Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Logical Model: Result Organizer

This template provides a mechanism for grouping result observations. It contains information applicable to all of the contained result observations. The Result Organizer code categorizes the contained results into one of several commonly accepted values (e.g., Hematology, Chemistry, Nuclear Medicine).

If any Result Observation within the organizer has a statusCode of "active", the Result Organizer must also have a statusCode of "active".

A specimen linked to a Result Organizer applies to all Result Observations. Centralizing specimen details within the Organizer is advised for clarity and consistency, as Result Observations typically relate to a single specimen collection, like using a purple top tube for CBCs. In cases of poor-quality specimens, a specimen reject reason is logically associated with the procedure, not the result, as there may be no result. The Result Organizer includes the specimen collection procedure, which may contain information about specimen condition acceptability. The Specimen Colection Procedure includes representation of the USCDI data element "Specimen Condition Acceptability".

The Result Organizer template is a versatile template designed to represent any type of finding resulting from various types of tests. Value set bindings for Observation.code have been created to support implementers, covering three categories: 1) Common Laboratory Tests, 2) Radiology Tests, and 3) Clinical Tests. If a suitable code is not available within these value sets, first use another LOINC code. If no LOINC code is appropriate, a local code may be used.

Usage:

• Use this Logical Model: Health Concern Act, Results Section and Risk Concern Act

