Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build
Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build
Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions
| Active as of 2023-09-29 |
Definitions for the USRealmHeaderforPatientGeneratedDocument logical model.
Guidance on how to interpret the contents of this table can be found here
| 0. ClinicalDocument | |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| 2. ClinicalDocument.templateId | |
| Control | 2..? |
| 4. ClinicalDocument.templateId:secondary | |
| Slice Name | secondary |
| Comments | SHALL contain exactly one [1..1] templateId (CONF:1198-28458) such that it |
| Control | 1..1 |
| 6. ClinicalDocument.templateId:secondary.root | |
| Comments | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.29.1" (CONF:1198-28459). |
| Control | 1..? |
| Pattern Value | 2.16.840.1.113883.10.20.29.1 |
| 8. ClinicalDocument.templateId:secondary.extension | |
| Comments | SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32917). |
| Control | 1..? |
| Pattern Value | 2015-08-01 |
| 10. ClinicalDocument.recordTarget | |
| Short | The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded. |
| Comments | SHALL contain exactly one [1..1] recordTarget (CONF:1198-28460). |
| Control | 0..1 |
| 12. ClinicalDocument.recordTarget.patientRole | |
| Comments | This recordTarget SHALL contain exactly one [1..1] patientRole (CONF:1198-28461). |
| 14. ClinicalDocument.recordTarget.patientRole.id | |
| Comments | This patientRole SHALL contain at least one [1..*] id (CONF:1198-28462). |
| 16. ClinicalDocument.recordTarget.patientRole.patient | |
| Comments | This patientRole SHALL contain exactly one [1..1] patient (CONF:1198-28465). |
| 18. ClinicalDocument.recordTarget.patientRole.patient.guardian | |
| Comments | This patient MAY contain zero or more [0..*] guardian (CONF:1198-28469). |
| 20. ClinicalDocument.recordTarget.patientRole.patient.guardian.id | |
| Comments | The guardian, if present, SHOULD contain zero or more [0..*] id (CONF:1198-28470). |
| 22. ClinicalDocument.recordTarget.patientRole.patient.guardian.code | |
| Comments | The guardian, if present, SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28473). |
| 24. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | |
| Comments | This patient SHOULD contain zero or more [0..*] languageCommunication (CONF:1198-28474). |
| 26. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd | |
| Short | Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1. |
| Comments | The languageCommunication, if present, MAY contain zero or one [0..1] preferenceInd (CONF:1198-28475). |
| 28. ClinicalDocument.recordTarget.patientRole.providerOrganization | |
| Short | If present, this organization represents the provider organization where the person is claiming to be a patient. undefined |
| Comments | This patientRole MAY contain zero or one [0..1] providerOrganization (CONF:1198-28476). |
| Label | If present, this organization represents the provider organization where the person is claiming to be a patient. |
| 30. ClinicalDocument.author | |
| Short | The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate. |
| Comments | SHALL contain at least one [1..*] author (CONF:1198-28477). |
| 32. ClinicalDocument.author.assignedAuthor | |
| Comments | Such authors SHALL contain exactly one [1..1] assignedAuthor (CONF:1198-28478). |
| 34. ClinicalDocument.author.assignedAuthor.id | |
| Comments | This assignedAuthor SHALL contain at least one [1..*] id (CONF:1198-28479). |
| 36. ClinicalDocument.author.assignedAuthor.code | |
| Short | When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient. |
| Comments | This assignedAuthor SHOULD contain zero or one [0..1] code (CONF:1198-28481). |
| 38. ClinicalDocument.author.assignedAuthor.code.code | |
| Comments | The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28676). |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| 40. ClinicalDocument.dataEnterer | |
| Short | The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author. |
| Comments | MAY contain zero or one [0..1] dataEnterer (CONF:1198-28678). |
| 42. ClinicalDocument.dataEnterer.assignedEntity | |
| Comments | The dataEnterer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28679). |
| 44. ClinicalDocument.dataEnterer.assignedEntity.code | |
| Comments | This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28680). |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| 46. ClinicalDocument.informant | |
| Short | The informant element describes the source of the information in a medical document. Assigned health care providers may be a source of information when a document is created. (e.g., a nurse's aide who provides information about a recent significant health care event that occurred within an acute care facility.) In these cases, the assignedEntity element is used. When the informant is a personal relation, that informant is represented in the relatedEntity element, even if the personal relation is a medical professional. The code element of the relatedEntity describes the relationship between the informant and the patient. The relationship between the informant and the patient needs to be described to help the receiver of the clinical document understand the information in the document. Each informant can be either an assignedEntity (a clinician serving the patient) OR a relatedEntity (a person with a personal or legal relationship with the patient). The constraints here apply to relatedEntity. |
| 48. ClinicalDocument.informant:informant1 | |
| Slice Name | informant1 |
| Comments | MAY contain zero or more [0..*] informant (CONF:1198-28681) such that it |
| 50. ClinicalDocument.informant:informant1.relatedEntity | |
| Comments | SHALL contain exactly one [1..1] relatedEntity (CONF:1198-28682). |
| Control | 1..? |
| 52. ClinicalDocument.informant:informant1.relatedEntity.code | |
| Comments | This relatedEntity MAY contain zero or one [0..1] code (CONF:1198-28683). |
| 54. ClinicalDocument.informant:informant1.relatedEntity.code.code | |
| Comments | The code, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28684). |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| 56. ClinicalDocument.custodian | |
| Short | The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization. |
| Comments | SHALL contain exactly one [1..1] custodian (CONF:1198-28685). |
| 58. ClinicalDocument.custodian.assignedCustodian | |
| Comments | This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:1198-28686). |
| 60. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization | |
| Short | The representedCustodianOrganization may be the person when the document is not maintained by an organization. |
| Comments | This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:1198-28687). |
| 62. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id | |
| Short | The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way. |
| Comments | This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:1198-28688). |
| 64. ClinicalDocument.informationRecipient | |
| Short | The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart. |
| Comments | MAY contain zero or more [0..*] informationRecipient (CONF:1198-28690). |
| 66. ClinicalDocument.informationRecipient.intendedRecipient | |
| Comments | The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:1198-28691). |
| 68. ClinicalDocument.informationRecipient.intendedRecipient.id | |
| Short | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. |
| Comments | This intendedRecipient SHOULD contain zero or more [0..*] id (CONF:1198-28692). |
| 70. ClinicalDocument.informationRecipient.intendedRecipient.id.root | |
| Short | For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document. |
| Comments | The id, if present, SHOULD contain zero or one [0..1] @root (CONF:1198-28693). |
| 72. ClinicalDocument.legalAuthenticator | |
| Short | In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. |
| Comments | MAY contain zero or one [0..1] legalAuthenticator (CONF:1198-28694). |
| 74. ClinicalDocument.legalAuthenticator.assignedEntity | |
| Comments | The legalAuthenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28695). |
| 76. ClinicalDocument.legalAuthenticator.assignedEntity.id | |
| Short | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28696). |
| 78. ClinicalDocument.legalAuthenticator.assignedEntity.code | |
| Comments | This assignedEntity MAY contain zero or one [0..1] code (CONF:1198-28697). |
| 80. ClinicalDocument.legalAuthenticator.assignedEntity.code.code | |
| Comments | The code, if present, MAY contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28698). |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| 82. ClinicalDocument.authenticator | |
| Comments | MAY contain zero or more [0..*] authenticator (CONF:1198-28699). |
| 84. ClinicalDocument.authenticator.assignedEntity | |
| Comments | The authenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28700). |
| 86. ClinicalDocument.authenticator.assignedEntity.id | |
| Short | The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way. |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28701). |
| 88. ClinicalDocument.authenticator.assignedEntity.code | |
| Comments | This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28702). |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| 90. ClinicalDocument.participant | |
| Short | The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin) |
| Comments | MAY contain zero or more [0..*] participant (CONF:1198-28703). |
| 92. ClinicalDocument.participant.typeCode | |
| Short | Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 |
| Comments | The participant, if present, SHALL contain exactly one [1..1] @typeCode (CONF:1198-28704). |
| Control | 1..? |
| 94. ClinicalDocument.participant.associatedEntity | |
| Comments | The participant, if present, SHALL contain exactly one [1..1] associatedEntity (CONF:1198-28705). |
| 96. ClinicalDocument.participant.associatedEntity.code | |
| Comments | This associatedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28706). |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| 98. ClinicalDocument.inFulfillmentOf | |
| Comments | MAY contain zero or more [0..*] inFulfillmentOf (CONF:1198-28707). |
| 100. ClinicalDocument.inFulfillmentOf.order | |
| Comments | The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:1198-28708). |
| 102. ClinicalDocument.inFulfillmentOf.order.id | |
| Short | A scheduled appointment or service event in a practice management system may be represented using this id element. |
| Comments | This order SHALL contain at least one [1..*] id (CONF:1198-28709). |
| 104. ClinicalDocument.documentationOf | |
| Comments | MAY contain zero or more [0..*] documentationOf (CONF:1198-28710). |
| 106. ClinicalDocument.documentationOf.serviceEvent | |
| Comments | The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:1198-28711). |
| 108. ClinicalDocument.documentationOf.serviceEvent.code | |
| Short | The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document. |
| Comments | This serviceEvent SHOULD contain zero or one [0..1] code (CONF:1198-28712). |
| 110. ClinicalDocument.documentationOf.serviceEvent.performer | |
| Comments | This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:1198-28713). |
| 112. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | |
| Short | The functionCode SHALL be selected from value set ParticipationType 2.16.840.1.113883.1.11.10901 When indicating the performer was the primary care physician the functionCode shall be ='PCP' |
| Comments | The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:1198-28714). |
| 114. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | |
| Comments | The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28715). |
| 116. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id | |
| Short | The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way. |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28716). |
| 118. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code | |
| Short | If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set |
| Comments | This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28718). |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
Guidance on how to interpret the contents of this table can be found here
| 0. ClinicalDocument | |
| Definition | Base definition for all types defined in FHIR type system. |
| Short | Base for all types and resources |
| Control | 10..1* |
| Is Modifier | false |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 2. ClinicalDocument.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Comments | SHALL contain exactly one [1..1] realmCode="US" (CONF:4537-16791). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 4. ClinicalDocument.realmCode.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Pattern Value | US |
| 6. ClinicalDocument.realmCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 8. ClinicalDocument.realmCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 10. ClinicalDocument.realmCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 12. ClinicalDocument.realmCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 14. ClinicalDocument.realmCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 16. ClinicalDocument.realmCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 18. ClinicalDocument.realmCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 20. ClinicalDocument.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Comments | SHALL contain exactly one [1..1] typeId (CONF:4537-5361). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 22. ClinicalDocument.typeId.root | |
| Comments | This typeId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.1.3" (CONF:4537-5250). |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 24. ClinicalDocument.typeId.extension | |
| Definition | An Extension |
| Short | Extension |
| Comments | This typeId SHALL contain exactly one [1..1] @extension="POCD_HD000040" (CONF:4537-5251). |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | POCD_HD000040 |
| 26. ClinicalDocument.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 2..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on ClinicalDocument.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 28. ClinicalDocument.templateId:us-realm | |
| Slice Name | us-realm |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Short | templateId |
| Comments | SHALL contain exactly one [1..1] templateId (CONF:4537-5252) such that it |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 30. ClinicalDocument.templateId:us-realm.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Comments | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.1" (CONF:4537-10036). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.22.1.1 |
| 32. ClinicalDocument.templateId:us-realm.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Comments | SHALL contain exactly one [1..1] @extension="2023-05-01" (CONF:4537-32503). |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| Pattern Value | 2023-05-01 |
| 34. ClinicalDocument.templateId:secondary | |
| Slice Name | secondary |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Comments | SHALL contain exactly one [1..1] templateId (CONF:1198-28458) such that it |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 36. ClinicalDocument.templateId:secondary.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Comments | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.29.1" (CONF:1198-28459). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.29.1 |
| 38. ClinicalDocument.templateId:secondary.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Comments | SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32917). |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| Pattern Value | 2015-08-01 |
| 40. ClinicalDocument.id | |
| Comments | SHALL contain exactly one [1..1] id (CONF:4537-5363). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Invariants | 4537-9991: This id **SHALL** be a globally unique identifier for the document (CONF:4537-9991). () |
| 42. ClinicalDocument.code | |
| Comments | SHALL contain exactly one [1..1] code (CONF:4537-5253). |
| Control | 1..1 |
| Binding | Unless not suitable, these codes SHALL be taken from FHIRDocumentTypeCodes |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| Invariants | 4537-9992: This code **SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992). () 4537-32948: This code **SHALL** be drawn from the LOINC document type ontology (LOINC codes where SCALE = DOC) (CONF:4537-32948). () |
| 44. ClinicalDocument.title | |
| Short | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code |
| Comments | SHALL contain exactly one [1..1] title (CONF:4537-5254). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ST |
| 46. ClinicalDocument.effectiveTime | |
| Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5256). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time (DTM.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-10127: **SHALL** be precise to the day (CONF:81-10127). () 81-10128: **SHOULD** be precise to the minute (CONF:81-10128). () 81-10129: **MAY** be precise to the second (CONF:81-10129). () 81-10130: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130). () |
| 48. ClinicalDocument.confidentialityCode | |
| Comments | SHALL contain exactly one [1..1] confidentialityCode, which SHOULD be selected from ValueSet HL7 BasicConfidentialityKind urn:oid:2.16.840.1.113883.1.11.16926 DYNAMIC (CONF:4537-5259). |
| Control | 1..1 |
| Binding | The codes SHOULD be taken from HL7 BasicConfidentialityKind |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 50. ClinicalDocument.languageCode | |
| Comments | SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language urn:oid:2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:4537-5372). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from VSAC 2.16.840.1.113883.1.11.11526 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 52. ClinicalDocument.recordTarget | |
| Short | The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded. |
| Comments | SHALL contain exactly one [1..1] recordTarget (CONF:1198-28460). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RecordTarget |
| 54. ClinicalDocument.recordTarget.patientRole | |
| Comments | This recordTarget SHALL contain exactly one [1..1] patientRole (CONF:1198-28461). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PatientRole |
| 56. ClinicalDocument.recordTarget.patientRole.id | |
| Comments | This patientRole SHALL contain at least one [1..*] id (CONF:1198-28462). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 58. ClinicalDocument.recordTarget.patientRole.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This patientRole SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5271). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 60. ClinicalDocument.recordTarget.patientRole.telecom | |
| Comments | This patientRole SHALL contain at least one [1..*] telecom (CONF:4537-5280). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 62. ClinicalDocument.recordTarget.patientRole.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-5375). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 64. ClinicalDocument.recordTarget.patientRole.patient | |
| Comments | This patientRole SHALL contain exactly one [1..1] patient (CONF:1198-28465). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Patient |
| 66. ClinicalDocument.recordTarget.patientRole.patient.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the individual. |
| Short | Base for all types and resourcesA name associated with the patient |
| Comments | This patient SHALL contain at least one [1..*] US Realm Patient Name (PTN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1) (CONF:4537-5284). A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns. Animal names may be communicated as given names, and optionally may include a family name. |
| Control | 10..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Patient Name (PTN.US.FIELDED)) |
| Is Modifier | false |
| Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-7278: **SHALL NOT** have mixed content except for white space (CONF:81-7278). () |
