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 1.0.1 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

Logical Model: ClinicalDocument (CDA Class)

Official URL: http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument Version: 1.0.1
Active as of 2025-11-02 Maturity Level: 1 Responsible: HL7 Computable Name: ClinicalDocument

This is a generated StructureDefinition that describes CDA - that is, CDA as it actually is for R2. The intent of this StructureDefinition is to enable CDA to be a FHIR resource. That enables the FHIR infrastructure - API, conformance, query - to be used directly against CDA

Usages:

  • This Logical Model is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ClinicalDocument 1..1 ANY XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... @classCode 0..1 cs Binding: CDAActClass (example)
Fixed Value: DOCCLIN
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @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 Fixed Value: POCD_HD000040
... templateId 0..* II
... id 1..1 II
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code 1..1 CE Binding: FHIRDocumentTypeCodes (example)
... title 0..1 ST
... sdtcStatusCode 0..1 CS XML Namespace: urn:hl7-org:sdtc
XML: statusCode (urn:hl7-org:sdtc)
Binding: ActStatus (required)
... effectiveTime 1..1 TS
... confidentialityCode 1..1 CE
... languageCode 0..1 CS Binding: AllLanguages (required)
... setId 0..1 II
... versionNumber 0..1 INT
... copyTime 0..1 TS
... recordTarget 1..* RecordTarget
... author 1..* Author
... dataEnterer 0..1 DataEnterer
... informant 0..* Informant
... custodian 1..1 Custodian
... informationRecipient 0..* InformationRecipient
... legalAuthenticator 0..1 LegalAuthenticator
... authenticator 0..* Authenticator
... participant 0..* Participant1
... inFulfillmentOf 0..* InFulfillmentOf
... documentationOf 0..* DocumentationOf
... relatedDocument 0..* RelatedDocument
... authorization 0..* Authorization
... componentOf 0..1 ComponentOf
... component 1..1 Component

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ClinicalDocument.nullFlavor Base required CDANullFlavor 📦1.0.1 This IG
ClinicalDocument.classCode Base example CDAActClass 📦1.0.1 This IG
ClinicalDocument.moodCode Base required CDAActMood 📦1.0.1 This IG
ClinicalDocument.typeId.​nullFlavor Base required CDANullFlavor 📦1.0.1 This IG
ClinicalDocument.code Base example FHIR Document Type Codes 📦5.0.0 FHIR Std.
ClinicalDocument.sdtcStatusCode Base required ActStatus 📦2.0.0 THO v5.2
ClinicalDocument.languageCode Base required All Languages 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error ClinicalDocument.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

This structure is derived from ANY

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ClinicalDocument 1..1 ANY XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @classCode 0..1 cs Binding: CDAActClass (example)
Fixed Value: DOCCLIN
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... realmCode 0..* CS
... typeId 0..1 II
.... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st Fixed Value: POCD_HD000040
... templateId 0..* II
... id 1..1 II
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code 1..1 CE Binding: FHIRDocumentTypeCodes (example)
... title 0..1 ST
... sdtcStatusCode 0..1 CS XML Namespace: urn:hl7-org:sdtc
XML: statusCode (urn:hl7-org:sdtc)
Binding: ActStatus (required)
... effectiveTime 1..1 TS
... confidentialityCode 1..1 CE
... languageCode 0..1 CS Binding: AllLanguages (required)
... setId 0..1 II
... versionNumber 0..1 INT
... copyTime 0..1 TS
... recordTarget 1..* RecordTarget
... author 1..* Author
... dataEnterer 0..1 DataEnterer
... informant 0..* Informant
... custodian 1..1 Custodian
... informationRecipient 0..* InformationRecipient
... legalAuthenticator 0..1 LegalAuthenticator
... authenticator 0..* Authenticator
... participant 0..* Participant1
... inFulfillmentOf 0..* InFulfillmentOf
... documentationOf 0..* DocumentationOf
... relatedDocument 0..* RelatedDocument
... authorization 0..* Authorization
... componentOf 0..1 ComponentOf
... component 1..1 Component

