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.\n\nProblem 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.
package_name: hl7.cda.us.ccda
derivation: constraint
name: HealthConcernsSection
type: http://hl7.org/cda/stds/core/StructureDefinition/Section
elements:
  nullFlavor: {short: 'If a required section contains no information, the @nullFlavor MAY be set to NI', index: 0}
  templateId:
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: root, type: value}
      - {path: extension, type: value}
      min: 1
      slices:
        section:
          match: {root: 2.16.840.1.113883.10.20.22.2.58, extension: '2015-08-01'}
          schema:
            _required: true
            index: 2
            elements:
              root:
                pattern: {type: String, value: 2.16.840.1.113883.10.20.22.2.58}
                index: 3
              extension:
                pattern: {type: String, value: '2015-08-01'}
                index: 4
            required: [root, extension]
            extensions: {}
  code:
    short: Health concerns document
    index: 5
    elements:
      code:
        pattern: {type: Code, value: 75310-3}
        index: 6
      codeSystem:
        pattern: {type: String, value: 2.16.840.1.113883.6.1}
        index: 7
    required: [codeSystem, code]
  title: {index: 8}
  text: {index: 9}
  entry:
    index: 10
    slicing:
      rules: open
      discriminator:
      - {path: observation, type: profile}
      min: null
      slices:
        healthStatus:
          match: {}
          schema:
            array: true
            index: 11
            elements:
              observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', index: 12}
            required: [observation]
        healthConcern:
          match: {}
          schema:
            short: 'If section/@nullFlavor is not present:'
            array: true
            index: 13
            elements:
              act: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Act', index: 14}
            required: [act]
        riskConcern:
          match: {}
          schema:
            array: true
            index: 15
            elements:
              act: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Act', index: 16}
            required: [act]
package_version: 3.0.0-ballot
class: logical
kind: logical
url: http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection
base: http://hl7.org/cda/stds/core/StructureDefinition/Section
version: 3.0.0-ballot
required: [text, title, templateId, code]