| 68. ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode | |
| Comments | This patient SHALL contain exactly one [1..1] administrativeGenderCode, which SHALL be selected from ValueSet Administrative Gender (HL7 V3) urn:oid:2.16.840.1.113883.1.11.1 DYNAMIC (CONF:4537-6394). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from Administrative Gender (HL7 V3) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 70. ClinicalDocument.recordTarget.patientRole.patient.birthTime | |
| Comments | This patient SHALL contain exactly one [1..1] birthTime (CONF:4537-5298). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| Invariants | 4537-5299: **SHALL** be precise to year (CONF:4537-5299). () 4537-5300: **SHOULD** be precise to day (CONF:4537-5300). () 4537-32418: **MAY** be precise to the minute (CONF:4537-32418). () |
| 72. ClinicalDocument.recordTarget.patientRole.patient.raceCode | |
| Comments | This patient SHALL contain exactly one [1..1] raceCode, which SHALL be selected from ValueSet Race Category Excluding Nulls urn:oid:2.16.840.1.113883.3.2074.1.1.3 DYNAMIC (CONF:4537-5322). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from Race Category Excluding Nulls |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 74. ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode | |
| Comments | This patient SHALL contain exactly one [1..1] ethnicGroupCode, which SHALL be selected from ValueSet Ethnicity urn:oid:2.16.840.1.114222.4.11.837 DYNAMIC (CONF:4537-5323). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from Ethnicity |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 76. ClinicalDocument.recordTarget.patientRole.patient.guardian | |
| Comments | This patient MAY contain zero or more [0..*] guardian (CONF:1198-28469). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Guardian |
| 78. ClinicalDocument.recordTarget.patientRole.patient.guardian.id | |
| Comments | The guardian, if present, SHOULD contain zero or more [0..*] id (CONF:1198-28470). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 80. ClinicalDocument.recordTarget.patientRole.patient.guardian.code | |
| Comments | The guardian, if present, SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28473). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Personal And Legal Relationship Role Type |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 82. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson | |
| Comments | The guardian, if present, SHALL contain exactly one [1..1] guardianPerson (CONF:4537-5385). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 84. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the person. |
| Short | Base for all types and resourcesA name associated with the person |
| Comments | This guardianPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5386). Person may have multiple names with different uses or applicable periods. |
| Control | 10..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Requirements | Need to be able to track the person by multiple names. Examples are your official name and a partner name. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 86. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | |
| Comments | This patient SHOULD contain zero or more [0..*] languageCommunication (CONF:1198-28474). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/LanguageCommunication |
| 88. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode | |
| Comments | The languageCommunication, if present, SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language urn:oid:2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:4537-5407). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from VSAC 2.16.840.1.113883.1.11.11526 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 90. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd | |
| Short | Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1. |
| Comments | The languageCommunication, if present, MAY contain zero or one [0..1] preferenceInd (CONF:1198-28475). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 92. ClinicalDocument.recordTarget.patientRole.providerOrganization | |
| Short | If present, this organization represents the provider organization where the person is claiming to be a patient. undefined |
| Comments | This patientRole MAY contain zero or one [0..1] providerOrganization (CONF:1198-28476). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization |
| Label | If present, this organization represents the provider organization where the person is claiming to be a patient. |
| 94. ClinicalDocument.recordTarget.patientRole.providerOrganization.id | |
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| Short | Logical id of this artifact |
| Comments | The providerOrganization, if present, SHALL contain at least one [1..*] id (CONF:4537-5417). Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case. |
| Control | 10..*1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IIid |
| Is Modifier | false |
| 96. ClinicalDocument.recordTarget.patientRole.providerOrganization.name | |
| Definition | A name associated with the organization. |
| Short | Name used for the organization |
| Comments | The providerOrganization, if present, SHALL contain at least one [1..*] name (CONF:4537-5419). If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches. |
| Control | 10..*1 This element is affected by the following invariants: org-1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ONstring |
| Is Modifier | false |
| Requirements | Need to use the name as the label of the organization. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 98. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom | |
| Comments | The providerOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:4537-5420). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 100. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7994). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 102. ClinicalDocument.recordTarget.patientRole.providerOrganization.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | The providerOrganization, if present, SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5422). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 104. ClinicalDocument.author | |
| Short | The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate. |
| Comments | SHALL contain at least one [1..*] author (CONF:1198-28477). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author |
| 106. ClinicalDocument.author.time | |
| Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression. |
| Short | Base for all types and resources |
| Comments | Such authors SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5445). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time (DTM.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-10127: **SHALL** be precise to the day (CONF:81-10127). () 81-10128: **SHOULD** be precise to the minute (CONF:81-10128). () 81-10129: **MAY** be precise to the second (CONF:81-10129). () 81-10130: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130). () |
| 108. ClinicalDocument.author.assignedAuthor | |
| Comments | Such authors SHALL contain exactly one [1..1] assignedAuthor (CONF:1198-28478). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedAuthor |
| Invariants | 4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). () |
| 110. ClinicalDocument.author.assignedAuthor.id | |
| Comments | This assignedAuthor SHALL contain at least one [1..*] id (CONF:1198-28479). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on ClinicalDocument.author.assignedAuthor.id. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 112. ClinicalDocument.author.assignedAuthor.id:id1 | |
| Slice Name | id1 |
| Short | id |
| Comments | This assignedAuthor SHOULD contain zero or one [0..1] id (CONF:4537-32882) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 114. ClinicalDocument.author.assignedAuthor.id:id1.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Comments | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-32884). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.4.6 |
| 116. ClinicalDocument.author.assignedAuthor.code | |
| Short | When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient. |
| Comments | This assignedAuthor SHOULD contain zero or one [0..1] code (CONF:1198-28481). |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from v3 Code System RoleCode |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 118. ClinicalDocument.author.assignedAuthor.code.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28676). |
| Control | 1..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| 120. ClinicalDocument.author.assignedAuthor.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 122. ClinicalDocument.author.assignedAuthor.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This assignedAuthor SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5452). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 124. ClinicalDocument.author.assignedAuthor.telecom | |
| Comments | This assignedAuthor SHALL contain at least one [1..*] telecom (CONF:4537-5428). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 126. ClinicalDocument.author.assignedAuthor.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7995). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 128. ClinicalDocument.dataEnterer | |
| Short | The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author. |
| Comments | MAY contain zero or one [0..1] dataEnterer (CONF:1198-28678). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/DataEnterer |
| 130. ClinicalDocument.dataEnterer.time | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| 132. ClinicalDocument.dataEnterer.assignedEntity | |
| Comments | The dataEnterer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28679). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 134. ClinicalDocument.dataEnterer.assignedEntity.id | |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5443). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 136. ClinicalDocument.dataEnterer.assignedEntity.code | |
| Comments | This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28680). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 138. ClinicalDocument.dataEnterer.assignedEntity.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5460). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 140. ClinicalDocument.dataEnterer.assignedEntity.telecom | |
| Comments | This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5466). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 142. ClinicalDocument.dataEnterer.assignedEntity.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7996). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 144. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson | |
| Comments | This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5469). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 146. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the person. |
| Short | Base for all types and resourcesA name associated with the person |
| Comments | This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5470). Person may have multiple names with different uses or applicable periods. |
| Control | 10..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Requirements | Need to be able to track the person by multiple names. Examples are your official name and a partner name. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 148. ClinicalDocument.informant | |
| Short | The informant element describes the source of the information in a medical document. Assigned health care providers may be a source of information when a document is created. (e.g., a nurse's aide who provides information about a recent significant health care event that occurred within an acute care facility.) In these cases, the assignedEntity element is used. When the informant is a personal relation, that informant is represented in the relatedEntity element, even if the personal relation is a medical professional. The code element of the relatedEntity describes the relationship between the informant and the patient. The relationship between the informant and the patient needs to be described to help the receiver of the clinical document understand the information in the document. Each informant can be either an assignedEntity (a clinician serving the patient) OR a relatedEntity (a person with a personal or legal relationship with the patient). The constraints here apply to relatedEntity. |
| Comments | MAY contain zero or more [0..*] informant (CONF:4537-31355) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant |
| Slicing | This element introduces a set of slices on ClinicalDocument.informant. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 150. ClinicalDocument.informant:informant1 | |
| Slice Name | informant1 |
| Short | informant |
| Comments | MAY contain zero or more [0..*] informant (CONF:1198-28681) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant |
| 152. ClinicalDocument.informant:informant1.assignedEntity | |
| Comments | SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8002). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 154. ClinicalDocument.informant:informant1.assignedEntity.id | |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-9945). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Invariants | 4537-9946: If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946). () |
| 156. ClinicalDocument.informant:informant1.assignedEntity.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8220). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 158. ClinicalDocument.informant:informant1.assignedEntity.assignedPerson | |
| Comments | This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-8221). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 160. ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the person. |
| Short | Base for all types and resourcesA name associated with the person |
| Comments | This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-8222). Person may have multiple names with different uses or applicable periods. |
| Control | 10..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Requirements | Need to be able to track the person by multiple names. Examples are your official name and a partner name. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 162. ClinicalDocument.informant:informant1.relatedEntity | |
| Comments | SHALL contain exactly one [1..1] relatedEntity (CONF:1198-28682). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RelatedEntity |
| 164. ClinicalDocument.informant:informant1.relatedEntity.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from RoleClassMutualRelationship |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 166. ClinicalDocument.informant:informant1.relatedEntity.code | |
| Comments | This relatedEntity MAY contain zero or one [0..1] code (CONF:1198-28683). |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from PersonalRelationshipRoleType |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 168. ClinicalDocument.informant:informant1.relatedEntity.code.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | The code, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28684). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| 170. ClinicalDocument.informant:informant1.relatedEntity.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 172. ClinicalDocument.informant:informant2 | |
| Slice Name | informant2 |
| Short | informant |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant |
| 174. ClinicalDocument.informant:informant2.relatedEntity | |
| Comments | SHALL contain exactly one [1..1] relatedEntity (CONF:4537-31356). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RelatedEntity |
| 176. ClinicalDocument.custodian | |
| Short | The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization. |
| Comments | SHALL contain exactly one [1..1] custodian (CONF:1198-28685). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Custodian |
| 178. ClinicalDocument.custodian.assignedCustodian | |
| Comments | This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:1198-28686). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedCustodian |
| 180. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization | |
| Short | The representedCustodianOrganization may be the person when the document is not maintained by an organization. |
| Comments | This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:1198-28687). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CustodianOrganization |
| 182. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id | |
| Short | The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way. |
| Comments | This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:1198-28688). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 184. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.name | |
| Comments | This representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:4537-5524). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ON |
| 186. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom | |
| Comments | This representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:4537-5525). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 188. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | This telecom SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7998). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 190. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This representedCustodianOrganization SHALL contain exactly one [1..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5559). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 192. ClinicalDocument.informationRecipient | |
| Short | The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart. |
| Comments | MAY contain zero or more [0..*] informationRecipient (CONF:1198-28690). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InformationRecipient |
| 194. ClinicalDocument.informationRecipient.intendedRecipient | |
| Comments | The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:1198-28691). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IntendedRecipient |
| 196. ClinicalDocument.informationRecipient.intendedRecipient.classCode | |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ASSIGNED |
| 198. ClinicalDocument.informationRecipient.intendedRecipient.id | |
| Short | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. |
| Comments | This intendedRecipient SHOULD contain zero or more [0..*] id (CONF:1198-28692). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 200. ClinicalDocument.informationRecipient.intendedRecipient.id.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Short | For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document. |
| Comments | The id, if present, SHOULD contain zero or one [0..1] @root (CONF:1198-28693). |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| 202. ClinicalDocument.legalAuthenticator | |
| Short | In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. |
| Comments | MAY contain zero or one [0..1] legalAuthenticator (CONF:1198-28694). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/LegalAuthenticator |
| 204. ClinicalDocument.legalAuthenticator.time | |
| Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression. |
| Short | Base for all types and resources |
| Comments | The legalAuthenticator, if present, SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5580). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time (DTM.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-10127: **SHALL** be precise to the day (CONF:81-10127). () 81-10128: **SHOULD** be precise to the minute (CONF:81-10128). () 81-10129: **MAY** be precise to the second (CONF:81-10129). () 81-10130: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130). () |
| 206. ClinicalDocument.legalAuthenticator.signatureCode | |
| Comments | The legalAuthenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:4537-5583). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 208. ClinicalDocument.legalAuthenticator.signatureCode.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:4537-5584). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Pattern Value | S |
