description: '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.\n\n#### Templates Used\nAlthough open templates may contain any valid CDA content, the following templates are specifically called out by this template:\n\n**Required EntryRelationships**: [ProblemObservation](StructureDefinition-ProblemObservation.html)'
package_name: hl7.cda.us.ccda
derivation: constraint
name: HospitalDischargeDiagnosis
type: http://hl7.org/cda/stds/core/StructureDefinition/Act
elements:
  templateId:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: root, type: value}
      - {path: extension, type: value}
      min: 1
      slices:
        hospital-discharge-dx:
          match: {root: 2.16.840.1.113883.10.20.22.4.33, extension: '2015-08-01'}
          schema:
            _required: true
            index: 1
            elements:
              root:
                pattern: {type: string, value: 2.16.840.1.113883.10.20.22.4.33}
                type: string
                index: 2
              extension:
                pattern: {type: string, value: '2015-08-01'}
                type: string
                index: 3
            required: [extension, root]
            extensions: {}
  classCode:
    pattern: {type: code, value: ACT}
    type: code
    index: 4
  moodCode:
    pattern: {type: code, value: EVN}
    type: code
    index: 5
  code:
    index: 6
    elements:
      code:
        pattern: {type: code, value: 11535-2}
        type: code
        index: 7
      codeSystem:
        pattern: {type: string, value: 2.16.840.1.113883.6.1}
        type: string
        index: 8
    required: [code, codeSystem]
  text:
    short: SHOULD reference the portion of section narrative text corresponding to this entry
    index: 9
    elements:
      reference:
        constraint:
          value-starts-octothorpe: {human: 'If reference/@value is present, it SHALL begin with a ''#'' and SHALL point to its corresponding narrative', source: 'http://hl7.org/cda/us/ccda/StructureDefinition/HospitalDischargeDiagnosis', severity: error, expression: value.exists() implies value.startsWith('#')}
        index: 10
  entryRelationship:
    index: 11
    slicing:
      rules: open
      discriminator:
      - {path: observation, type: profile}
      min: 1
      slices:
        problemObservation:
          match: {}
          schema:
            array: true
            min: 1
            _required: true
            index: 12
            elements:
              typeCode:
                pattern: {type: code, value: SUBJ}
                type: code
                index: 13
              observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', index: 14}
            required: [observation]
package_version: 4.0.0
class: logical
kind: logical
url: http://hl7.org/cda/us/ccda/StructureDefinition/HospitalDischargeDiagnosis
base: http://hl7.org/cda/stds/core/StructureDefinition/Act
version: 4.0.0
required: [entryRelationship, templateId]