HealthConcernsSection

Health Concerns Section

draftC-CDA Templates4.0.0logical12 key elements

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.

#### Templates Used Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:

Required Entries: HealthConcernAct

Recommended Entries: HealthStatusObservation

Optional Entries: RiskConcernAct

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernsSection
ID
HealthConcernsSection
Type
Base Definition
Section
Derivation
constraint
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
templateId
1+
:section1..1
1+
templateId.root
1+
templateId.extension
1+
code
1+
Health concerns Document
code.code
1+
code.codeSystem
1+
title
1+
text
1+
entry.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+
entry.act
http://hl7.org/cda/stds/core/StructureDefinition/Act
1+
entry.act
http://hl7.org/cda/stds/core/StructureDefinition/Act
1+