| 210. ClinicalDocument.legalAuthenticator.signatureCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 212. ClinicalDocument.legalAuthenticator.signatureCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 214. ClinicalDocument.legalAuthenticator.signatureCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 216. ClinicalDocument.legalAuthenticator.signatureCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 218. ClinicalDocument.legalAuthenticator.signatureCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 220. ClinicalDocument.legalAuthenticator.signatureCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 222. ClinicalDocument.legalAuthenticator.signatureCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 224. ClinicalDocument.legalAuthenticator.assignedEntity | |
| Comments | The legalAuthenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28695). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 226. ClinicalDocument.legalAuthenticator.assignedEntity.id | |
| Short | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28696). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 228. ClinicalDocument.legalAuthenticator.assignedEntity.code | |
| Comments | This assignedEntity MAY contain zero or one [0..1] code (CONF:1198-28697). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Healthcare Provider Taxonomy |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 230. ClinicalDocument.legalAuthenticator.assignedEntity.code.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | The code, if present, MAY contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28698). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| 232. ClinicalDocument.legalAuthenticator.assignedEntity.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 234. ClinicalDocument.legalAuthenticator.assignedEntity.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5589). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 236. ClinicalDocument.legalAuthenticator.assignedEntity.telecom | |
| Comments | This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5595). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 238. ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7999). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 240. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson | |
| Comments | This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5597). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 242. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the person. |
| Short | Base for all types and resourcesA name associated with the person |
| Comments | This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5598). Person may have multiple names with different uses or applicable periods. |
| Control | 10..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Requirements | Need to be able to track the person by multiple names. Examples are your official name and a partner name. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 244. ClinicalDocument.authenticator | |
| Comments | MAY contain zero or more [0..*] authenticator (CONF:1198-28699). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Authenticator |
| Slicing | This element introduces a set of slices on ClinicalDocument.authenticator. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 246. ClinicalDocument.authenticator.time | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| 248. ClinicalDocument.authenticator.signatureCode | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 250. ClinicalDocument.authenticator.assignedEntity | |
| Comments | The authenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28700). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 252. ClinicalDocument.authenticator.assignedEntity.id | |
| Short | The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way. |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28701). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 254. ClinicalDocument.authenticator.assignedEntity.code | |
| Comments | This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28702). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 256. ClinicalDocument.authenticator:authenticator1 | |
| Slice Name | authenticator1 |
| Short | authenticator |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Authenticator |
| 258. ClinicalDocument.authenticator:authenticator1.time | |
| Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5608). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time (DTM.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-10127: **SHALL** be precise to the day (CONF:81-10127). () 81-10128: **SHOULD** be precise to the minute (CONF:81-10128). () 81-10129: **MAY** be precise to the second (CONF:81-10129). () 81-10130: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130). () |
| 260. ClinicalDocument.authenticator:authenticator1.signatureCode | |
| Comments | SHALL contain exactly one [1..1] signatureCode (CONF:4537-5610). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 262. ClinicalDocument.authenticator:authenticator1.signatureCode.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:4537-5611). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Pattern Value | S |
| 264. ClinicalDocument.authenticator:authenticator1.signatureCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 266. ClinicalDocument.authenticator:authenticator1.signatureCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 268. ClinicalDocument.authenticator:authenticator1.signatureCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 270. ClinicalDocument.authenticator:authenticator1.signatureCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 272. ClinicalDocument.authenticator:authenticator1.signatureCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 274. ClinicalDocument.authenticator:authenticator1.signatureCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 276. ClinicalDocument.authenticator:authenticator1.signatureCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 278. ClinicalDocument.authenticator:authenticator1.assignedEntity | |
| Comments | SHALL contain exactly one [1..1] assignedEntity (CONF:4537-5612). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 280. ClinicalDocument.authenticator:authenticator1.assignedEntity.id | |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5613). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 282. ClinicalDocument.authenticator:authenticator1.assignedEntity.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5616). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 284. ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom | |
| Comments | This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5622). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 286. ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-8000). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 288. ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson | |
| Comments | This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5624). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 290. ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the person. |
| Short | Base for all types and resourcesA name associated with the person |
| Comments | This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5625). Person may have multiple names with different uses or applicable periods. |
| Control | 10..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Requirements | Need to be able to track the person by multiple names. Examples are your official name and a partner name. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 292. ClinicalDocument.participant | |
| Short | The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin) |
| Comments | MAY contain zero or more [0..*] participant (CONF:1198-28703). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant1 |
| Invariants | 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). () 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). () |
| 294. ClinicalDocument.participant.typeCode | |
| Short | Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 |
| Comments | The participant, if present, SHALL contain exactly one [1..1] @typeCode (CONF:1198-28704). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 296. ClinicalDocument.participant.associatedEntity | |
| Comments | The participant, if present, SHALL contain exactly one [1..1] associatedEntity (CONF:1198-28705). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssociatedEntity |
| 298. ClinicalDocument.participant.associatedEntity.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from RoleClassAssociative |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 300. ClinicalDocument.participant.associatedEntity.code | |
| Comments | This associatedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28706). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 302. ClinicalDocument.inFulfillmentOf | |
| Comments | MAY contain zero or more [0..*] inFulfillmentOf (CONF:1198-28707). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf |
| 304. ClinicalDocument.inFulfillmentOf.order | |
| Comments | The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:1198-28708). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Order |
| 306. ClinicalDocument.inFulfillmentOf.order.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActClass |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ACT |
| 308. ClinicalDocument.inFulfillmentOf.order.id | |
| Short | A scheduled appointment or service event in a practice management system may be represented using this id element. |
| Comments | This order SHALL contain at least one [1..*] id (CONF:1198-28709). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 310. ClinicalDocument.documentationOf | |
| Comments | MAY contain zero or more [0..*] documentationOf (CONF:1198-28710). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/DocumentationOf |
| 312. ClinicalDocument.documentationOf.serviceEvent | |
| Comments | The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:1198-28711). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ServiceEvent |
| 314. ClinicalDocument.documentationOf.serviceEvent.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActClass |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ACT |
| 316. ClinicalDocument.documentationOf.serviceEvent.code | |
| Definition | Drawn from concept domain ActCode |
| Short | The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document. |
| Comments | This serviceEvent SHOULD contain zero or one [0..1] code (CONF:1198-28712). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 318. ClinicalDocument.documentationOf.serviceEvent.effectiveTime | |
| Comments | This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:4537-14837). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 320. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low | |
| Definition | This is the low limit of the interval. |
| Comments | This effectiveTime SHALL contain exactly one [1..1] low (CONF:4537-14838). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS |
| Label | Low Boundary |
| 322. ClinicalDocument.documentationOf.serviceEvent.performer | |
| Comments | This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:1198-28713). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer1 |
| 324. ClinicalDocument.documentationOf.serviceEvent.performer.typeCode | |
| Comments | The performer, if present, SHALL contain exactly one [1..1] @typeCode, which SHALL be selected from ValueSet x_ServiceEventPerformer urn:oid:2.16.840.1.113883.1.11.19601 STATIC (CONF:4537-14840). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ServiceEventPerformer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 326. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | |
| Short | The functionCode SHALL be selected from value set ParticipationType 2.16.840.1.113883.1.11.10901 When indicating the performer was the primary care physician the functionCode shall be ='PCP' |
| Comments | The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:1198-28714). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 328. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 330. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | |
| Comments | The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28715). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 332. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id | |
| Short | The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way. |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28716). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 334. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code | |
| Short | If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set |
| Comments | This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28718). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 336. ClinicalDocument.component | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Component |
Guidance on how to interpret the contents of this table can be found here
| 0. ClinicalDocument | |
| Definition | Base definition for all types defined in FHIR type system. |
| Short | Base for all types and resources |
| Control | 1..1 |
| Is Modifier | false |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 2. ClinicalDocument.classCode | |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from ActClass |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | DOCCLIN |
| 4. ClinicalDocument.moodCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ActMood |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | EVN |
| 6. ClinicalDocument.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Comments | SHALL contain exactly one [1..1] realmCode="US" (CONF:4537-16791). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 8. ClinicalDocument.realmCode.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 10. ClinicalDocument.realmCode.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Pattern Value | US |
| 12. ClinicalDocument.realmCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 14. ClinicalDocument.realmCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 16. ClinicalDocument.realmCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 18. ClinicalDocument.realmCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 20. ClinicalDocument.realmCode.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet. |
| 22. ClinicalDocument.realmCode.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion. |
| 24. ClinicalDocument.realmCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 26. ClinicalDocument.realmCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 28. ClinicalDocument.realmCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 30. ClinicalDocument.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Comments | SHALL contain exactly one [1..1] typeId (CONF:4537-5361). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 32. ClinicalDocument.typeId.root | |
| Comments | This typeId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.1.3" (CONF:4537-5250). |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 34. ClinicalDocument.typeId.extension | |
| Definition | An Extension |
| Short | Extension |
| Comments | This typeId SHALL contain exactly one [1..1] @extension="POCD_HD000040" (CONF:4537-5251). |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | POCD_HD000040 |
| 36. ClinicalDocument.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 2..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on ClinicalDocument.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 38. ClinicalDocument.templateId:us-realm | |
| Slice Name | us-realm |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Short | templateId |
| Comments | SHALL contain exactly one [1..1] templateId (CONF:4537-5252) such that it |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 40. ClinicalDocument.templateId:us-realm.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 42. ClinicalDocument.templateId:us-realm.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 44. ClinicalDocument.templateId:us-realm.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 46. ClinicalDocument.templateId:us-realm.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Comments | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.1" (CONF:4537-10036). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.22.1.1 |
| 48. ClinicalDocument.templateId:us-realm.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Comments | SHALL contain exactly one [1..1] @extension="2023-05-01" (CONF:4537-32503). |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| Pattern Value | 2023-05-01 |
| 50. ClinicalDocument.templateId:secondary | |
| Slice Name | secondary |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Comments | SHALL contain exactly one [1..1] templateId (CONF:1198-28458) such that it |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 52. ClinicalDocument.templateId:secondary.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 54. ClinicalDocument.templateId:secondary.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 56. ClinicalDocument.templateId:secondary.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 58. ClinicalDocument.templateId:secondary.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Comments | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.29.1" (CONF:1198-28459). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.29.1 |
| 60. ClinicalDocument.templateId:secondary.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Comments | SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32917). |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| Pattern Value | 2015-08-01 |
| 62. ClinicalDocument.id | |
| Comments | SHALL contain exactly one [1..1] id (CONF:4537-5363). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Invariants | 4537-9991: This id **SHALL** be a globally unique identifier for the document (CONF:4537-9991). () |
| 64. ClinicalDocument.code | |
| Comments | SHALL contain exactly one [1..1] code (CONF:4537-5253). |
| Control | 1..1 |
| Binding | Unless not suitable, these codes SHALL be taken from FHIRDocumentTypeCodes |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| Invariants | 4537-9992: This code **SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992). () 4537-32948: This code **SHALL** be drawn from the LOINC document type ontology (LOINC codes where SCALE = DOC) (CONF:4537-32948). () |
| 66. ClinicalDocument.title | |
| Short | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code |
| Comments | SHALL contain exactly one [1..1] title (CONF:4537-5254). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ST |
| 68. ClinicalDocument.effectiveTime | |
| Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5256). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time (DTM.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-10127: **SHALL** be precise to the day (CONF:81-10127). () 81-10128: **SHOULD** be precise to the minute (CONF:81-10128). () 81-10129: **MAY** be precise to the second (CONF:81-10129). () 81-10130: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130). () |
| 70. ClinicalDocument.confidentialityCode | |
| Comments | SHALL contain exactly one [1..1] confidentialityCode, which SHOULD be selected from ValueSet HL7 BasicConfidentialityKind urn:oid:2.16.840.1.113883.1.11.16926 DYNAMIC (CONF:4537-5259). |
| Control | 1..1 |
| Binding | The codes SHOULD be taken from HL7 BasicConfidentialityKind |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 72. ClinicalDocument.languageCode | |
| Comments | SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language urn:oid:2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:4537-5372). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from VSAC 2.16.840.1.113883.1.11.11526 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 74. ClinicalDocument.setId | |
| Comments | MAY contain zero or one [0..1] setId (CONF:4537-5261). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Invariants | 4537-6380: If setId is present versionNumber **SHALL** be present (CONF:4537-6380). () |
| 76. ClinicalDocument.versionNumber | |
| Comments | MAY contain zero or one [0..1] versionNumber (CONF:4537-5264). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT |
| Invariants | 4537-6387: If versionNumber is present setId **SHALL** be present (CONF:4537-6387). () |
| 78. ClinicalDocument.copyTime | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| 80. ClinicalDocument.recordTarget | |
| Short | The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded. |
| Comments | SHALL contain exactly one [1..1] recordTarget (CONF:1198-28460). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RecordTarget |
| 82. ClinicalDocument.recordTarget.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 84. ClinicalDocument.recordTarget.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | RCT |
| 86. ClinicalDocument.recordTarget.contextControlCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OP |
| 88. ClinicalDocument.recordTarget.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 90. ClinicalDocument.recordTarget.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 92. ClinicalDocument.recordTarget.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 94. ClinicalDocument.recordTarget.patientRole | |
| Comments | This recordTarget SHALL contain exactly one [1..1] patientRole (CONF:1198-28461). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PatientRole |
| 96. ClinicalDocument.recordTarget.patientRole.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from RoleClassRelationshipFormal |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | PAT |
| 98. ClinicalDocument.recordTarget.patientRole.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 100. ClinicalDocument.recordTarget.patientRole.id | |
| Comments | This patientRole SHALL contain at least one [1..*] id (CONF:1198-28462). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 102. ClinicalDocument.recordTarget.patientRole.sdtcIdentifiedBy | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 104. ClinicalDocument.recordTarget.patientRole.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This patientRole SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5271). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 106. ClinicalDocument.recordTarget.patientRole.telecom | |
| Comments | This patientRole SHALL contain at least one [1..*] telecom (CONF:4537-5280). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 108. ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 110. ClinicalDocument.recordTarget.patientRole.telecom.value | |
| Control | 0..1 |
| Type | url(url: Universal Resource Locator) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 112. ClinicalDocument.recordTarget.patientRole.telecom.useablePeriod | |
| Definition | Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address. |
| Control | 0..* |
| Type | Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| Default Type | http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Useable Period |
| 114. ClinicalDocument.recordTarget.patientRole.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-5375). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 116. ClinicalDocument.recordTarget.patientRole.patient | |
| Comments | This patientRole SHALL contain exactly one [1..1] patient (CONF:1198-28465). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Patient |
| 118. ClinicalDocument.recordTarget.patientRole.patient.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassLivingSubject |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | PSN |
| 120. ClinicalDocument.recordTarget.patientRole.patient.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 122. ClinicalDocument.recordTarget.patientRole.patient.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 124. ClinicalDocument.recordTarget.patientRole.patient.id | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 126. ClinicalDocument.recordTarget.patientRole.patient.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). |
| Short | Base for all types and resources |
| Comments | This patient SHALL contain at least one [1..*] US Realm Patient Name (PTN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1) (CONF:4537-5284). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Patient Name (PTN.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-7278: **SHALL NOT** have mixed content except for white space (CONF:81-7278). () |
| 128. ClinicalDocument.recordTarget.patientRole.patient.sdtcDesc | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namedesc. |
| 130. ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode | |
| Comments | This patient SHALL contain exactly one [1..1] administrativeGenderCode, which SHALL be selected from ValueSet Administrative Gender (HL7 V3) urn:oid:2.16.840.1.113883.1.11.1 DYNAMIC (CONF:4537-6394). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from Administrative Gender (HL7 V3) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 132. ClinicalDocument.recordTarget.patientRole.patient.birthTime | |
| Comments | This patient SHALL contain exactly one [1..1] birthTime (CONF:4537-5298). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| Invariants | 4537-5299: **SHALL** be precise to year (CONF:4537-5299). () 4537-5300: **SHOULD** be precise to day (CONF:4537-5300). () 4537-32418: **MAY** be precise to the minute (CONF:4537-32418). () |
| 134. ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedInd | |
| Short | sdtc:deceasedInd |
| Comments | This patient MAY contain zero or one [0..1] sdtc:deceasedInd (CONF:4537-32990). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namedeceasedInd. |
| Invariants | 4537-32993: If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present (CONF:4537-32993). () |
| 136. ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | |
| Short | sdtc:deceasedTime |
| Comments | This patient MAY contain zero or one [0..1] sdtc:deceasedTime (CONF:4537-32988). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namedeceasedTime. |
| 138. ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 140. ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime.value | |
| Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression. |
| Comments | The sdtc:deceasedTime, if present, SHOULD contain zero or one [0..1] @value (CONF:4537-32989). |
| Control | 0..1 |
| Type | string(ts: Point in Time) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Date Format | YYYYMMDDHHMMSS.UUUU[+|-ZZzz] |
| XML Format | In the XML format, this property is represented as an attribute. |
| Invariants | 4537-32991: **SHALL** be precise to to the year (CONF:4537-32991). () 4537-32992: **SHOULD** be precise to the day (CONF:4537-32992). () |
| 142. ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthInd | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namemultipleBirthInd. |
| 144. ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthOrderNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT-POS |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namemultipleBirthOrderNumber. |
| 146. ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode | |
| Comments | This patient SHOULD contain zero or one [0..1] maritalStatusCode, which SHALL be selected from ValueSet Marital Status urn:oid:2.16.840.1.113883.1.11.12212 DYNAMIC (CONF:4537-5303). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Marital Status |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 148. ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode | |
| Comments | This patient MAY contain zero or one [0..1] religiousAffiliationCode, which SHALL be selected from ValueSet Religious Affiliation urn:oid:2.16.840.1.113883.1.11.19185 DYNAMIC (CONF:4537-5317). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Religious Affiliation |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 150. ClinicalDocument.recordTarget.patientRole.patient.raceCode | |
| Comments | This patient SHALL contain exactly one [1..1] raceCode, which SHALL be selected from ValueSet Race Category Excluding Nulls urn:oid:2.16.840.1.113883.3.2074.1.1.3 DYNAMIC (CONF:4537-5322). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from Race Category Excluding Nulls |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 152. ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | |
| Short | The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. |
| Comments | This patient MAY contain zero or more [0..*] sdtc:raceCode, which SHALL be selected from ValueSet Race Value Set urn:oid:2.16.840.1.113883.1.11.14914 DYNAMIC (CONF:4537-7263). |
| Control | 0..* |
| Binding | The codes SHALL be taken from Race Value Set |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameraceCode. |
| Invariants | 4537-31347: If sdtc:raceCode is present, then the patient **SHALL** contain [1..1] raceCode (CONF:4537-31347). () |
| 154. ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode | |
| Comments | This patient SHALL contain exactly one [1..1] ethnicGroupCode, which SHALL be selected from ValueSet Ethnicity urn:oid:2.16.840.1.114222.4.11.837 DYNAMIC (CONF:4537-5323). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from Ethnicity |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 156. ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode | |
| Short | ethnicGroupCode |
| Comments | This patient MAY contain zero or more [0..*] ethnicGroupCode, which SHALL be selected from ValueSet Detailed Ethnicity urn:oid:2.16.840.1.114222.4.11.877 DYNAMIC (CONF:4537-32901). |
| Control | 0..* |
| Binding | The codes SHALL be taken from Detailed Ethnicity |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameethnicGroupCode. |
| 158. ClinicalDocument.recordTarget.patientRole.patient.guardian | |
| Comments | This patient MAY contain zero or more [0..*] guardian (CONF:1198-28469). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Guardian |
| 160. ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from RoleClassAgent |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | GUARD |
| 162. ClinicalDocument.recordTarget.patientRole.patient.guardian.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 164. ClinicalDocument.recordTarget.patientRole.patient.guardian.id | |
| Comments | The guardian, if present, SHOULD contain zero or more [0..*] id (CONF:1198-28470). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 166. ClinicalDocument.recordTarget.patientRole.patient.guardian.sdtcIdentifiedBy | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 168. ClinicalDocument.recordTarget.patientRole.patient.guardian.code | |
| Comments | The guardian, if present, SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28473). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Personal And Legal Relationship Role Type |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 170. ClinicalDocument.recordTarget.patientRole.patient.guardian.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | The guardian, if present, SHOULD contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5359). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 172. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom | |
| Comments | The guardian, if present, SHOULD contain zero or more [0..*] telecom (CONF:4537-5382). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 174. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 176. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.value | |
| Control | 0..1 |
| Type | url(url: Universal Resource Locator) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 178. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.useablePeriod | |
| Definition | Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address. |
| Control | 0..* |
| Type | Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| Default Type | http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Useable Period |
| 180. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | The telecom, if present, SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7993). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 182. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson | |
| Comments | The guardian, if present, SHALL contain exactly one [1..1] guardianPerson (CONF:4537-5385). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 184. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassLivingSubject |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | PSN |
| 186. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 188. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 190. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). |
| Short | Base for all types and resources |
| Comments | This guardianPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5386). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 192. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameasPatientRelationship. |
| 194. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization |
| 196. ClinicalDocument.recordTarget.patientRole.patient.birthplace | |
| Comments | This patient MAY contain zero or one [0..1] birthplace (CONF:4537-5395). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Birthplace |
| 198. ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from RoleClassPassive |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | BIRTHPL |
| 200. ClinicalDocument.recordTarget.patientRole.patient.birthplace.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 202. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place | |
| Comments | The birthplace, if present, SHALL contain exactly one [1..1] place (CONF:4537-5396). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Place |
| 204. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassPlace |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | PLC |
| 206. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 208. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 210. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.name | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EN |
| 212. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | |
| Comments | This place SHALL contain exactly one [1..1] addr (CONF:4537-5397). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD |
| Invariants | 4537-5402: If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet StateValueSet 2.16.840.1.113883.3.88.12.80.1 *DYNAMIC* (CONF:4537-5402). () 4537-5403: If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). () |
| 214. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Short | Primitive Type code |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Label | Exceptional Value Detail |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))cs-pattern: cs attributes must not contain any whitespace ( matches('^[^\\s]+$')) |
| 216. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.isNotOrdered | |
| Definition | A boolean value specifying whether the order of the address parts is known or not. While the address parts are always a Sequence, the order in which they are presented may or may not be known. Where this matters, the isNotOrdered property can be used to convey this information. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Is Not Ordered |
| 218. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use | |
| Definition | A set of codes advising a system or user which address in a set of like addresses to select for a given purpose. |
| Control | 0..* |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 220. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.delimiter | |
| Definition | Delimiters are printed without framing white space. If no value component is provided, the delimiter appears as a line break. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 222. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.delimiter.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | DEL |
| 224. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.country | |
| Definition | Country |
| Comments | This addr SHOULD contain zero or one [0..1] country, which SHALL be selected from ValueSet Country urn:oid:2.16.840.1.113883.3.88.12.80.63 DYNAMIC (CONF:4537-5404). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 226. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.country.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | CNT |
| 228. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.state | |
| Definition | A sub-unit of a country with limited sovereignty in a federally organized country. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 230. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.state.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | STA |
| 232. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.county | |
| Definition | A sub-unit of a state or province. (49 of the United States of America use the term "county;" Louisiana uses the term "parish".) |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 234. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.county.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | CPA |
| 236. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.city | |
| Definition | The name of the city, town, village, or other community or delivery center |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 238. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.city.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | CTY |
| 240. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postalCode | |
| Definition | A postal code designating a region defined by the postal service. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 242. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postalCode.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ZIP |
| 244. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetAddressLine | |
| Definition | Street address line |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 246. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetAddressLine.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | SAL |
| 248. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumber | |
| Definition | The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 250. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumber.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | BNR |
| 252. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumberNumeric | |
| Definition | The numeric portion of a building number |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 254. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumberNumeric.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | BNN |
| 256. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.direction | |
| Definition | Direction (e.g., N, S, W, E) |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 258. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.direction.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | DIR |
| 260. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetName | |
| Definition | Name of a roadway or artery recognized by a municipality (including street type and direction) |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 262. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetName.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | STR |
| 264. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameBase | |
| Definition | The base name of a roadway or artery recognized by a municipality (excluding street type and direction) |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 266. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameBase.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | STB |
| 268. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameType | |
| Definition | The designation given to the street. (e.g. Street, Avenue, Crescent, etc.) |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 270. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameType.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | STTYP |
| 272. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.additionalLocator | |
| Definition | This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 274. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.additionalLocator.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ADL |
| 276. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitID | |
| Definition | The number or name of a specific unit contained within a building or complex, as assigned by that building or complex. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 278. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitID.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | UNID |
