Clinical Document Architecture with Australian Schema

Clinical Document Architecture with Australian Schema, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/cda-au-schema/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Logical Model: Author (CDA Class)

Represents the humans and/or machines that authored the document. In some cases, the role or function of the author is inherent in the ClinicalDocument.code, such as where ClinicalDocument.code is "Medical Student Progress Note". The role of the author can also be recorded in the Author.functionCode or AssignedAuthor.code attribute. If either of these attributes is included, they should be equivalent to or further specialize the role inherent in the ClinicalDocument.code (such as where the ClinicalDocument.code is simply "Physician Progress Note" and the value of Author.functionCode is "rounding physician"), and shall not conflict with the role inherent in the ClinicalDocument.code, as such a conflict would constitute an ambiguous situation.

Usage:

• Use this Logical Model Profile: Act (CDA Class), Encounter (CDA Class), Observation (CDA Class), ObservationMedia (CDA Class)... Show 6 more, Organizer (CDA Class), Procedure (CDA Class), RegionOfInterest (CDA Class), Section (CDA Class), SubstanceAdministration (CDA Class) and Supply (CDA Class)

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from InfrastructureRoot

Name	Flags	Card.	Type	Description & Constraints
Author		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ADHA ClinicalDocument (CDA Class)
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: AUT
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time		1..1	TS
assignedAuthor		1..1	AssignedAuthor
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Author.typeCode	required	Fixed Value: AUT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType from this IG
Author.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl from this IG

Name	Flags	Card.	Type	Description & Constraints
Author		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ADHA ClinicalDocument (CDA Class)
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: AUT
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time		1..1	TS
assignedAuthor		1..1	AssignedAuthor
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Author.typeCode	required	Fixed Value: AUT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType from this IG
Author.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl from this IG

Name	Flags	Card.	Type	Description & Constraints
Author		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ADHA ClinicalDocument (CDA Class)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: AUT
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time		1..1	TS
assignedAuthor		1..1	AssignedAuthor
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Author.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG
Author.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG
Author.typeCode	required	Fixed Value: AUT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType from this IG
Author.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl from this IG

This structure is derived from InfrastructureRoot

Summary

Mandatory: 0 element(2 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

• cs: Coded Simple Value (http://hl7.org/cda/stds/core/StructureDefinition/cs-simple)

Differential View

This structure is derived from InfrastructureRoot

Name	Flags	Card.	Type	Description & Constraints
Author		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ADHA ClinicalDocument (CDA Class)
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: AUT
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time		1..1	TS
assignedAuthor		1..1	AssignedAuthor
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Author.typeCode	required	Fixed Value: AUT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType from this IG
Author.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Author		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ADHA ClinicalDocument (CDA Class)
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: AUT
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time		1..1	TS
assignedAuthor		1..1	AssignedAuthor
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Author.typeCode	required	Fixed Value: AUT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType from this IG
Author.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Author		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ADHA ClinicalDocument (CDA Class)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: AUT
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time		1..1	TS
assignedAuthor		1..1	AssignedAuthor
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Author.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG
Author.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG
Author.typeCode	required	Fixed Value: AUT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType from this IG
Author.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl from this IG

This structure is derived from InfrastructureRoot

Summary

Mandatory: 0 element(2 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

• cs: Coded Simple Value (http://hl7.org/cda/stds/core/StructureDefinition/cs-simple)

Other representations of profile: CSV, Excel