Formal Views of Template Content

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

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

This structure is derived from Organizer

Name	Flags	Card.	Type	Description & Constraints
Organizer	C	1..1	Organizer	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-sdtcCategory: SHOULD contain sdtcCategory should-author: SHOULD contain author
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:result-org		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.1
@extension		1..1	st	Required Pattern: 2023-05-01
@classCode		1..1	cs
@moodCode		1..1	cs
id		1..*	II
sdtcCategory		0..1	CD	Binding: DiagnosticServiceSectionCodes (preferred)
code	C	1..1	CD	Binding: v3 Code System ActCode (example) Additional Bindings Purpose Documentation Common LOINC Lab Codes Preferred Common Lab Tests Radiology Procedures (LOINC) Preferred Radiology Clinical Tests Preferred Clinical Test 4537-19218: **SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT (codeSystem 2.16.840.1.113883.6.12) (CONF:4537-19218).
sdtcText		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
statusCode		1..1	CS
@nullFlavor		0..0
@code		1..1	cs	Binding: Result Status (required)
effectiveTime		0..1	IVL_TS	The effectiveTime is an interval that spans the effectiveTimes of the contained result observations. Because all contained result observations have a required time stamp, it is not required that this effectiveTime be populated.
low		1..1	IVXB_TS
high		1..1	IVXB_TS
specimen		0..*	Specimen	When an organizer is for laboratory, observations are expected to include the specimen participant. The specimen included at specimenPlayingEntity/code must be consistent with the observation/code.
specimenRole		1..1	SpecimenRole	𝗨𝗦𝗖𝗗𝗜: Specimen Identifier
id		1..*	II
specimenPlayingEntity		1..1	PlayingEntity	𝗨𝗦𝗖𝗗𝗜: Specimen Type
code		1..1	CE	Binding: Specimen type (preferred)
author		0..*	AuthorParticipation	Base for all types and resources
Slices for component		1..*	OrganizerComponent	Slice: Unordered, Open by profile:observation, profile:procedure
component:resultObs		1..*	OrganizerComponent	𝗨𝗦𝗖𝗗𝗜: Values/Results
observation		1..1	ResultObservation	Base for all types and resources
component:specimenProc		0..1	OrganizerComponent	(USCDI) Specimen Condition Acceptability
procedure		1..1	SpecimenCollectionProcedure	Base for all types and resources
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Organizer.sdtcCategory	preferred	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
Organizer.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Organizer.statusCode.code	required	ResultStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.39 from https://vsac.nlm.nih.gov
Organizer.specimen.specimenRole.specimenPlayingEntity.code	preferred	SpecimenType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
4537-19218	warning	Organizer.code	**SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT (codeSystem 2.16.840.1.113883.6.12) (CONF:4537-19218). : codeSystem = '2.16.840.1.113883.6.1' or codeSystem = '2.16.840.1.113883.6.96'
should-author	warning	Organizer	SHOULD contain author : author.exists()
should-sdtcCategory	warning	Organizer	SHOULD contain sdtcCategory : sdtcCategory.exists()
should-sdtctext-ref-value	warning	Organizer	SHOULD contain text/reference/@value : sdtcText.reference.value.exists()
value-starts-octothorpe	error	Organizer.sdtcText.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Name	Flags	Card.	Type	Description & Constraints
Organizer	C	1..1	Organizer	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-sdtcCategory: SHOULD contain sdtcCategory should-author: SHOULD contain author
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:result-org		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.1
@extension		1..1	st	Required Pattern: 2023-05-01
@classCode		1..1	cs	Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
@moodCode		1..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
id		1..*	II
sdtcCategory		0..1	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) Binding: DiagnosticServiceSectionCodes (preferred)
code	C	1..1	CD	Binding: v3 Code System ActCode (example) Additional Bindings Purpose Documentation Common LOINC Lab Codes Preferred Common Lab Tests Radiology Procedures (LOINC) Preferred Radiology Clinical Tests Preferred Clinical Test 4537-19218: **SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT (codeSystem 2.16.840.1.113883.6.12) (CONF:4537-19218).
sdtcText		0..1	ED	XML Namespace: urn:hl7-org:sdtc SHOULD reference the portion of section narrative text corresponding to this entry XML: text (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
thumbnail		0..1	ED
statusCode		1..1	CS	Binding: ActStatus (required)
@code		1..1	cs	Binding: Result Status (required)
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime		0..1	IVL_TS	The effectiveTime is an interval that spans the effectiveTimes of the contained result observations. Because all contained result observations have a required time stamp, it is not required that this effectiveTime be populated.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator		0..1	cs	Binding: CDASetOperator (required)
low		1..1	IVXB_TS
center		0..1	TS
width		0..1	PQ
high		1..1	IVXB_TS
subject		0..1	Subject
specimen		0..*	Specimen	When an organizer is for laboratory, observations are expected to include the specimen participant. The specimen included at specimenPlayingEntity/code must be consistent with the observation/code.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: SPC
specimenRole		1..1	SpecimenRole	𝗨𝗦𝗖𝗗𝗜: Specimen Identifier
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassSpecimen (required) Fixed Value: SPEC
id		1..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
specimenPlayingEntity		1..1	PlayingEntity	𝗨𝗦𝗖𝗗𝗜: Specimen Type
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassRoot (required)
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
code		1..1	CE	Binding: Specimen type (preferred)
quantity		0..*	PQ
name		0..*	PN
sdtcBirthTime		0..1	TS	XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc)
desc		0..1	ED
performer		0..*	Performer2
author		0..*	AuthorParticipation	Base for all types and resources
informant		0..*	Informant
participant		0..*	Participant2
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
Slices for component		1..*	OrganizerComponent	Slice: Unordered, Open by profile:observation, profile:procedure
component:resultObs		1..*	OrganizerComponent	𝗨𝗦𝗖𝗗𝗜: Values/Results
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required)
@contextConductionInd		0..1	bl	Fixed Value: true
sequenceNumber		0..1	INT
sdtcPriorityNumber		0..1	INT	XML Namespace: urn:hl7-org:sdtc XML: priorityNumber (urn:hl7-org:sdtc)
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	ResultObservation	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-interpretationCode: SHOULD contain interpretationCode should-author: SHOULD contain author should-referenceRange: SHOULD contain referenceRange
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
component:specimenProc		0..1	OrganizerComponent	(USCDI) Specimen Condition Acceptability
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required)
@contextConductionInd		0..1	bl	Fixed Value: true
sequenceNumber		0..1	INT
sdtcPriorityNumber		0..1	INT	XML Namespace: urn:hl7-org:sdtc XML: priorityNumber (urn:hl7-org:sdtc)
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure	C	1..1	SpecimenCollectionProcedure	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Organizer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.templateId:result-org.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.classCode	required	XActClassDocumentEntryOrganizer http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0
Organizer.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
Organizer.sdtcCategory	preferred	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
Organizer.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Organizer.sdtcText.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.sdtcText.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Organizer.sdtcText.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Organizer.sdtcText.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Organizer.sdtcText.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Organizer.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Organizer.statusCode.code	required	ResultStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.39 from https://vsac.nlm.nih.gov
Organizer.effectiveTime.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.effectiveTime.operator	required	CDASetOperator http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Organizer.specimen.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.typeCode	required	Fixed Value: SPC http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Organizer.specimen.specimenRole.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.classCode	required	Fixed Value: SPEC http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen
Organizer.specimen.specimenRole.specimenPlayingEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.specimenPlayingEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.specimenPlayingEntity.classCode	required	EntityClassRoot http://terminology.hl7.org/ValueSet/v3-EntityClassRoot
Organizer.specimen.specimenRole.specimenPlayingEntity.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Organizer.specimen.specimenRole.specimenPlayingEntity.code	preferred	SpecimenType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54 from https://vsac.nlm.nih.gov
Organizer.component:resultObs.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:resultObs.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:resultObs.typeCode	required	ActRelationshipHasComponent http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
Organizer.component:specimenProc.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:specimenProc.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:specimenProc.typeCode	required	ActRelationshipHasComponent http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent

Constraints

Id	Grade	Path(s)	Details	Requirements
4537-19218	warning	Organizer.code	**SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT (codeSystem 2.16.840.1.113883.6.12) (CONF:4537-19218). : codeSystem = '2.16.840.1.113883.6.1' or codeSystem = '2.16.840.1.113883.6.96'
II-1	error	Organizer.typeId, Organizer.specimen.typeId, Organizer.specimen.specimenRole.typeId, Organizer.specimen.specimenRole.specimenPlayingEntity.typeId, Organizer.component:resultObs.typeId, Organizer.component:specimenProc.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()
should-author	warning	Organizer	SHOULD contain author : author.exists()
should-author	warning	Organizer.component:resultObs.observation	SHOULD contain author : author.exists()
should-effectiveTime	warning	Organizer.component:specimenProc.procedure	SHOULD contain effectiveTime : effectiveTime.exists()
should-interpretationCode	warning	Organizer.component:resultObs.observation	SHOULD contain interpretationCode : interpretationCode.exists()
should-referenceRange	warning	Organizer.component:resultObs.observation	SHOULD contain referenceRange : referenceRange.exists()
should-sdtcCategory	warning	Organizer	SHOULD contain sdtcCategory : sdtcCategory.exists()
should-sdtctext-ref-value	warning	Organizer	SHOULD contain text/reference/@value : sdtcText.reference.value.exists()
should-targetSiteCode	warning	Organizer.component:specimenProc.procedure	SHOULD contain targetSiteCode : targetSiteCode.exists()
should-text-ref-value	warning	Organizer.component:resultObs.observation, Organizer.component:specimenProc.procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Organizer.sdtcText.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Name	Flags	Card.	Type	Description & Constraints
Organizer	C	1..1	Organizer	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-sdtcCategory: SHOULD contain sdtcCategory should-author: SHOULD contain author
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:result-org		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.1
@extension		1..1	st	Required Pattern: 2023-05-01
@classCode		1..1	cs	Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
@moodCode		1..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
id		1..*	II
sdtcCategory		0..1	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) Binding: DiagnosticServiceSectionCodes (preferred)
code	C	1..1	CD	Binding: v3 Code System ActCode (example) Additional Bindings Purpose Documentation Common LOINC Lab Codes Preferred Common Lab Tests Radiology Procedures (LOINC) Preferred Radiology Clinical Tests Preferred Clinical Test 4537-19218: **SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT (codeSystem 2.16.840.1.113883.6.12) (CONF:4537-19218).
sdtcText		0..1	ED	XML Namespace: urn:hl7-org:sdtc SHOULD reference the portion of section narrative text corresponding to this entry XML: text (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
thumbnail		0..1	ED
statusCode		1..1	CS	Binding: ActStatus (required)
@code		1..1	cs	Binding: Result Status (required)
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime		0..1	IVL_TS	The effectiveTime is an interval that spans the effectiveTimes of the contained result observations. Because all contained result observations have a required time stamp, it is not required that this effectiveTime be populated.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator		0..1	cs	Binding: CDASetOperator (required)
low		1..1	IVXB_TS
center		0..1	TS
width		0..1	PQ
high		1..1	IVXB_TS
subject		0..1	Subject
specimen		0..*	Specimen	When an organizer is for laboratory, observations are expected to include the specimen participant. The specimen included at specimenPlayingEntity/code must be consistent with the observation/code.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: SPC
specimenRole		1..1	SpecimenRole	𝗨𝗦𝗖𝗗𝗜: Specimen Identifier
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassSpecimen (required) Fixed Value: SPEC
id		1..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
specimenPlayingEntity		1..1	PlayingEntity	𝗨𝗦𝗖𝗗𝗜: Specimen Type
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassRoot (required)
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
code		1..1	CE	Binding: Specimen type (preferred)
quantity		0..*	PQ
name		0..*	PN
sdtcBirthTime		0..1	TS	XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc)
desc		0..1	ED
performer		0..*	Performer2
author		0..*	AuthorParticipation	Base for all types and resources
informant		0..*	Informant
participant		0..*	Participant2
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
Slices for component		1..*	OrganizerComponent	Slice: Unordered, Open by profile:observation, profile:procedure
component:resultObs		1..*	OrganizerComponent	𝗨𝗦𝗖𝗗𝗜: Values/Results
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required)
@contextConductionInd		0..1	bl	Fixed Value: true
sequenceNumber		0..1	INT
sdtcPriorityNumber		0..1	INT	XML Namespace: urn:hl7-org:sdtc XML: priorityNumber (urn:hl7-org:sdtc)
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	ResultObservation	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-interpretationCode: SHOULD contain interpretationCode should-author: SHOULD contain author should-referenceRange: SHOULD contain referenceRange
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
component:specimenProc		0..1	OrganizerComponent	(USCDI) Specimen Condition Acceptability
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required)
@contextConductionInd		0..1	bl	Fixed Value: true
sequenceNumber		0..1	INT
sdtcPriorityNumber		0..1	INT	XML Namespace: urn:hl7-org:sdtc XML: priorityNumber (urn:hl7-org:sdtc)
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure	C	1..1	SpecimenCollectionProcedure	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Organizer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.templateId:result-org.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.classCode	required	XActClassDocumentEntryOrganizer http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0
Organizer.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
Organizer.sdtcCategory	preferred	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
Organizer.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Organizer.sdtcText.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.sdtcText.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Organizer.sdtcText.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Organizer.sdtcText.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Organizer.sdtcText.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Organizer.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Organizer.statusCode.code	required	ResultStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.39 from https://vsac.nlm.nih.gov
Organizer.effectiveTime.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.effectiveTime.operator	required	CDASetOperator http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Organizer.specimen.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.typeCode	required	Fixed Value: SPC http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Organizer.specimen.specimenRole.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.classCode	required	Fixed Value: SPEC http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen
Organizer.specimen.specimenRole.specimenPlayingEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.specimenPlayingEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.specimenPlayingEntity.classCode	required	EntityClassRoot http://terminology.hl7.org/ValueSet/v3-EntityClassRoot
Organizer.specimen.specimenRole.specimenPlayingEntity.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Organizer.specimen.specimenRole.specimenPlayingEntity.code	preferred	SpecimenType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54 from https://vsac.nlm.nih.gov
Organizer.component:resultObs.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:resultObs.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:resultObs.typeCode	required	ActRelationshipHasComponent http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
Organizer.component:specimenProc.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:specimenProc.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:specimenProc.typeCode	required	ActRelationshipHasComponent http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent

Constraints

Id	Grade	Path(s)	Details	Requirements
4537-19218	warning	Organizer.code	**SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT (codeSystem 2.16.840.1.113883.6.12) (CONF:4537-19218). : codeSystem = '2.16.840.1.113883.6.1' or codeSystem = '2.16.840.1.113883.6.96'
II-1	error	Organizer.typeId, Organizer.specimen.typeId, Organizer.specimen.specimenRole.typeId, Organizer.specimen.specimenRole.specimenPlayingEntity.typeId, Organizer.component:resultObs.typeId, Organizer.component:specimenProc.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()
should-author	warning	Organizer	SHOULD contain author : author.exists()
should-author	warning	Organizer.component:resultObs.observation	SHOULD contain author : author.exists()
should-effectiveTime	warning	Organizer.component:specimenProc.procedure	SHOULD contain effectiveTime : effectiveTime.exists()
should-interpretationCode	warning	Organizer.component:resultObs.observation	SHOULD contain interpretationCode : interpretationCode.exists()
should-referenceRange	warning	Organizer.component:resultObs.observation	SHOULD contain referenceRange : referenceRange.exists()
should-sdtcCategory	warning	Organizer	SHOULD contain sdtcCategory : sdtcCategory.exists()
should-sdtctext-ref-value	warning	Organizer	SHOULD contain text/reference/@value : sdtcText.reference.value.exists()
should-targetSiteCode	warning	Organizer.component:specimenProc.procedure	SHOULD contain targetSiteCode : targetSiteCode.exists()
should-text-ref-value	warning	Organizer.component:resultObs.observation, Organizer.component:specimenProc.procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Organizer.sdtcText.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