| 280. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitType | |
| Definition | Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 282. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitType.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | UNIT |
| 284. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.careOf | |
| Definition | The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 286. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.careOf.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | CAR |
| 288. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.censusTract | |
| Definition | A geographic sub-unit delineated for demographic purposes. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 290. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.censusTract.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | CEN |
| 292. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryAddressLine | |
| Definition | A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 294. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryAddressLine.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | DAL |
| 296. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationType | |
| Definition | Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 298. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationType.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | DINST |
| 300. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationArea | |
| Definition | The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 302. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationArea.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | DINSTA |
| 304. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationQualifier | |
| Definition | A number, letter or name identifying a delivery installation. E.g., for Station A, the delivery installation qualifier would be 'A'. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 306. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationQualifier.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | DINSTQ |
| 308. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryMode | |
| Definition | Indicates the type of service offered, method of delivery. For example: post office box, rural route, general delivery, etc. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 310. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryMode.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | DMOD |
| 312. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryModeIdentifier | |
| Definition | Represents the routing information such as a letter carrier route number. It is the identifying number of the designator (the box number or rural route number). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 314. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryModeIdentifier.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | DMODID |
| 316. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.buildingNumberSuffix | |
| Definition | Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 318. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.buildingNumberSuffix.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | BNS |
| 320. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postBox | |
| Definition | A numbered box located in a post station. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 322. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postBox.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | POB |
| 324. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.precinct | |
| Definition | A subsection of a municipality |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ADXP |
| 326. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.precinct.partType | |
| Definition | Specifies the type of the address part |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | PRE |
| 328. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.other | |
| Definition | Textual representation of (part of) the address |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as unadorned text. |
| 330. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.useablePeriod | |
| Definition | A General Timing Specification (GTS) specifying the periods of time during which the address can be used. This is used to specify different addresses for different times of the week or year. |
| Control | 0..* |
| Type | Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| Default Type | http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Useable Period |
| 332. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | |
| Comments | This patient SHOULD contain zero or more [0..*] languageCommunication (CONF:1198-28474). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/LanguageCommunication |
| 334. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 336. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode | |
| Comments | The languageCommunication, if present, SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language urn:oid:2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:4537-5407). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from VSAC 2.16.840.1.113883.1.11.11526 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 338. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode | |
| Comments | The languageCommunication, if present, MAY contain zero or one [0..1] modeCode, which SHALL be selected from ValueSet LanguageAbilityMode urn:oid:2.16.840.1.113883.1.11.12249 DYNAMIC (CONF:4537-5409). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from LanguageAbilityMode |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 340. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode | |
| Comments | The languageCommunication, if present, SHOULD contain zero or one [0..1] proficiencyLevelCode, which SHALL be selected from ValueSet LanguageAbilityProficiency urn:oid:2.16.840.1.113883.1.11.12199 DYNAMIC (CONF:4537-9965). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from LanguageAbilityProficiency |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 342. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd | |
| Short | Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1. |
| Comments | The languageCommunication, if present, MAY contain zero or one [0..1] preferenceInd (CONF:1198-28475). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 344. ClinicalDocument.recordTarget.patientRole.providerOrganization | |
| Short | If present, this organization represents the provider organization where the person is claiming to be a patient. undefined |
| Comments | This patientRole MAY contain zero or one [0..1] providerOrganization (CONF:1198-28476). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization |
| Label | If present, this organization represents the provider organization where the person is claiming to be a patient. |
| 346. ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 348. ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassOrganization |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ORG |
| 350. ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 352. ClinicalDocument.recordTarget.patientRole.providerOrganization.realmCode | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 354. ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 356. ClinicalDocument.recordTarget.patientRole.providerOrganization.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 358. ClinicalDocument.recordTarget.patientRole.providerOrganization.id | |
| Comments | The providerOrganization, if present, SHALL contain at least one [1..*] id (CONF:4537-5417). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 360. ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 362. ClinicalDocument.recordTarget.patientRole.providerOrganization.id.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 364. ClinicalDocument.recordTarget.patientRole.providerOrganization.id.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 366. ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Comments | Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16820). |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.4.6 |
| 368. ClinicalDocument.recordTarget.patientRole.providerOrganization.id.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 370. ClinicalDocument.recordTarget.patientRole.providerOrganization.name | |
| Comments | The providerOrganization, if present, SHALL contain at least one [1..*] name (CONF:4537-5419). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ON |
| 372. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom | |
| Comments | The providerOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:4537-5420). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 374. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 376. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.value | |
| Control | 0..1 |
| Type | url(url: Universal Resource Locator) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 378. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.useablePeriod | |
| Definition | Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address. |
| Control | 0..* |
| Type | Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| Default Type | http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Useable Period |
| 380. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7994). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 382. ClinicalDocument.recordTarget.patientRole.providerOrganization.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | The providerOrganization, if present, SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5422). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 384. ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode | |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from OrganizationIndustryClassNAICS |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 386. ClinicalDocument.recordTarget.patientRole.providerOrganization.asOrganizationPartOf | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf |
| 388. ClinicalDocument.author | |
| Short | The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate. |
| Comments | SHALL contain at least one [1..*] author (CONF:1198-28477). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author |
| 390. ClinicalDocument.author.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 392. ClinicalDocument.author.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | AUT |
| 394. ClinicalDocument.author.contextControlCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OP |
| 396. ClinicalDocument.author.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 398. ClinicalDocument.author.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 400. ClinicalDocument.author.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 402. ClinicalDocument.author.functionCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 404. ClinicalDocument.author.time | |
| Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression. |
| Short | Base for all types and resources |
| Comments | Such authors SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5445). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time (DTM.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-10127: **SHALL** be precise to the day (CONF:81-10127). () 81-10128: **SHOULD** be precise to the minute (CONF:81-10128). () 81-10129: **MAY** be precise to the second (CONF:81-10129). () 81-10130: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130). () |
| 406. ClinicalDocument.author.assignedAuthor | |
| Comments | Such authors SHALL contain exactly one [1..1] assignedAuthor (CONF:1198-28478). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedAuthor |
| Invariants | 4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). () |
| 408. ClinicalDocument.author.assignedAuthor.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from RoleClassAssignedEntity |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ASSIGNED |
| 410. ClinicalDocument.author.assignedAuthor.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 412. ClinicalDocument.author.assignedAuthor.id | |
| Comments | This assignedAuthor SHALL contain at least one [1..*] id (CONF:1198-28479). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on ClinicalDocument.author.assignedAuthor.id. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 414. ClinicalDocument.author.assignedAuthor.id:id1 | |
| Slice Name | id1 |
| Short | id |
| Comments | This assignedAuthor SHOULD contain zero or one [0..1] id (CONF:4537-32882) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 416. ClinicalDocument.author.assignedAuthor.id:id1.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Comments | MAY contain zero or one [0..1] @nullFlavor="UNK" Unknown (CodeSystem: HL7NullFlavor urn:oid:2.16.840.1.113883.5.1008) (CONF:4537-32883). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| Fixed Value | UNK |
| 418. ClinicalDocument.author.assignedAuthor.id:id1.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 420. ClinicalDocument.author.assignedAuthor.id:id1.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 422. ClinicalDocument.author.assignedAuthor.id:id1.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Comments | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-32884). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.4.6 |
| 424. ClinicalDocument.author.assignedAuthor.id:id1.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Comments | SHOULD contain zero or one [0..1] @extension (CONF:4537-32885). |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 426. ClinicalDocument.author.assignedAuthor.sdtcIdentifiedBy | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 428. ClinicalDocument.author.assignedAuthor.code | |
| Short | When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient. |
| Comments | This assignedAuthor SHOULD contain zero or one [0..1] code (CONF:1198-28481). |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from v3 Code System RoleCode |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 430. ClinicalDocument.author.assignedAuthor.code.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 432. ClinicalDocument.author.assignedAuthor.code.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28676). |
| Control | 1..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| 434. ClinicalDocument.author.assignedAuthor.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 436. ClinicalDocument.author.assignedAuthor.code.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 438. ClinicalDocument.author.assignedAuthor.code.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 440. ClinicalDocument.author.assignedAuthor.code.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 442. ClinicalDocument.author.assignedAuthor.code.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet. |
| 444. ClinicalDocument.author.assignedAuthor.code.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion. |
| 446. ClinicalDocument.author.assignedAuthor.code.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 448. ClinicalDocument.author.assignedAuthor.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 450. ClinicalDocument.author.assignedAuthor.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 452. ClinicalDocument.author.assignedAuthor.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This assignedAuthor SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5452). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 454. ClinicalDocument.author.assignedAuthor.telecom | |
| Comments | This assignedAuthor SHALL contain at least one [1..*] telecom (CONF:4537-5428). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 456. ClinicalDocument.author.assignedAuthor.telecom.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 458. ClinicalDocument.author.assignedAuthor.telecom.value | |
| Control | 0..1 |
| Type | url(url: Universal Resource Locator) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 460. ClinicalDocument.author.assignedAuthor.telecom.useablePeriod | |
| Definition | Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address. |
| Control | 0..* |
| Type | Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| Default Type | http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Useable Period |
| 462. ClinicalDocument.author.assignedAuthor.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7995). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 464. ClinicalDocument.author.assignedAuthor.assignedPerson | |
| Comments | This assignedAuthor SHOULD contain zero or one [0..1] assignedPerson (CONF:4537-5430). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 466. ClinicalDocument.author.assignedAuthor.assignedPerson.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassLivingSubject |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | PSN |
| 468. ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 470. ClinicalDocument.author.assignedAuthor.assignedPerson.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 472. ClinicalDocument.author.assignedAuthor.assignedPerson.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). |
| Short | Base for all types and resources |
| Comments | The assignedPerson, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-16789). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 474. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameasPatientRelationship. |
| 476. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice | |
| Comments | This assignedAuthor SHOULD contain zero or one [0..1] assignedAuthoringDevice (CONF:4537-16783). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AuthoringDevice |
| 478. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassDevice |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | DEV |
| 480. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 482. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 484. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code | |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from EntityCode |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 486. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName | |
| Comments | The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] manufacturerModelName (CONF:4537-16784). |
| Control | 1..1 |
| Binding | For example codes, see Manufacturer Model Name Example |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/SC |
| 488. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName | |
| Comments | The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] softwareName (CONF:4537-16785). |
| Control | 1..1 |
| Binding | For example codes, see Software Name Example |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/SC |
| 490. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.asMaintainedEntity | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/MaintainedEntity |
| 492. ClinicalDocument.author.assignedAuthor.representedOrganization | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization |
| 494. ClinicalDocument.dataEnterer | |
| Short | The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author. |
| Comments | MAY contain zero or one [0..1] dataEnterer (CONF:1198-28678). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/DataEnterer |
| 496. ClinicalDocument.dataEnterer.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 498. ClinicalDocument.dataEnterer.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ENT |
| 500. ClinicalDocument.dataEnterer.contextControlCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OP |
| 502. ClinicalDocument.dataEnterer.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 504. ClinicalDocument.dataEnterer.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 506. ClinicalDocument.dataEnterer.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 508. ClinicalDocument.dataEnterer.time | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| 510. ClinicalDocument.dataEnterer.assignedEntity | |
| Comments | The dataEnterer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28679). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 512. ClinicalDocument.dataEnterer.assignedEntity.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from RoleClassAssignedEntity |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ASSIGNED |