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ClinicalDocument.classCode Base example CDAActClass 📦1.0.1 This IG
ClinicalDocument.moodCode Base required CDAActMood 📦1.0.1 This IG
ClinicalDocument.code Base example FHIR Document Type Codes 📦5.0.0 FHIR Std.
ClinicalDocument.sdtcStatusCode Base required ActStatus 📦2.0.0 THO v5.2
ClinicalDocument.languageCode Base required All Languages 📦5.0.0 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ClinicalDocument 1..1 ANY XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... @classCode 0..1 cs Binding: CDAActClass (example)
Fixed Value: DOCCLIN
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @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 Fixed Value: POCD_HD000040
... templateId 0..* II
... id 1..1 II
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code 1..1 CE Binding: FHIRDocumentTypeCodes (example)
... title 0..1 ST
... sdtcStatusCode 0..1 CS XML Namespace: urn:hl7-org:sdtc
XML: statusCode (urn:hl7-org:sdtc)
Binding: ActStatus (required)
... effectiveTime 1..1 TS
... confidentialityCode 1..1 CE
... languageCode 0..1 CS Binding: AllLanguages (required)
... setId 0..1 II
... versionNumber 0..1 INT
... copyTime 0..1 TS
... recordTarget 1..* RecordTarget
... author 1..* Author
... dataEnterer 0..1 DataEnterer
... informant 0..* Informant
... custodian 1..1 Custodian
... informationRecipient 0..* InformationRecipient
... legalAuthenticator 0..1 LegalAuthenticator
... authenticator 0..* Authenticator
... participant 0..* Participant1
... inFulfillmentOf 0..* InFulfillmentOf
... documentationOf 0..* DocumentationOf
... relatedDocument 0..* RelatedDocument
... authorization 0..* Authorization
... componentOf 0..1 ComponentOf
... component 1..1 Component

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ClinicalDocument.nullFlavor Base required CDANullFlavor 📦1.0.1 This IG
ClinicalDocument.classCode Base example CDAActClass 📦1.0.1 This IG
ClinicalDocument.moodCode Base required CDAActMood 📦1.0.1 This IG
ClinicalDocument.typeId.​nullFlavor Base required CDANullFlavor 📦1.0.1 This IG
ClinicalDocument.code Base example FHIR Document Type Codes 📦5.0.0 FHIR Std.
ClinicalDocument.sdtcStatusCode Base required ActStatus 📦2.0.0 THO v5.2
ClinicalDocument.languageCode Base required All Languages 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error ClinicalDocument.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

This structure is derived from ANY

Summary

Mandatory: 0 element(10 nested mandatory elements)
Fixed: 4 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ClinicalDocument 1..1 ANY XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... @classCode 0..1 cs Binding: CDAActClass (example)
Fixed Value: DOCCLIN
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @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 Fixed Value: POCD_HD000040
... templateId 0..* II
... id 1..1 II
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code 1..1 CE Binding: FHIRDocumentTypeCodes (example)
... title 0..1 ST
... sdtcStatusCode 0..1 CS XML Namespace: urn:hl7-org:sdtc
XML: statusCode (urn:hl7-org:sdtc)
Binding: ActStatus (required)
... effectiveTime 1..1 TS
... confidentialityCode 1..1 CE
... languageCode 0..1 CS Binding: AllLanguages (required)
... setId 0..1 II
... versionNumber 0..1 INT
... copyTime 0..1 TS
... recordTarget 1..* RecordTarget
... author 1..* Author
... dataEnterer 0..1 DataEnterer
... informant 0..* Informant
... custodian 1..1 Custodian
... informationRecipient 0..* InformationRecipient
... legalAuthenticator 0..1 LegalAuthenticator
... authenticator 0..* Authenticator
... participant 0..* Participant1
... inFulfillmentOf 0..* InFulfillmentOf
... documentationOf 0..* DocumentationOf
... relatedDocument 0..* RelatedDocument
... authorization 0..* Authorization
... componentOf 0..1 ComponentOf
... component 1..1 Component

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ClinicalDocument.nullFlavor Base required CDANullFlavor 📦1.0.1 This IG
ClinicalDocument.classCode Base example CDAActClass 📦1.0.1 This IG
ClinicalDocument.moodCode Base required CDAActMood 📦1.0.1 This IG
ClinicalDocument.typeId.​nullFlavor Base required CDANullFlavor 📦1.0.1 This IG
ClinicalDocument.code Base example FHIR Document Type Codes 📦5.0.0 FHIR Std.
ClinicalDocument.sdtcStatusCode Base required ActStatus 📦2.0.0 THO v5.2
ClinicalDocument.languageCode Base required All Languages 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error ClinicalDocument.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

