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

## Logical Model: US Realm Date and Time (DT.US.FIELDED)

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateandTimeDTUSFIELDED | Version: 2.1
Draft as of 2023-09-29 | Computable Name: USRealmDateandTimeDTUSFIELDED
Other Identifiers: id: urn:oid:2.16.840.1.113883.10.20.22.5.3

The US Realm Clinical Document Date and Time datatype flavor records date and time information. If no time zone offset is provided, you can make no assumption about time, unless you have made a local exchange agreement.

This data type uses the same rules as US Realm Date and Time (DTM.US.FIELDED), but is used with elements having a datatype of IVL_TS.

Usage:

- Use this Logical Model: Consultation Note, History and Physical, Note Activity, Operative Note... Show 2 more, Procedure Note and Progress Note

### Formal Views of Profile Content

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

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

This structure is derived from IVL_TS

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
IVL_TS | C | 1..* | IVL_TS | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @value, @operator, low, center, width, high Base for all types and resources 81-10078: **SHALL** be precise to the day (CONF:81-10078). 81-10079: **SHOULD** be precise to the minute (CONF:81-10079). 81-10080: **MAY** be precise to the second (CONF:81-10080). 81-10081: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081).
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
81-10078 | error | IVL_TS | **SHALL** be precise to the day (CONF:81-10078). : |
81-10079 | warning | IVL_TS | **SHOULD** be precise to the minute (CONF:81-10079). : |
81-10080 | warning | IVL_TS | **MAY** be precise to the second (CONF:81-10080). : |
81-10081 | warning | IVL_TS | If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081). : |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
IVL_TS | C | 1..* | IVL_TS | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @value, @operator, low, center, width, high Base for all types and resources 81-10078: **SHALL** be precise to the day (CONF:81-10078). 81-10079: **SHOULD** be precise to the minute (CONF:81-10079). 81-10080: **MAY** be precise to the second (CONF:81-10080). 81-10081: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081).
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
81-10078 | error | IVL_TS | **SHALL** be precise to the day (CONF:81-10078). : |
81-10079 | warning | IVL_TS | **SHOULD** be precise to the minute (CONF:81-10079). : |
81-10080 | warning | IVL_TS | **MAY** be precise to the second (CONF:81-10080). : |
81-10081 | warning | IVL_TS | If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081). : |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ivl-ts-center | error | IVL_TS | Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty()) |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
IVL_TS | C | 1..* | IVL_TS | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @value, @operator, low, center, width, high Base for all types and resources 81-10078: **SHALL** be precise to the day (CONF:81-10078). 81-10079: **SHOULD** be precise to the minute (CONF:81-10079). 81-10080: **MAY** be precise to the second (CONF:81-10080). 81-10081: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081).
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: SetOperator (required)
low |  | 0..1 | IVXB_TS |
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high |  | 0..1 | IVXB_TS |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
IVL_TS.nullFlavor | required | NullFlavor
IVL_TS.operator | required | SetOperator

#### Constraints

Id | Grade | Path(s) | Details | Requirements
81-10078 | error | IVL_TS | **SHALL** be precise to the day (CONF:81-10078). : |
81-10079 | warning | IVL_TS | **SHOULD** be precise to the minute (CONF:81-10079). : |
81-10080 | warning | IVL_TS | **MAY** be precise to the second (CONF:81-10080). : |
81-10081 | warning | IVL_TS | If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081). : |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ivl-ts-center | error | IVL_TS | Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty()) |

This structure is derived from IVL_TS

Summary

Differential View

This structure is derived from IVL_TS

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
IVL_TS | C | 1..* | IVL_TS | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @value, @operator, low, center, width, high Base for all types and resources 81-10078: **SHALL** be precise to the day (CONF:81-10078). 81-10079: **SHOULD** be precise to the minute (CONF:81-10079). 81-10080: **MAY** be precise to the second (CONF:81-10080). 81-10081: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081).
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
81-10078 | error | IVL_TS | **SHALL** be precise to the day (CONF:81-10078). : |
81-10079 | warning | IVL_TS | **SHOULD** be precise to the minute (CONF:81-10079). : |
81-10080 | warning | IVL_TS | **MAY** be precise to the second (CONF:81-10080). : |
81-10081 | warning | IVL_TS | If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081). : |

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
IVL_TS | C | 1..* | IVL_TS | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @value, @operator, low, center, width, high Base for all types and resources 81-10078: **SHALL** be precise to the day (CONF:81-10078). 81-10079: **SHOULD** be precise to the minute (CONF:81-10079). 81-10080: **MAY** be precise to the second (CONF:81-10080). 81-10081: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081).
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
81-10078 | error | IVL_TS | **SHALL** be precise to the day (CONF:81-10078). : |
81-10079 | warning | IVL_TS | **SHOULD** be precise to the minute (CONF:81-10079). : |
81-10080 | warning | IVL_TS | **MAY** be precise to the second (CONF:81-10080). : |
81-10081 | warning | IVL_TS | If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081). : |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ivl-ts-center | error | IVL_TS | Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty()) |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
IVL_TS | C | 1..* | IVL_TS | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @value, @operator, low, center, width, high Base for all types and resources 81-10078: **SHALL** be precise to the day (CONF:81-10078). 81-10079: **SHOULD** be precise to the minute (CONF:81-10079). 81-10080: **MAY** be precise to the second (CONF:81-10080). 81-10081: If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081).
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: SetOperator (required)
low |  | 0..1 | IVXB_TS |
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high |  | 0..1 | IVXB_TS |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
IVL_TS.nullFlavor | required | NullFlavor
IVL_TS.operator | required | SetOperator

#### Constraints

Id | Grade | Path(s) | Details | Requirements
81-10078 | error | IVL_TS | **SHALL** be precise to the day (CONF:81-10078). : |
81-10079 | warning | IVL_TS | **SHOULD** be precise to the minute (CONF:81-10079). : |
81-10080 | warning | IVL_TS | **MAY** be precise to the second (CONF:81-10080). : |
81-10081 | warning | IVL_TS | If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081). : |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ivl-ts-center | error | IVL_TS | Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty()) |

This structure is derived from IVL_TS

Summary

Other representations of profile: CSV, Excel