| 514. ClinicalDocument.dataEnterer.assignedEntity.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 516. ClinicalDocument.dataEnterer.assignedEntity.id | |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5443). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 518. ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 520. ClinicalDocument.dataEnterer.assignedEntity.id.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 522. ClinicalDocument.dataEnterer.assignedEntity.id.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 524. ClinicalDocument.dataEnterer.assignedEntity.id.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Comments | Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16821). |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.4.6 |
| 526. ClinicalDocument.dataEnterer.assignedEntity.id.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 528. ClinicalDocument.dataEnterer.assignedEntity.sdtcIdentifiedBy | |
| Definition | Element AssignedEntity.sdtcIdentifiedBy |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 530. ClinicalDocument.dataEnterer.assignedEntity.code | |
| Comments | This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28680). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 532. ClinicalDocument.dataEnterer.assignedEntity.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5460). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 534. ClinicalDocument.dataEnterer.assignedEntity.telecom | |
| Comments | This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5466). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 536. ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 538. ClinicalDocument.dataEnterer.assignedEntity.telecom.value | |
| Control | 0..1 |
| Type | url(url: Universal Resource Locator) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 540. ClinicalDocument.dataEnterer.assignedEntity.telecom.useablePeriod | |
| Definition | Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address. |
| Control | 0..* |
| Type | Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| Default Type | http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Useable Period |
| 542. ClinicalDocument.dataEnterer.assignedEntity.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7996). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 544. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson | |
| Comments | This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5469). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 546. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassLivingSubject |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | PSN |
| 548. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 550. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 552. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). |
| Short | Base for all types and resources |
| Comments | This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5470). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 554. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameasPatientRelationship. |
| 556. ClinicalDocument.dataEnterer.assignedEntity.representedOrganization | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization |
| 558. ClinicalDocument.informant | |
| Short | The informant element describes the source of the information in a medical document. Assigned health care providers may be a source of information when a document is created. (e.g., a nurse's aide who provides information about a recent significant health care event that occurred within an acute care facility.) In these cases, the assignedEntity element is used. When the informant is a personal relation, that informant is represented in the relatedEntity element, even if the personal relation is a medical professional. The code element of the relatedEntity describes the relationship between the informant and the patient. The relationship between the informant and the patient needs to be described to help the receiver of the clinical document understand the information in the document. Each informant can be either an assignedEntity (a clinician serving the patient) OR a relatedEntity (a person with a personal or legal relationship with the patient). The constraints here apply to relatedEntity. |
| Comments | MAY contain zero or more [0..*] informant (CONF:4537-31355) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant |
| Slicing | This element introduces a set of slices on ClinicalDocument.informant. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 560. ClinicalDocument.informant:informant1 | |
| Slice Name | informant1 |
| Short | informant |
| Comments | MAY contain zero or more [0..*] informant (CONF:1198-28681) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant |
| 562. ClinicalDocument.informant:informant1.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 564. ClinicalDocument.informant:informant1.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 566. ClinicalDocument.informant:informant1.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 568. ClinicalDocument.informant:informant1.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 570. ClinicalDocument.informant:informant1.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INF |
| 572. ClinicalDocument.informant:informant1.contextControlCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OP |
| 574. ClinicalDocument.informant:informant1.assignedEntity | |
| Comments | SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8002). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 576. ClinicalDocument.informant:informant1.assignedEntity.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from RoleClassAssignedEntity |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ASSIGNED |
| 578. ClinicalDocument.informant:informant1.assignedEntity.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 580. ClinicalDocument.informant:informant1.assignedEntity.id | |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-9945). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Invariants | 4537-9946: If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946). () |
| 582. ClinicalDocument.informant:informant1.assignedEntity.sdtcIdentifiedBy | |
| Definition | Element AssignedEntity.sdtcIdentifiedBy |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 584. ClinicalDocument.informant:informant1.assignedEntity.code | |
| Comments | This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-32174). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Healthcare Provider Taxonomy |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 586. ClinicalDocument.informant:informant1.assignedEntity.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8220). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 588. ClinicalDocument.informant:informant1.assignedEntity.telecom | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 590. ClinicalDocument.informant:informant1.assignedEntity.assignedPerson | |
| Comments | This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-8221). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 592. ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassLivingSubject |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | PSN |
| 594. ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 596. ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 598. ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). |
| Short | Base for all types and resources |
| Comments | This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-8222). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 600. ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.sdtcAsPatientRelationship | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameasPatientRelationship. |
| 602. ClinicalDocument.informant:informant1.assignedEntity.representedOrganization | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization |
| 604. ClinicalDocument.informant:informant1.relatedEntity | |
| Comments | SHALL contain exactly one [1..1] relatedEntity (CONF:1198-28682). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RelatedEntity |
| 606. ClinicalDocument.informant:informant1.relatedEntity.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from RoleClassMutualRelationship |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 608. ClinicalDocument.informant:informant1.relatedEntity.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 610. ClinicalDocument.informant:informant1.relatedEntity.code | |
| Comments | This relatedEntity MAY contain zero or one [0..1] code (CONF:1198-28683). |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from PersonalRelationshipRoleType |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 612. ClinicalDocument.informant:informant1.relatedEntity.code.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 614. ClinicalDocument.informant:informant1.relatedEntity.code.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | The code, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28684). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| 616. ClinicalDocument.informant:informant1.relatedEntity.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 618. ClinicalDocument.informant:informant1.relatedEntity.code.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 620. ClinicalDocument.informant:informant1.relatedEntity.code.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 622. ClinicalDocument.informant:informant1.relatedEntity.code.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 624. ClinicalDocument.informant:informant1.relatedEntity.code.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet. |
| 626. ClinicalDocument.informant:informant1.relatedEntity.code.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion. |
| 628. ClinicalDocument.informant:informant1.relatedEntity.code.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 630. ClinicalDocument.informant:informant1.relatedEntity.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 632. ClinicalDocument.informant:informant1.relatedEntity.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 634. ClinicalDocument.informant:informant1.relatedEntity.addr | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD |
| 636. ClinicalDocument.informant:informant1.relatedEntity.telecom | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 638. ClinicalDocument.informant:informant1.relatedEntity.effectiveTime | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 640. ClinicalDocument.informant:informant1.relatedEntity.relatedPerson | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 642. ClinicalDocument.informant:informant2 | |
| Slice Name | informant2 |
| Short | informant |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant |
| 644. ClinicalDocument.informant:informant2.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 646. ClinicalDocument.informant:informant2.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 648. ClinicalDocument.informant:informant2.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 650. ClinicalDocument.informant:informant2.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 652. ClinicalDocument.informant:informant2.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INF |
| 654. ClinicalDocument.informant:informant2.contextControlCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OP |
| 656. ClinicalDocument.informant:informant2.assignedEntity | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 658. ClinicalDocument.informant:informant2.relatedEntity | |
| Comments | SHALL contain exactly one [1..1] relatedEntity (CONF:4537-31356). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RelatedEntity |
| 660. ClinicalDocument.custodian | |
| Short | The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization. |
| Comments | SHALL contain exactly one [1..1] custodian (CONF:1198-28685). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Custodian |
| 662. ClinicalDocument.custodian.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 664. ClinicalDocument.custodian.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ENT |
| 666. ClinicalDocument.custodian.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 668. ClinicalDocument.custodian.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 670. ClinicalDocument.custodian.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 672. ClinicalDocument.custodian.assignedCustodian | |
| Comments | This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:1198-28686). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedCustodian |
| 674. ClinicalDocument.custodian.assignedCustodian.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from RoleClassAssignedEntity |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ASSIGNED |
| 676. ClinicalDocument.custodian.assignedCustodian.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 678. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization | |
| Short | The representedCustodianOrganization may be the person when the document is not maintained by an organization. |
| Comments | This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:1198-28687). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CustodianOrganization |
| 680. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassOrganization |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ORG |
| 682. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 684. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 686. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id | |
| Short | The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way. |
| Comments | This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:1198-28688). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 688. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 690. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 692. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 694. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Comments | Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16822). |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.4.6 |
| 696. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 698. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.name | |
| Comments | This representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:4537-5524). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ON |
| 700. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom | |
| Comments | This representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:4537-5525). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 702. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 704. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.value | |
| Control | 0..1 |
| Type | url(url: Universal Resource Locator) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 706. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.useablePeriod | |
| Definition | Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address. |
| Control | 0..* |
| Type | Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| Default Type | http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Useable Period |
| 708. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | This telecom SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7998). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 710. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This representedCustodianOrganization SHALL contain exactly one [1..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5559). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 712. ClinicalDocument.informationRecipient | |
| Short | The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart. |
| Comments | MAY contain zero or more [0..*] informationRecipient (CONF:1198-28690). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InformationRecipient |
| 714. ClinicalDocument.informationRecipient.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 716. ClinicalDocument.informationRecipient.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | PRCP |
| 718. ClinicalDocument.informationRecipient.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 720. ClinicalDocument.informationRecipient.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 722. ClinicalDocument.informationRecipient.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 724. ClinicalDocument.informationRecipient.intendedRecipient | |
| Comments | The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:1198-28691). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IntendedRecipient |
| 726. ClinicalDocument.informationRecipient.intendedRecipient.classCode | |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ASSIGNED |
| 728. ClinicalDocument.informationRecipient.intendedRecipient.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 730. ClinicalDocument.informationRecipient.intendedRecipient.id | |
| Short | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. |
| Comments | This intendedRecipient SHOULD contain zero or more [0..*] id (CONF:1198-28692). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 732. ClinicalDocument.informationRecipient.intendedRecipient.id.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 734. ClinicalDocument.informationRecipient.intendedRecipient.id.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 736. ClinicalDocument.informationRecipient.intendedRecipient.id.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 738. ClinicalDocument.informationRecipient.intendedRecipient.id.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Short | For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document. |
| Comments | The id, if present, SHOULD contain zero or one [0..1] @root (CONF:1198-28693). |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| 740. ClinicalDocument.informationRecipient.intendedRecipient.id.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 742. ClinicalDocument.informationRecipient.intendedRecipient.sdtcIdentifiedBy | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 744. ClinicalDocument.informationRecipient.intendedRecipient.addr | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD |
| 746. ClinicalDocument.informationRecipient.intendedRecipient.telecom | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 748. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient | |
| Comments | This intendedRecipient MAY contain zero or one [0..1] informationRecipient (CONF:4537-5567). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 750. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassLivingSubject |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | PSN |
| 752. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 754. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 756. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). |
| Short | Base for all types and resources |
| Comments | The informationRecipient, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5568). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 758. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameasPatientRelationship. |
| 760. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization | |
| Comments | This intendedRecipient MAY contain zero or one [0..1] receivedOrganization (CONF:4537-5577). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization |
| 762. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 764. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassOrganization |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ORG |
| 766. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 768. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.realmCode | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 770. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 772. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 774. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.id | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 776. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.name | |
| Comments | The receivedOrganization, if present, SHALL contain exactly one [1..1] name (CONF:4537-5578). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ON |
