Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions
| Active as of 2022-05-13 |
Definitions for the 2.16.840.1.113883.10.20.22.2.20 resource profile.
| 1. Section | |
| Control | 1..1 |
| 2. Section.ID | |
| Control | 0..1 |
| Type | string |
| 3. Section.nullFlavor | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code |
| 4. Section.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from http://terminology.hl7.org/ValueSet/v3-ActClassOrganizer |
| Type | code |
| Default Value | DOCSECT |
| Fixed Value | DOCSECT |
| 5. Section.moodCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActMood |
| Type | code |
| Default Value | EVN |
| Fixed Value | EVN |
| 6. Section.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/fhir/cda/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Section.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 7. Section.templateId:primary | |
| SliceName | primary |
| 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 | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/II |
| Requirements | SHALL contain exactly one [1..1] templateId (CONF:1198-7828) such that it |
| 8. Section.templateId:primary.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 |
| 9. Section.templateId:primary.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 |
| 10. Section.templateId:primary.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 |
| 11. Section.templateId:primary.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Control | 1..1 |
| Type | string |
| Requirements | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.20" (CONF:1198-10390). |
| Pattern Value | 2.16.840.1.113883.10.20.22.2.20 |
| 12. Section.templateId:primary.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string |
| Requirements | SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32536). |
| Pattern Value | 2015-08-01 |
| 13. Section.id | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/II |
| 14. Section.code | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from DocumentSectionType; other codes may be used where these codes are not suitable |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE |
| Requirements | SHALL contain exactly one [1..1] code (CONF:1198-15474). |
| 15. Section.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 |
| 16. Section.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. |
| Control | 1..1 |
| Type | string |
| Requirements | This code SHALL contain exactly one [1..1] @code="11348-0" History of Past Illness (CONF:1198-15475). |
| Pattern Value | 11348-0 |
| 17. Section.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 1..1 |
| Type | string |
| Requirements | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-30831). |
| Pattern Value | 2.16.840.1.113883.6.1 |
| 18. Section.code.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..1 |
| Type | string |
| 19. Section.code.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..1 |
| Type | string |
| 20. Section.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 |
| 21. Section.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 |
| 22. Section.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 |
| 23. Section.code.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED |
| 24. Section.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CR |
| 25. Section.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD |
| 26. Section.title | |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ST |
| Requirements | SHALL contain exactly one [1..1] title (CONF:1198-7830). |
| 27. Section.text | |
| Control | 1..1 |
| Type | xhtml |
| Must Support | true |
| Requirements | SHALL contain exactly one [1..1] text (CONF:1198-7831). |
| 28. Section.confidentialityCode | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE |
| 29. Section.languageCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from HumanLanguage |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS |
| 30. Section.subject | |
| Control | 0..1 |
| Type | Element |
| 31. Section.subject.typeCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ParticipationTargetSubject |
| Type | code |
| Default Value | SBJ |
| Fixed Value | SBJ |
| 32. Section.subject.contextControlCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code |
| Default Value | OP |
| Fixed Value | OP |
| 33. Section.subject.awarenessCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE |
| 34. Section.subject.relatedSubject | |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject |
| 35. Section.author | |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Author |
| 36. Section.informant | |
| Control | 0..* |
| Type | Element |
| 37. Section.informant.typeCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ParticipationInformationGenerator |
| Type | code |
| Default Value | INF |
| Fixed Value | INF |
| 38. Section.informant.contextControlCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code |
| Default Value | OP |
| Fixed Value | OP |
| 39. Section.informant.assignedEntity | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity |
| 40. Section.informant.relatedEntity | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity |
| 41. Section.entry | |
| Control | 0..* |
| Type | Element |
| Invariants | Defined on this element only-one-statement: SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1) |
| Slicing | This element introduces a set of slices on Section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 42. Section.entry.typeCode | |
| Control | 1..1 |
| Type | code |
| Default Value | COMP |
| 43. Section.entry.contextConductionInd | |
| Control | 1..1 |
| Type | boolean |
| Default Value | true |
| 44. Section.entry.observation | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Observation |
| 45. Section.entry.regionOfInterest | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest |
| 46. Section.entry.observationMedia | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia |
| 47. Section.entry.substanceAdministration | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration |
| 48. Section.entry.supply | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Supply |
| 49. Section.entry.procedure | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure |
| 50. Section.entry.encounter | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter |
| 51. Section.entry.organizer | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer |
| 52. Section.entry.act | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Act |
| 53. Section.entry:problem | |
| SliceName | problem |
| Control | 0..* |
| Type | Element |
| Requirements | MAY contain zero or more [0..*] entry (CONF:1198-8791) such that it |
| Invariants | Defined on this element only-one-statement: SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1) |
| 54. Section.entry:problem.typeCode | |
| Control | 1..1 |
| Type | code |
| Default Value | COMP |
| 55. Section.entry:problem.contextConductionInd | |
| Control | 1..1 |
| Type | boolean |
| Default Value | true |
| 56. Section.entry:problem.observation | |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Observation(ProblemObservation) |
| Requirements | SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-15476). |
| 57. Section.entry:problem.regionOfInterest | |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest |
| 58. Section.entry:problem.observationMedia | |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia |
| 59. Section.entry:problem.substanceAdministration | |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration |
| 60. Section.entry:problem.supply | |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Supply |
| 61. Section.entry:problem.procedure | |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure |
| 62. Section.entry:problem.encounter | |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter |
| 63. Section.entry:problem.organizer | |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer |
| 64. Section.entry:problem.act | |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Act |
| 65. Section.component | |
| Control | 0..* |
| Type | Element |
| 66. Section.component.typeCode | |
| Definition | Drawn from concept domain DocumentSectionType |
| Control | 1..1 |
| Type | code |
| Default Value | COMP |
| Fixed Value | COMP |
| 67. Section.component.contextConductionInd | |
| Control | 1..1 |
| Type | boolean |
| Default Value | true |
| 68. Section.component.section | |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Section |