Differential View

This structure is derived from ANY

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ClinicalDocument 1..1 ANY XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @classCode 0..1 cs Binding: CDAActClass (example)
Fixed Value: DOCCLIN
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... realmCode 0..* CS
... typeId 0..1 II
.... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st Fixed Value: POCD_HD000040
... templateId 0..* II
... id 1..1 II
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code 1..1 CE Binding: FHIRDocumentTypeCodes (example)
... title 0..1 ST
... sdtcStatusCode 0..1 CS XML Namespace: urn:hl7-org:sdtc
XML: statusCode (urn:hl7-org:sdtc)
Binding: ActStatus (required)
... effectiveTime 1..1 TS
... confidentialityCode 1..1 CE
... languageCode 0..1 CS Binding: AllLanguages (required)
... setId 0..1 II
... versionNumber 0..1 INT
... copyTime 0..1 TS
... recordTarget 1..* RecordTarget
... author 1..* Author
... dataEnterer 0..1 DataEnterer
... informant 0..* Informant
... custodian 1..1 Custodian
... informationRecipient 0..* InformationRecipient
... legalAuthenticator 0..1 LegalAuthenticator
... authenticator 0..* Authenticator
... participant 0..* Participant1
... inFulfillmentOf 0..* InFulfillmentOf
... documentationOf 0..* DocumentationOf
... relatedDocument 0..* RelatedDocument
... authorization 0..* Authorization
... componentOf 0..1 ComponentOf
... component 1..1 Component

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ClinicalDocument.classCode Base example CDAActClass 📦1.0.1 This IG
ClinicalDocument.moodCode Base required CDAActMood 📦1.0.1 This IG
ClinicalDocument.code Base example FHIR Document Type Codes 📦5.0.0 FHIR Std.
ClinicalDocument.sdtcStatusCode Base required ActStatus 📦2.0.0 THO v5.2
ClinicalDocument.languageCode Base required All Languages 📦5.0.0 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ClinicalDocument 1..1 ANY XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... @classCode 0..1 cs Binding: CDAActClass (example)
Fixed Value: DOCCLIN
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @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 Fixed Value: POCD_HD000040
... templateId 0..* II
... id 1..1 II
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code 1..1 CE Binding: FHIRDocumentTypeCodes (example)
... title 0..1 ST
... sdtcStatusCode 0..1 CS XML Namespace: urn:hl7-org:sdtc
XML: statusCode (urn:hl7-org:sdtc)
Binding: ActStatus (required)
... effectiveTime 1..1 TS
... confidentialityCode 1..1 CE
... languageCode 0..1 CS Binding: AllLanguages (required)
... setId 0..1 II
... versionNumber 0..1 INT
... copyTime 0..1 TS
... recordTarget 1..* RecordTarget
... author 1..* Author
... dataEnterer 0..1 DataEnterer
... informant 0..* Informant
... custodian 1..1 Custodian
... informationRecipient 0..* InformationRecipient
... legalAuthenticator 0..1 LegalAuthenticator
... authenticator 0..* Authenticator
... participant 0..* Participant1
... inFulfillmentOf 0..* InFulfillmentOf
... documentationOf 0..* DocumentationOf
... relatedDocument 0..* RelatedDocument
... authorization 0..* Authorization
... componentOf 0..1 ComponentOf
... component 1..1 Component

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ClinicalDocument.nullFlavor Base required CDANullFlavor 📦1.0.1 This IG
ClinicalDocument.classCode Base example CDAActClass 📦1.0.1 This IG
ClinicalDocument.moodCode Base required CDAActMood 📦1.0.1 This IG
ClinicalDocument.typeId.​nullFlavor Base required CDANullFlavor 📦1.0.1 This IG
ClinicalDocument.code Base example FHIR Document Type Codes 📦5.0.0 FHIR Std.
ClinicalDocument.sdtcStatusCode Base required ActStatus 📦2.0.0 THO v5.2
ClinicalDocument.languageCode Base required All Languages 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error ClinicalDocument.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

This structure is derived from ANY

Summary

Mandatory: 0 element(10 nested mandatory elements)
Fixed: 4 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Maturity: 1

 

Other representations of profile: CSV, Excel