| 778. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.telecom | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 780. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.addr | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD |
| 782. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode | |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from OrganizationIndustryClassNAICS |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 784. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.asOrganizationPartOf | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf |
| 786. ClinicalDocument.legalAuthenticator | |
| Short | In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. |
| Comments | MAY contain zero or one [0..1] legalAuthenticator (CONF:1198-28694). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/LegalAuthenticator |
| 788. ClinicalDocument.legalAuthenticator.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 790. ClinicalDocument.legalAuthenticator.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | LA |
| 792. ClinicalDocument.legalAuthenticator.contextControlCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OP |
| 794. ClinicalDocument.legalAuthenticator.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 796. ClinicalDocument.legalAuthenticator.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 798. ClinicalDocument.legalAuthenticator.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 800. ClinicalDocument.legalAuthenticator.time | |
| Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression. |
| Short | Base for all types and resources |
| Comments | The legalAuthenticator, if present, SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5580). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time (DTM.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-10127: **SHALL** be precise to the day (CONF:81-10127). () 81-10128: **SHOULD** be precise to the minute (CONF:81-10128). () 81-10129: **MAY** be precise to the second (CONF:81-10129). () 81-10130: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130). () |
| 802. ClinicalDocument.legalAuthenticator.signatureCode | |
| Comments | The legalAuthenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:4537-5583). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 804. ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 806. ClinicalDocument.legalAuthenticator.signatureCode.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:4537-5584). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Pattern Value | S |
| 808. ClinicalDocument.legalAuthenticator.signatureCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 810. ClinicalDocument.legalAuthenticator.signatureCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 812. ClinicalDocument.legalAuthenticator.signatureCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 814. ClinicalDocument.legalAuthenticator.signatureCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 816. ClinicalDocument.legalAuthenticator.signatureCode.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet. |
| 818. ClinicalDocument.legalAuthenticator.signatureCode.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion. |
| 820. ClinicalDocument.legalAuthenticator.signatureCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 822. ClinicalDocument.legalAuthenticator.signatureCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 824. ClinicalDocument.legalAuthenticator.signatureCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 826. ClinicalDocument.legalAuthenticator.sdtcSignatureText | |
| Short | The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. |
| Comments | The legalAuthenticator, if present, MAY contain zero or one [0..1] sdtc:signatureText (CONF:4537-30810). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namesignatureText. |
| 828. ClinicalDocument.legalAuthenticator.assignedEntity | |
| Comments | The legalAuthenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28695). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 830. ClinicalDocument.legalAuthenticator.assignedEntity.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from RoleClassAssignedEntity |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ASSIGNED |
| 832. ClinicalDocument.legalAuthenticator.assignedEntity.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 834. ClinicalDocument.legalAuthenticator.assignedEntity.id | |
| Short | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28696). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 836. ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 838. ClinicalDocument.legalAuthenticator.assignedEntity.id.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 840. ClinicalDocument.legalAuthenticator.assignedEntity.id.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 842. ClinicalDocument.legalAuthenticator.assignedEntity.id.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Comments | Such ids MAY contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16823). |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.4.6 |
| 844. ClinicalDocument.legalAuthenticator.assignedEntity.id.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 846. ClinicalDocument.legalAuthenticator.assignedEntity.sdtcIdentifiedBy | |
| Definition | Element AssignedEntity.sdtcIdentifiedBy |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 848. ClinicalDocument.legalAuthenticator.assignedEntity.code | |
| Comments | This assignedEntity MAY contain zero or one [0..1] code (CONF:1198-28697). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Healthcare Provider Taxonomy |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 850. ClinicalDocument.legalAuthenticator.assignedEntity.code.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 852. ClinicalDocument.legalAuthenticator.assignedEntity.code.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | The code, if present, MAY contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28698). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| 854. ClinicalDocument.legalAuthenticator.assignedEntity.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 856. ClinicalDocument.legalAuthenticator.assignedEntity.code.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 858. ClinicalDocument.legalAuthenticator.assignedEntity.code.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 860. ClinicalDocument.legalAuthenticator.assignedEntity.code.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 862. ClinicalDocument.legalAuthenticator.assignedEntity.code.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet. |
| 864. ClinicalDocument.legalAuthenticator.assignedEntity.code.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion. |
| 866. ClinicalDocument.legalAuthenticator.assignedEntity.code.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 868. ClinicalDocument.legalAuthenticator.assignedEntity.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 870. ClinicalDocument.legalAuthenticator.assignedEntity.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 872. ClinicalDocument.legalAuthenticator.assignedEntity.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5589). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 874. ClinicalDocument.legalAuthenticator.assignedEntity.telecom | |
| Comments | This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5595). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 876. ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 878. ClinicalDocument.legalAuthenticator.assignedEntity.telecom.value | |
| Control | 0..1 |
| Type | url(url: Universal Resource Locator) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 880. ClinicalDocument.legalAuthenticator.assignedEntity.telecom.useablePeriod | |
| Definition | Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address. |
| Control | 0..* |
| Type | Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| Default Type | http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Useable Period |
| 882. ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7999). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 884. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson | |
| Comments | This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5597). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 886. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassLivingSubject |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | PSN |
| 888. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 890. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 892. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). |
| Short | Base for all types and resources |
| Comments | This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5598). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 894. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameasPatientRelationship. |
| 896. ClinicalDocument.legalAuthenticator.assignedEntity.representedOrganization | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization |
| 898. ClinicalDocument.authenticator | |
| Comments | MAY contain zero or more [0..*] authenticator (CONF:1198-28699). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Authenticator |
| Slicing | This element introduces a set of slices on ClinicalDocument.authenticator. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 900. ClinicalDocument.authenticator.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 902. ClinicalDocument.authenticator.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | AUTHEN |
| 904. ClinicalDocument.authenticator.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 906. ClinicalDocument.authenticator.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 908. ClinicalDocument.authenticator.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 910. ClinicalDocument.authenticator.time | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| 912. ClinicalDocument.authenticator.signatureCode | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 914. ClinicalDocument.authenticator.sdtcSignatureText | |
| Definition | Element Authenticator.sdtcSignatureText |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namesignatureText. |
| 916. ClinicalDocument.authenticator.assignedEntity | |
| Comments | The authenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28700). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 918. ClinicalDocument.authenticator.assignedEntity.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from RoleClassAssignedEntity |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ASSIGNED |
| 920. ClinicalDocument.authenticator.assignedEntity.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 922. ClinicalDocument.authenticator.assignedEntity.id | |
| Short | The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way. |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28701). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 924. ClinicalDocument.authenticator.assignedEntity.sdtcIdentifiedBy | |
| Definition | Element AssignedEntity.sdtcIdentifiedBy |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 926. ClinicalDocument.authenticator.assignedEntity.code | |
| Comments | This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28702). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 928. ClinicalDocument.authenticator.assignedEntity.addr | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD |
| 930. ClinicalDocument.authenticator.assignedEntity.telecom | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 932. ClinicalDocument.authenticator.assignedEntity.assignedPerson | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 934. ClinicalDocument.authenticator.assignedEntity.representedOrganization | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization |
| 936. ClinicalDocument.authenticator:authenticator1 | |
| Slice Name | authenticator1 |
| Short | authenticator |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Authenticator |
| 938. ClinicalDocument.authenticator:authenticator1.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 940. ClinicalDocument.authenticator:authenticator1.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | AUTHEN |
| 942. ClinicalDocument.authenticator:authenticator1.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 944. ClinicalDocument.authenticator:authenticator1.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 946. ClinicalDocument.authenticator:authenticator1.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 948. ClinicalDocument.authenticator:authenticator1.time | |
| Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5608). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time (DTM.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-10127: **SHALL** be precise to the day (CONF:81-10127). () 81-10128: **SHOULD** be precise to the minute (CONF:81-10128). () 81-10129: **MAY** be precise to the second (CONF:81-10129). () 81-10130: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130). () |
| 950. ClinicalDocument.authenticator:authenticator1.signatureCode | |
| Comments | SHALL contain exactly one [1..1] signatureCode (CONF:4537-5610). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 952. ClinicalDocument.authenticator:authenticator1.signatureCode.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 954. ClinicalDocument.authenticator:authenticator1.signatureCode.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:4537-5611). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Pattern Value | S |
| 956. ClinicalDocument.authenticator:authenticator1.signatureCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 958. ClinicalDocument.authenticator:authenticator1.signatureCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 960. ClinicalDocument.authenticator:authenticator1.signatureCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 962. ClinicalDocument.authenticator:authenticator1.signatureCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 964. ClinicalDocument.authenticator:authenticator1.signatureCode.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet. |
| 966. ClinicalDocument.authenticator:authenticator1.signatureCode.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion. |
| 968. ClinicalDocument.authenticator:authenticator1.signatureCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 970. ClinicalDocument.authenticator:authenticator1.signatureCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 972. ClinicalDocument.authenticator:authenticator1.signatureCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 974. ClinicalDocument.authenticator:authenticator1.sdtcSignatureText | |
| Definition | Element Authenticator.sdtcSignatureText |
| Short | The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. |
| Comments | MAY contain zero or one [0..1] sdtc:signatureText (CONF:4537-30811). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namesignatureText. |
| 976. ClinicalDocument.authenticator:authenticator1.assignedEntity | |
| Comments | SHALL contain exactly one [1..1] assignedEntity (CONF:4537-5612). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 978. ClinicalDocument.authenticator:authenticator1.assignedEntity.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from RoleClassAssignedEntity |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ASSIGNED |
| 980. ClinicalDocument.authenticator:authenticator1.assignedEntity.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 982. ClinicalDocument.authenticator:authenticator1.assignedEntity.id | |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5613). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 984. ClinicalDocument.authenticator:authenticator1.assignedEntity.id.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 986. ClinicalDocument.authenticator:authenticator1.assignedEntity.id.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 988. ClinicalDocument.authenticator:authenticator1.assignedEntity.id.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 990. ClinicalDocument.authenticator:authenticator1.assignedEntity.id.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Comments | Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16824). |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.4.6 |
| 992. ClinicalDocument.authenticator:authenticator1.assignedEntity.id.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 994. ClinicalDocument.authenticator:authenticator1.assignedEntity.sdtcIdentifiedBy | |
| Definition | Element AssignedEntity.sdtcIdentifiedBy |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 996. ClinicalDocument.authenticator:authenticator1.assignedEntity.code | |
| Comments | This assignedEntity MAY contain zero or one [0..1] code (CONF:4537-16825). |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from v3 Code System RoleCode |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 998. ClinicalDocument.authenticator:authenticator1.assignedEntity.code.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 1000. ClinicalDocument.authenticator:authenticator1.assignedEntity.code.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | The code, if present, MAY contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-16826). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Healthcare Provider Taxonomy |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| 1002. ClinicalDocument.authenticator:authenticator1.assignedEntity.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 1004. ClinicalDocument.authenticator:authenticator1.assignedEntity.code.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 1006. ClinicalDocument.authenticator:authenticator1.assignedEntity.code.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 1008. ClinicalDocument.authenticator:authenticator1.assignedEntity.code.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 1010. ClinicalDocument.authenticator:authenticator1.assignedEntity.code.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet. |
| 1012. ClinicalDocument.authenticator:authenticator1.assignedEntity.code.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion. |
| 1014. ClinicalDocument.authenticator:authenticator1.assignedEntity.code.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 1016. ClinicalDocument.authenticator:authenticator1.assignedEntity.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 1018. ClinicalDocument.authenticator:authenticator1.assignedEntity.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 1020. ClinicalDocument.authenticator:authenticator1.assignedEntity.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5616). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 1022. ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom | |
| Comments | This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5622). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 1024. ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 1026. ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom.value | |
| Control | 0..1 |
| Type | url(url: Universal Resource Locator) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 1028. ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom.useablePeriod | |
| Definition | Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address. |
| Control | 0..* |
| Type | Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| Default Type | http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Useable Period |
| 1030. ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Comments | Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-8000). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Telecom Use (US Realm Header) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 1032. ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson | |
| Comments | This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5624). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 1034. ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassLivingSubject |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | PSN |
| 1036. ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 1038. ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1040. ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). |
| Short | Base for all types and resources |