This structure is derived from Organizer

Summary

Mandatory: 10 elements(6 nested mandatory elements)
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Author Participation (http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation)
• Result Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ResultObservation)
• Specimen Collection Procedure (http://hl7.org/cda/us/ccda/StructureDefinition/SpecimenCollectionProcedure)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Organizer.templateId
• The element 2 is sliced based on the values of Organizer.component

Differential View

This structure is derived from Organizer

Name	Flags	Card.	Type	Description & Constraints
Organizer	C	1..1	Organizer	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-sdtcCategory: SHOULD contain sdtcCategory should-author: SHOULD contain author
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:result-org		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.1
@extension		1..1	st	Required Pattern: 2023-05-01
@classCode		1..1	cs
@moodCode		1..1	cs
id		1..*	II
sdtcCategory		0..1	CD	Binding: DiagnosticServiceSectionCodes (preferred)
code	C	1..1	CD	Binding: v3 Code System ActCode (example) Additional Bindings Purpose Documentation Common LOINC Lab Codes Preferred Common Lab Tests Radiology Procedures (LOINC) Preferred Radiology Clinical Tests Preferred Clinical Test 4537-19218: **SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT (codeSystem 2.16.840.1.113883.6.12) (CONF:4537-19218).
sdtcText		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
statusCode		1..1	CS
@nullFlavor		0..0
@code		1..1	cs	Binding: Result Status (required)
effectiveTime		0..1	IVL_TS	The effectiveTime is an interval that spans the effectiveTimes of the contained result observations. Because all contained result observations have a required time stamp, it is not required that this effectiveTime be populated.
low		1..1	IVXB_TS
high		1..1	IVXB_TS
specimen		0..*	Specimen	When an organizer is for laboratory, observations are expected to include the specimen participant. The specimen included at specimenPlayingEntity/code must be consistent with the observation/code.
specimenRole		1..1	SpecimenRole	𝗨𝗦𝗖𝗗𝗜: Specimen Identifier
id		1..*	II
specimenPlayingEntity		1..1	PlayingEntity	𝗨𝗦𝗖𝗗𝗜: Specimen Type
code		1..1	CE	Binding: Specimen type (preferred)
author		0..*	AuthorParticipation	Base for all types and resources
Slices for component		1..*	OrganizerComponent	Slice: Unordered, Open by profile:observation, profile:procedure
component:resultObs		1..*	OrganizerComponent	𝗨𝗦𝗖𝗗𝗜: Values/Results
observation		1..1	ResultObservation	Base for all types and resources
component:specimenProc		0..1	OrganizerComponent	(USCDI) Specimen Condition Acceptability
procedure		1..1	SpecimenCollectionProcedure	Base for all types and resources
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Organizer.sdtcCategory	preferred	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
Organizer.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Organizer.statusCode.code	required	ResultStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.39 from https://vsac.nlm.nih.gov
Organizer.specimen.specimenRole.specimenPlayingEntity.code	preferred	SpecimenType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
4537-19218	warning	Organizer.code	**SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT (codeSystem 2.16.840.1.113883.6.12) (CONF:4537-19218). : codeSystem = '2.16.840.1.113883.6.1' or codeSystem = '2.16.840.1.113883.6.96'
should-author	warning	Organizer	SHOULD contain author : author.exists()
should-sdtcCategory	warning	Organizer	SHOULD contain sdtcCategory : sdtcCategory.exists()
should-sdtctext-ref-value	warning	Organizer	SHOULD contain text/reference/@value : sdtcText.reference.value.exists()
value-starts-octothorpe	error	Organizer.sdtcText.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Organizer	C	1..1	Organizer	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-sdtcCategory: SHOULD contain sdtcCategory should-author: SHOULD contain author
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:result-org		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.1
@extension		1..1	st	Required Pattern: 2023-05-01
@classCode		1..1	cs	Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
@moodCode		1..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
id		1..*	II
sdtcCategory		0..1	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) Binding: DiagnosticServiceSectionCodes (preferred)
code	C	1..1	CD	Binding: v3 Code System ActCode (example) Additional Bindings Purpose Documentation Common LOINC Lab Codes Preferred Common Lab Tests Radiology Procedures (LOINC) Preferred Radiology Clinical Tests Preferred Clinical Test 4537-19218: **SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT (codeSystem 2.16.840.1.113883.6.12) (CONF:4537-19218).
sdtcText		0..1	ED	XML Namespace: urn:hl7-org:sdtc SHOULD reference the portion of section narrative text corresponding to this entry XML: text (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
thumbnail		0..1	ED
statusCode		1..1	CS	Binding: ActStatus (required)
@code		1..1	cs	Binding: Result Status (required)
