Consolidated CDA Release 2.2
2.2 - CI Build

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

## Resource Profile: Physician Reading Study Performer (V2)

Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.1 | Version: 2.2
Active as of 2022-05-13 | Computable Name: PhysicianReadingStudyPerformer
Other Identifiers: : urn:hl7ii:2.16.840.1.113883.10.20.6.2.1:2014-06-09

This participant is the Physician Reading Study Performer defined in documentationOf/serviceEvent. It is usually different from the attending physician. The reading physician interprets the images and evidence of the study (DICOM Definition).

Usage:

- Use this Resource Profile: Diagnostic Imaging Report

### Formal Views of Profile Content

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

- Text Summary
- Differential Table
- Snapshot Table
- Snapshot Table (Must Support)
- All

This structure is derived from CDAR2.Performer1

Summary

Mandatory: 7 elements

Structures

This structure refers to these other structures:

- US Realm Date and Time (DT.US.FIELDED) (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.3)

This structure is derived from CDAR2.Performer1

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Performer1 |  | 1..1 | CDAR2.Performer1 |
typeCode |  | 1..1 | code | Required Pattern: PRF
templateId |  | 1..1 | II |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.6.2.1
extension |  | 1..1 | string | Required Pattern: 2014-06-09
time |  | 0..1 | USRealmDateandTimeDTUSFIELDED |
assignedEntity | I | 1..1 | AssignedEntity | 1098-8429: Every assignedEntity element **SHALL** contain at least one [1..*] assignedPerson or representedOrganization (CONF:1098-8429). 1098-32135: The id **SHOULD** include zero or one [0..1] *id* where id/@root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1098-32135).
id |  | 1..* | II |
code | I | 1..1 | CE | 1098-8428: **SHALL** contain a valid DICOM personal identification code sequence (@codeSystem is 1.2.840.10008.2.16.4) or an appropriate national health care provider coding system (e.g., NUCC in the U.S., where @codeSystem is 2.16.840.1.113883.6.101) (CONF:1098-8428).
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Performer1 |  | 1..1 | CDAR2.Performer1 |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
typeCode |  | 1..1 | code | Binding: ParticipationType (required) Fixed Value: DOC
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 1..1 | II |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
assigningAuthorityName |  | 0..1 | string |
displayable |  | 0..1 | boolean |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.6.2.1
extension |  | 1..1 | string | Required Pattern: 2014-06-09
functionCode |  | 0..1 | CE |
time | I | 0..1 | USRealmDateandTimeDTUSFIELDED |
assignedEntity | I | 1..1 | AssignedEntity | 1098-8429: Every assignedEntity element **SHALL** contain at least one [1..*] assignedPerson or representedOrganization (CONF:1098-8429). 1098-32135: The id **SHOULD** include zero or one [0..1] *id* where id/@root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1098-32135).
classCode |  | 1..1 | code | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
templateId |  | 0..* | II |
id |  | 1..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML: identifiedBy (urn:hl7-org:sdtc)
code | I | 1..1 | CE | Binding: v3 Code System RoleCode (extensible) 1098-8428: **SHALL** contain a valid DICOM personal identification code sequence (@codeSystem is 1.2.840.10008.2.16.4) or an appropriate national health care provider coding system (e.g., NUCC in the U.S., where @codeSystem is 2.16.840.1.113883.6.101) (CONF:1098-8428).
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
assignedPerson |  | 0..1 | Person |
representedOrganization |  | 0..1 | Organization |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Performer1 |  | 1..1 | CDAR2.Performer1 |
Documentation for this format

This structure is derived from CDAR2.Performer1

Summary

Mandatory: 7 elements

Structures

This structure refers to these other structures:

- US Realm Date and Time (DT.US.FIELDED) (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.3)

Differential View

This structure is derived from CDAR2.Performer1

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Performer1 |  | 1..1 | CDAR2.Performer1 |
typeCode |  | 1..1 | code | Required Pattern: PRF
templateId |  | 1..1 | II |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.6.2.1
extension |  | 1..1 | string | Required Pattern: 2014-06-09
time |  | 0..1 | USRealmDateandTimeDTUSFIELDED |
assignedEntity | I | 1..1 | AssignedEntity | 1098-8429: Every assignedEntity element **SHALL** contain at least one [1..*] assignedPerson or representedOrganization (CONF:1098-8429). 1098-32135: The id **SHOULD** include zero or one [0..1] *id* where id/@root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1098-32135).
id |  | 1..* | II |
code | I | 1..1 | CE | 1098-8428: **SHALL** contain a valid DICOM personal identification code sequence (@codeSystem is 1.2.840.10008.2.16.4) or an appropriate national health care provider coding system (e.g., NUCC in the U.S., where @codeSystem is 2.16.840.1.113883.6.101) (CONF:1098-8428).
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Performer1 |  | 1..1 | CDAR2.Performer1 |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
typeCode |  | 1..1 | code | Binding: ParticipationType (required) Fixed Value: DOC
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 1..1 | II |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
assigningAuthorityName |  | 0..1 | string |
displayable |  | 0..1 | boolean |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.6.2.1
extension |  | 1..1 | string | Required Pattern: 2014-06-09
functionCode |  | 0..1 | CE |
time | I | 0..1 | USRealmDateandTimeDTUSFIELDED |
assignedEntity | I | 1..1 | AssignedEntity | 1098-8429: Every assignedEntity element **SHALL** contain at least one [1..*] assignedPerson or representedOrganization (CONF:1098-8429). 1098-32135: The id **SHOULD** include zero or one [0..1] *id* where id/@root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1098-32135).
classCode |  | 1..1 | code | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
templateId |  | 0..* | II |
id |  | 1..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML: identifiedBy (urn:hl7-org:sdtc)
code | I | 1..1 | CE | Binding: v3 Code System RoleCode (extensible) 1098-8428: **SHALL** contain a valid DICOM personal identification code sequence (@codeSystem is 1.2.840.10008.2.16.4) or an appropriate national health care provider coding system (e.g., NUCC in the U.S., where @codeSystem is 2.16.840.1.113883.6.101) (CONF:1098-8428).
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
assignedPerson |  | 0..1 | Person |
representedOrganization |  | 0..1 | Organization |
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Performer1.nullFlavor | required | NullFlavor
Performer1.typeCode | required | Fixed Value: DOC
Performer1.templateId.nullFlavor | required | NullFlavor
Performer1.assignedEntity.classCode | required | Fixed Value: ASSIGNED
Performer1.assignedEntity.code | extensible | RoleCode

#### Constraints

Id | Grade | Path | Details | Requirements
81-10078 | error | Performer1.time | **SHALL** be precise to the day (CONF:81-10078). : |
81-10079 | warning | Performer1.time | **SHOULD** be precise to the minute (CONF:81-10079). : |
81-10080 | warning | Performer1.time | **MAY** be precise to the second (CONF:81-10080). : |
81-10081 | warning | Performer1.time | If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081). : |
1098-8429 | error | Performer1.assignedEntity | Every assignedEntity element **SHALL** contain at least one [1..*] assignedPerson or representedOrganization (CONF:1098-8429). : |
1098-32135 | warning | Performer1.assignedEntity | The id **SHOULD** include zero or one [0..1] *id* where id/@root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1098-32135). : |
1098-8428 | error | Performer1.assignedEntity.code | **SHALL** contain a valid DICOM personal identification code sequence (@codeSystem is 1.2.840.10008.2.16.4) or an appropriate national health care provider coding system (e.g., NUCC in the U.S., where @codeSystem is 2.16.840.1.113883.6.101) (CONF:1098-8428). : |