| Comments | This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5625). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 1042. ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.sdtcAsPatientRelationship | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameasPatientRelationship. |
| 1044. ClinicalDocument.authenticator:authenticator1.assignedEntity.representedOrganization | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization |
| 1046. ClinicalDocument.participant | |
| Short | The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin) |
| Comments | MAY contain zero or more [0..*] participant (CONF:1198-28703). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant1 |
| Invariants | 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). () 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). () |
| 1048. ClinicalDocument.participant.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 1050. ClinicalDocument.participant.typeCode | |
| Short | Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 |
| Comments | The participant, if present, SHALL contain exactly one [1..1] @typeCode (CONF:1198-28704). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 1052. ClinicalDocument.participant.contextControlCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OP |
| 1054. ClinicalDocument.participant.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 1056. ClinicalDocument.participant.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1058. ClinicalDocument.participant.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1060. ClinicalDocument.participant.functionCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 1062. ClinicalDocument.participant.time | |
| Comments | MAY contain zero or one [0..1] time (CONF:4537-10004). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 1064. ClinicalDocument.participant.associatedEntity | |
| Comments | The participant, if present, SHALL contain exactly one [1..1] associatedEntity (CONF:1198-28705). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssociatedEntity |
| 1066. ClinicalDocument.participant.associatedEntity.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from RoleClassAssociative |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 1068. ClinicalDocument.participant.associatedEntity.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1070. ClinicalDocument.participant.associatedEntity.id | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1072. ClinicalDocument.participant.associatedEntity.sdtcIdentifiedBy | |
| Definition | Element AssociatedEntity.sdtcIdentifiedBy |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 1074. ClinicalDocument.participant.associatedEntity.code | |
| Comments | This associatedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28706). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 1076. ClinicalDocument.participant.associatedEntity.addr | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD |
| 1078. ClinicalDocument.participant.associatedEntity.telecom | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 1080. ClinicalDocument.participant.associatedEntity.associatedPerson | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 1082. ClinicalDocument.participant.associatedEntity.scopingOrganization | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization |
| 1084. ClinicalDocument.inFulfillmentOf | |
| Comments | MAY contain zero or more [0..*] inFulfillmentOf (CONF:1198-28707). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf |
| 1086. ClinicalDocument.inFulfillmentOf.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 1088. ClinicalDocument.inFulfillmentOf.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | FLFS |
| 1090. ClinicalDocument.inFulfillmentOf.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 1092. ClinicalDocument.inFulfillmentOf.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1094. ClinicalDocument.inFulfillmentOf.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1096. ClinicalDocument.inFulfillmentOf.order | |
| Comments | The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:1198-28708). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Order |
| 1098. ClinicalDocument.inFulfillmentOf.order.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActClass |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ACT |
| 1100. ClinicalDocument.inFulfillmentOf.order.moodCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ActMoodIntent |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | RQO |
| 1102. ClinicalDocument.inFulfillmentOf.order.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1104. ClinicalDocument.inFulfillmentOf.order.id | |
| Short | A scheduled appointment or service event in a practice management system may be represented using this id element. |
| Comments | This order SHALL contain at least one [1..*] id (CONF:1198-28709). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1106. ClinicalDocument.inFulfillmentOf.order.code | |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from v3 Code System ActCode |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 1108. ClinicalDocument.inFulfillmentOf.order.priorityCode | |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from ActPriority |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 1110. ClinicalDocument.documentationOf | |
| Comments | MAY contain zero or more [0..*] documentationOf (CONF:1198-28710). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/DocumentationOf |
| 1112. ClinicalDocument.documentationOf.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 1114. ClinicalDocument.documentationOf.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | DOC |
| 1116. ClinicalDocument.documentationOf.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 1118. ClinicalDocument.documentationOf.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1120. ClinicalDocument.documentationOf.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1122. ClinicalDocument.documentationOf.serviceEvent | |
| Comments | The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:1198-28711). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ServiceEvent |
| 1124. ClinicalDocument.documentationOf.serviceEvent.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActClass |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ACT |
| 1126. ClinicalDocument.documentationOf.serviceEvent.moodCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ActMood |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | EVN |
| 1128. ClinicalDocument.documentationOf.serviceEvent.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1130. ClinicalDocument.documentationOf.serviceEvent.id | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1132. ClinicalDocument.documentationOf.serviceEvent.code | |
| Definition | Drawn from concept domain ActCode |
| Short | The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document. |
| Comments | This serviceEvent SHOULD contain zero or one [0..1] code (CONF:1198-28712). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 1134. ClinicalDocument.documentationOf.serviceEvent.effectiveTime | |
| Comments | This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:4537-14837). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 1136. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 1138. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.value | |
| Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression. |
| Control | 0..1 |
| Type | string(ts: Point in Time) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Date Format | YYYYMMDDHHMMSS.UUUU[+|-ZZzz] |
| XML Format | In the XML format, this property is represented as an attribute. |
| 1140. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator | |
| Definition | A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from SetOperator |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | I |
| 1142. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low | |
| Definition | This is the low limit of the interval. |
| Comments | This effectiveTime SHALL contain exactly one [1..1] low (CONF:4537-14838). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS |
| Label | Low Boundary |
| 1144. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.center | |
| Definition | The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| Label | Central Value |
| 1146. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.width | |
| Definition | The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PQ |
| Label | Width |
| 1148. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high | |
| Definition | This is the high limit of the interval. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS |
| Label | High Boundary |
| 1150. ClinicalDocument.documentationOf.serviceEvent.performer | |
| Comments | This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:1198-28713). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer1 |
| 1152. ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 1154. ClinicalDocument.documentationOf.serviceEvent.performer.typeCode | |
| Comments | The performer, if present, SHALL contain exactly one [1..1] @typeCode, which SHALL be selected from ValueSet x_ServiceEventPerformer urn:oid:2.16.840.1.113883.1.11.19601 STATIC (CONF:4537-14840). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ServiceEventPerformer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 1156. ClinicalDocument.documentationOf.serviceEvent.performer.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 1158. ClinicalDocument.documentationOf.serviceEvent.performer.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1160. ClinicalDocument.documentationOf.serviceEvent.performer.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1162. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | |
| Short | The functionCode SHALL be selected from value set ParticipationType 2.16.840.1.113883.1.11.10901 When indicating the performer was the primary care physician the functionCode shall be ='PCP' |
| Comments | The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:1198-28714). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 1164. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 1166. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | The functionCode, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4537-32889). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Care Team Member Function |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| 1168. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 1170. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 1172. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 1174. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 1176. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet. |
| 1178. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion. |
| 1180. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 1182. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 1184. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 1186. ClinicalDocument.documentationOf.serviceEvent.performer.time | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 1188. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | |
| Comments | The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-28715). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 1190. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from RoleClassAssignedEntity |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ASSIGNED |
| 1192. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1194. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id | |
| Short | The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way. |
| Comments | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-28716). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1196. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 1198. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 1200. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 1202. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Comments | Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-14847). |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.4.6 |
| 1204. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 1206. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcIdentifiedBy | |
| Definition | Element AssignedEntity.sdtcIdentifiedBy |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 1208. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code | |
| Short | If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set |
| Comments | This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28718). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 1210. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.addr | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD |
| 1212. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.telecom | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 1214. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.assignedPerson | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Person |
| 1216. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.representedOrganization | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization |
| 1218. ClinicalDocument.relatedDocument | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RelatedDocument |
| 1220. ClinicalDocument.authorization | |
| Comments | MAY contain zero or more [0..*] authorization (CONF:4537-16792) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Authorization |
| 1222. ClinicalDocument.authorization.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 1224. ClinicalDocument.authorization.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | AUTH |
| 1226. ClinicalDocument.authorization.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 1228. ClinicalDocument.authorization.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1230. ClinicalDocument.authorization.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1232. ClinicalDocument.authorization.consent | |
| Comments | SHALL contain exactly one [1..1] consent (CONF:4537-16793). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Consent |
| 1234. ClinicalDocument.authorization.consent.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ActClass |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | CONS |
| 1236. ClinicalDocument.authorization.consent.moodCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ActMood |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | EVN |
| 1238. ClinicalDocument.authorization.consent.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1240. ClinicalDocument.authorization.consent.id | |
| Comments | This consent MAY contain zero or more [0..*] id (CONF:4537-16794). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1242. ClinicalDocument.authorization.consent.code | |
| Short | The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. |
| Comments | This consent MAY contain zero or one [0..1] code (CONF:4537-16795). |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from v3 Code System ActCode |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 1244. ClinicalDocument.authorization.consent.statusCode | |
| Comments | This consent SHALL contain exactly one [1..1] statusCode (CONF:4537-16797). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 1246. ClinicalDocument.authorization.consent.statusCode.code | |
| Comments | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:4537-16798). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | completed |
| 1248. ClinicalDocument.componentOf | |
| Comments | MAY contain zero or one [0..1] componentOf (CONF:4537-9955). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ComponentOf |
| 1250. ClinicalDocument.componentOf.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 1252. ClinicalDocument.componentOf.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 1254. ClinicalDocument.componentOf.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1256. ClinicalDocument.componentOf.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1258. ClinicalDocument.componentOf.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ActRelationshipHasComponent |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | COMP |
| 1260. ClinicalDocument.componentOf.encompassingEncounter | |
| Comments | The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:4537-9956). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EncompassingEncounter |
| 1262. ClinicalDocument.componentOf.encompassingEncounter.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ActClass |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ENC |
| 1264. ClinicalDocument.componentOf.encompassingEncounter.moodCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ActMood |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | EVN |
| 1266. ClinicalDocument.componentOf.encompassingEncounter.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1268. ClinicalDocument.componentOf.encompassingEncounter.id | |
| Comments | This encompassingEncounter SHALL contain at least one [1..*] id (CONF:4537-9959). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1270. ClinicalDocument.componentOf.encompassingEncounter.code | |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from ActEncounterCode |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 1272. ClinicalDocument.componentOf.encompassingEncounter.effectiveTime | |
| Comments | This encompassingEncounter SHALL contain exactly one [1..1] effectiveTime (CONF:4537-9958). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 1274. ClinicalDocument.componentOf.encompassingEncounter.sdtcAdmissionReferralSourceCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameadmissionReferralSourceCode. |
| 1276. ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode | |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from USEncounterDischargeDisposition |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 1278. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty | |
| Definition | The responsibleParty participant represents the participant having primary legal responsibility for the encounter. This differs from the legalAuthenticator participant in that the legalAuthenticator may or may not be the responsible party, and is serving a medical records function by signing off on the document, moving it into a completed state. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 1280. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 1282. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 1284. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1286. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1288. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | RESP |
| 1290. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity |
| 1292. ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EncounterParticipant |
| 1294. ClinicalDocument.componentOf.encompassingEncounter.location | |
| Definition | The location participant (location class) relates a healthcare facility (HealthCareFacility class) to the encounter to indicate where the encounter took place. The entity playing the role of HealthCareFacility is a place (Place class). The entity scoping the HealthCareFacility role is an organization (Organization class). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 1296. ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 1298. ClinicalDocument.componentOf.encompassingEncounter.location.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 1300. ClinicalDocument.componentOf.encompassingEncounter.location.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1302. ClinicalDocument.componentOf.encompassingEncounter.location.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 1304. ClinicalDocument.componentOf.encompassingEncounter.location.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationTargetLocation |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | LOC |
| 1306. ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/HealthCareFacility |
| 1308. ClinicalDocument.component | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Component |
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#2.1 based on FHIR 5.0.0. Generated 2023-09-29
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