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime		0..1	IVL_TS	The effectiveTime is an interval that spans the effectiveTimes of the contained result observations. Because all contained result observations have a required time stamp, it is not required that this effectiveTime be populated.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator		0..1	cs	Binding: CDASetOperator (required)
low		1..1	IVXB_TS
center		0..1	TS
width		0..1	PQ
high		1..1	IVXB_TS
subject		0..1	Subject
specimen		0..*	Specimen	When an organizer is for laboratory, observations are expected to include the specimen participant. The specimen included at specimenPlayingEntity/code must be consistent with the observation/code.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: SPC
specimenRole		1..1	SpecimenRole	𝗨𝗦𝗖𝗗𝗜: Specimen Identifier
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassSpecimen (required) Fixed Value: SPEC
id		1..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
specimenPlayingEntity		1..1	PlayingEntity	𝗨𝗦𝗖𝗗𝗜: Specimen Type
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassRoot (required)
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
code		1..1	CE	Binding: Specimen type (preferred)
quantity		0..*	PQ
name		0..*	PN
sdtcBirthTime		0..1	TS	XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc)
desc		0..1	ED
performer		0..*	Performer2
author		0..*	AuthorParticipation	Base for all types and resources
informant		0..*	Informant
participant		0..*	Participant2
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
Slices for component		1..*	OrganizerComponent	Slice: Unordered, Open by profile:observation, profile:procedure
component:resultObs		1..*	OrganizerComponent	𝗨𝗦𝗖𝗗𝗜: Values/Results
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required)
@contextConductionInd		0..1	bl	Fixed Value: true
sequenceNumber		0..1	INT
sdtcPriorityNumber		0..1	INT	XML Namespace: urn:hl7-org:sdtc XML: priorityNumber (urn:hl7-org:sdtc)
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	ResultObservation	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-interpretationCode: SHOULD contain interpretationCode should-author: SHOULD contain author should-referenceRange: SHOULD contain referenceRange
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
component:specimenProc		0..1	OrganizerComponent	(USCDI) Specimen Condition Acceptability
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required)
@contextConductionInd		0..1	bl	Fixed Value: true
sequenceNumber		0..1	INT
sdtcPriorityNumber		0..1	INT	XML Namespace: urn:hl7-org:sdtc XML: priorityNumber (urn:hl7-org:sdtc)
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure	C	1..1	SpecimenCollectionProcedure	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Organizer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.templateId:result-org.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.classCode	required	XActClassDocumentEntryOrganizer http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0
Organizer.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
Organizer.sdtcCategory	preferred	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
Organizer.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Organizer.sdtcText.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.sdtcText.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Organizer.sdtcText.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Organizer.sdtcText.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Organizer.sdtcText.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Organizer.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Organizer.statusCode.code	required	ResultStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.39 from https://vsac.nlm.nih.gov
Organizer.effectiveTime.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.effectiveTime.operator	required	CDASetOperator http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Organizer.specimen.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.typeCode	required	Fixed Value: SPC http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Organizer.specimen.specimenRole.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.classCode	required	Fixed Value: SPEC http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen
Organizer.specimen.specimenRole.specimenPlayingEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.specimenPlayingEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.specimenPlayingEntity.classCode	required	EntityClassRoot http://terminology.hl7.org/ValueSet/v3-EntityClassRoot
Organizer.specimen.specimenRole.specimenPlayingEntity.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Organizer.specimen.specimenRole.specimenPlayingEntity.code	preferred	SpecimenType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54 from https://vsac.nlm.nih.gov
Organizer.component:resultObs.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:resultObs.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:resultObs.typeCode	required	ActRelationshipHasComponent http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
Organizer.component:specimenProc.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:specimenProc.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:specimenProc.typeCode	required	ActRelationshipHasComponent http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent

Constraints

Id	Grade	Path(s)	Details	Requirements
4537-19218	warning	Organizer.code	**SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT (codeSystem 2.16.840.1.113883.6.12) (CONF:4537-19218). : codeSystem = '2.16.840.1.113883.6.1' or codeSystem = '2.16.840.1.113883.6.96'
II-1	error	Organizer.typeId, Organizer.specimen.typeId, Organizer.specimen.specimenRole.typeId, Organizer.specimen.specimenRole.specimenPlayingEntity.typeId, Organizer.component:resultObs.typeId, Organizer.component:specimenProc.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()
should-author	warning	Organizer	SHOULD contain author : author.exists()
should-author	warning	Organizer.component:resultObs.observation	SHOULD contain author : author.exists()
should-effectiveTime	warning	Organizer.component:specimenProc.procedure	SHOULD contain effectiveTime : effectiveTime.exists()
should-interpretationCode	warning	Organizer.component:resultObs.observation	SHOULD contain interpretationCode : interpretationCode.exists()
should-referenceRange	warning	Organizer.component:resultObs.observation	SHOULD contain referenceRange : referenceRange.exists()
should-sdtcCategory	warning	Organizer	SHOULD contain sdtcCategory : sdtcCategory.exists()
should-sdtctext-ref-value	warning	Organizer	SHOULD contain text/reference/@value : sdtcText.reference.value.exists()
should-targetSiteCode	warning	Organizer.component:specimenProc.procedure	SHOULD contain targetSiteCode : targetSiteCode.exists()
should-text-ref-value	warning	Organizer.component:resultObs.observation, Organizer.component:specimenProc.procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Organizer.sdtcText.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Organizer	C	1..1	Organizer	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, sdtcText, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, sdtcPrecondition2, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-sdtctext-ref-value: SHOULD contain text/reference/@value should-sdtcCategory: SHOULD contain sdtcCategory should-author: SHOULD contain author
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:result-org		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.1
@extension		1..1	st	Required Pattern: 2023-05-01
@classCode		1..1	cs	Binding: XActClassDocumentEntryOrganizer (2.0.0) (required)
@moodCode		1..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
id		1..*	II
sdtcCategory		0..1	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) Binding: DiagnosticServiceSectionCodes (preferred)
code	C	1..1	CD	Binding: v3 Code System ActCode (example) Additional Bindings Purpose Documentation Common LOINC Lab Codes Preferred Common Lab Tests Radiology Procedures (LOINC) Preferred Radiology Clinical Tests Preferred Clinical Test 4537-19218: **SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT (codeSystem 2.16.840.1.113883.6.12) (CONF:4537-19218).
sdtcText		0..1	ED	XML Namespace: urn:hl7-org:sdtc SHOULD reference the portion of section narrative text corresponding to this entry XML: text (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
thumbnail		0..1	ED
statusCode		1..1	CS	Binding: ActStatus (required)
@code		1..1	cs	Binding: Result Status (required)
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime		0..1	IVL_TS	The effectiveTime is an interval that spans the effectiveTimes of the contained result observations. Because all contained result observations have a required time stamp, it is not required that this effectiveTime be populated.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator		0..1	cs	Binding: CDASetOperator (required)
low		1..1	IVXB_TS
center		0..1	TS
width		0..1	PQ
high		1..1	IVXB_TS
subject		0..1	Subject
specimen		0..*	Specimen	When an organizer is for laboratory, observations are expected to include the specimen participant. The specimen included at specimenPlayingEntity/code must be consistent with the observation/code.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: SPC
specimenRole		1..1	SpecimenRole	𝗨𝗦𝗖𝗗𝗜: Specimen Identifier
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassSpecimen (required) Fixed Value: SPEC
id		1..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
specimenPlayingEntity		1..1	PlayingEntity	𝗨𝗦𝗖𝗗𝗜: Specimen Type
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassRoot (required)
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
code		1..1	CE	Binding: Specimen type (preferred)
quantity		0..*	PQ
name		0..*	PN
sdtcBirthTime		0..1	TS	XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc)
desc		0..1	ED
performer		0..*	Performer2
author		0..*	AuthorParticipation	Base for all types and resources
informant		0..*	Informant
participant		0..*	Participant2
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
Slices for component		1..*	OrganizerComponent	Slice: Unordered, Open by profile:observation, profile:procedure
component:resultObs		1..*	OrganizerComponent	𝗨𝗦𝗖𝗗𝗜: Values/Results
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required)
@contextConductionInd		0..1	bl	Fixed Value: true
sequenceNumber		0..1	INT
sdtcPriorityNumber		0..1	INT	XML Namespace: urn:hl7-org:sdtc XML: priorityNumber (urn:hl7-org:sdtc)
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	ResultObservation	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-interpretationCode: SHOULD contain interpretationCode should-author: SHOULD contain author should-referenceRange: SHOULD contain referenceRange
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
component:specimenProc		0..1	OrganizerComponent	(USCDI) Specimen Condition Acceptability
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required)
@contextConductionInd		0..1	bl	Fixed Value: true
sequenceNumber		0..1	INT
sdtcPriorityNumber		0..1	INT	XML Namespace: urn:hl7-org:sdtc XML: priorityNumber (urn:hl7-org:sdtc)
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure	C	1..1	SpecimenCollectionProcedure	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Organizer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.templateId:result-org.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.classCode	required	XActClassDocumentEntryOrganizer http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryOrganizer|2.0.0
Organizer.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
Organizer.sdtcCategory	preferred	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
Organizer.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Organizer.sdtcText.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.sdtcText.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Organizer.sdtcText.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Organizer.sdtcText.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Organizer.sdtcText.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Organizer.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Organizer.statusCode.code	required	ResultStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.39 from https://vsac.nlm.nih.gov
Organizer.effectiveTime.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.effectiveTime.operator	required	CDASetOperator http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Organizer.specimen.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.typeCode	required	Fixed Value: SPC http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Organizer.specimen.specimenRole.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.classCode	required	Fixed Value: SPEC http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen
Organizer.specimen.specimenRole.specimenPlayingEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.specimenPlayingEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.specimen.specimenRole.specimenPlayingEntity.classCode	required	EntityClassRoot http://terminology.hl7.org/ValueSet/v3-EntityClassRoot
Organizer.specimen.specimenRole.specimenPlayingEntity.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Organizer.specimen.specimenRole.specimenPlayingEntity.code	preferred	SpecimenType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54 from https://vsac.nlm.nih.gov
Organizer.component:resultObs.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:resultObs.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:resultObs.typeCode	required	ActRelationshipHasComponent http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
Organizer.component:specimenProc.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:specimenProc.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Organizer.component:specimenProc.typeCode	required	ActRelationshipHasComponent http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent

Constraints

Id	Grade	Path(s)	Details	Requirements
4537-19218	warning	Organizer.code	**SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT (codeSystem 2.16.840.1.113883.6.12) (CONF:4537-19218). : codeSystem = '2.16.840.1.113883.6.1' or codeSystem = '2.16.840.1.113883.6.96'
II-1	error	Organizer.typeId, Organizer.specimen.typeId, Organizer.specimen.specimenRole.typeId, Organizer.specimen.specimenRole.specimenPlayingEntity.typeId, Organizer.component:resultObs.typeId, Organizer.component:specimenProc.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()
should-author	warning	Organizer	SHOULD contain author : author.exists()
should-author	warning	Organizer.component:resultObs.observation	SHOULD contain author : author.exists()
should-effectiveTime	warning	Organizer.component:specimenProc.procedure	SHOULD contain effectiveTime : effectiveTime.exists()
should-interpretationCode	warning	Organizer.component:resultObs.observation	SHOULD contain interpretationCode : interpretationCode.exists()
should-referenceRange	warning	Organizer.component:resultObs.observation	SHOULD contain referenceRange : referenceRange.exists()
should-sdtcCategory	warning	Organizer	SHOULD contain sdtcCategory : sdtcCategory.exists()
should-sdtctext-ref-value	warning	Organizer	SHOULD contain text/reference/@value : sdtcText.reference.value.exists()
should-targetSiteCode	warning	Organizer.component:specimenProc.procedure	SHOULD contain targetSiteCode : targetSiteCode.exists()
should-text-ref-value	warning	Organizer.component:resultObs.observation, Organizer.component:specimenProc.procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Organizer.sdtcText.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

This structure is derived from Organizer

Summary

Mandatory: 10 elements(6 nested mandatory elements)
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Author Participation (http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation)
• Result Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ResultObservation)
• Specimen Collection Procedure (http://hl7.org/cda/us/ccda/StructureDefinition/SpecimenCollectionProcedure)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Organizer.templateId
• The element 2 is sliced based on the values of Organizer.component