | |
![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.33 | |
![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2015-08-01 | |
![]() ![]() | 1..1 | CD | ||
![]() ![]() ![]() | 1..1 | string | Required Pattern: 11535-2 | |
![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() | 0..* | Element | Slice: Unordered, Open by profile:observation | |
![]() ![]() ![]() | 1..* | Element | ||
![]() ![]() ![]() ![]() | 1..1 | code | Required Pattern: SUBJ | |
![]() ![]() ![]() ![]() | 1..1 | ProblemObservation | Base for all types and resources | |
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | 1..1 | CDAR2.Act | Base for all types and resources | |
![]() ![]() | 1..1 | code | Required Pattern: ACT | |
![]() ![]() | 1..1 | code | Required Pattern: EVN | |
![]() ![]() | 0..* | II | Slice: Unordered, Open by value:extension, value:root | |
![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.33 | |
![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2015-08-01 | |
![]() ![]() | 1..1 | CD | Binding: v3 Code System ActCode (extensible) | |
![]() ![]() ![]() | 1..1 | string | Required Pattern: 11535-2 | |
![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() | C | 0..* | Element | Slice: Unordered, Open by profile:observation |
![]() ![]() ![]() | Content/Rules for all slices | |||
![]() ![]() ![]() ![]() | 1..1 | code | ||
![]() ![]() ![]() ![]() | 1..1 | boolean | ||
![]() ![]() ![]() | C | 1..* | Element | |
![]() ![]() ![]() ![]() | 1..1 | code | Required Pattern: SUBJ | |
![]() ![]() ![]() ![]() | 1..1 | boolean | ||
![]() ![]() ![]() ![]() | 1..1 | ProblemObservation | Base for all types and resources | |
Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Act.code | extensible | ActCode |
| Id | Grade | Path(s) | Details | Requirements |
| act-er-1 | error | Act.entryRelationship, Act.entryRelationship:problemObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
| Path | Conformance | ValueSet / Code |
| Act.templateId:primary.nullFlavor | required | NullFlavor |
| Act.code | extensible | ActCode |
| Act.code.nullFlavor | required | NullFlavor |
| Act.statusCode | required | ActStatus |
| Act.priorityCode | extensible | ActPriority |
| Act.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Act.subject.typeCode | required | Fixed Value: SBJ |
| Act.subject.contextControlCode | required | Fixed Value: OP |
| Act.subject.awarenessCode | extensible | TargetAwareness |
| Act.informant.typeCode | required | Fixed Value: INF |
| Act.informant.contextControlCode | required | Fixed Value: OP |
| Id | Grade | Path(s) | Details | Requirements |
| act-er-1 | error | Act.entryRelationship, Act.entryRelationship:problemObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
| 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() |
This structure is derived from CDAR2.Act
Summary
Mandatory: 11 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Act
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | 1..1 | CDAR2.Act | Base for all types and resources | |
![]() ![]() | 1..1 | code | Required Pattern: ACT | |
![]() ![]() | 1..1 | code | Required Pattern: EVN | |
![]() ![]() | 0..* | II | Slice: Unordered, Open by value:extension, value:root | |
![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.33 | |
![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2015-08-01 | |
![]() ![]() | 1..1 | CD | ||
![]() ![]() ![]() | 1..1 | string | Required Pattern: 11535-2 | |
![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() | 0..* | Element | Slice: Unordered, Open by profile:observation | |
![]() ![]() ![]() | 1..* | Element | ||
![]() ![]() ![]() ![]() | 1..1 | code | Required Pattern: SUBJ | |
![]() ![]() ![]() ![]() | 1..1 | ProblemObservation | Base for all types and resources | |
Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | 1..1 | CDAR2.Act | Base for all types and resources | |
![]() ![]() | 1..1 | code | Required Pattern: ACT | |
![]() ![]() | 1..1 | code | Required Pattern: EVN | |
![]() ![]() | 0..* | II | Slice: Unordered, Open by value:extension, value:root | |
![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.33 | |
![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2015-08-01 | |
![]() ![]() | 1..1 | CD | Binding: v3 Code System ActCode (extensible) | |
![]() ![]() ![]() | 1..1 | string | Required Pattern: 11535-2 | |
![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() | C | 0..* | Element | Slice: Unordered, Open by profile:observation |
![]() ![]() ![]() | Content/Rules for all slices | |||
![]() ![]() ![]() ![]() | 1..1 | code | ||
![]() ![]() ![]() ![]() | 1..1 | boolean | ||
![]() ![]() ![]() | C | 1..* | Element | |
![]() ![]() ![]() ![]() | 1..1 | code | Required Pattern: SUBJ | |
![]() ![]() ![]() ![]() | 1..1 | boolean | ||
![]() ![]() ![]() ![]() | 1..1 | ProblemObservation | Base for all types and resources | |
Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Act.code | extensible | ActCode |
| Id | Grade | Path(s) | Details | Requirements |
| act-er-1 | error | Act.entryRelationship, Act.entryRelationship:problemObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
| 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 |
| Act.templateId:primary.nullFlavor | required | NullFlavor |
| Act.code | extensible | ActCode |
| Act.code.nullFlavor | required | NullFlavor |
| Act.statusCode | required | ActStatus |
| Act.priorityCode | extensible | ActPriority |
| Act.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Act.subject.typeCode | required | Fixed Value: SBJ |
| Act.subject.contextControlCode | required | Fixed Value: OP |
| Act.subject.awarenessCode | extensible | TargetAwareness |
| Act.informant.typeCode | required | Fixed Value: INF |
| Act.informant.contextControlCode | required | Fixed Value: OP |
| Id | Grade | Path(s) | Details | Requirements |
| act-er-1 | error | Act.entryRelationship, Act.entryRelationship:problemObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
| 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() |
This structure is derived from CDAR2.Act
Summary
Mandatory: 11 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron