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 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
Logical Model:
Assessment and Plan Section
Official URL : http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentandPlanSection
Version :
4.0.0
Draft
as of 2025-08-21
Computable Name : AssessmentandPlanSection
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.2.9:2014-06-09
This section represents the clinician's conclusions and working assumptions that will guide treatment of the patient. The Assessment and Plan Section may be combined or separated to meet local policy requirements.
When this section.text contains extra information not contained in the discrete entries, it is helpful to wrap the text of this section in a Note Activity to support ingestion.
See also the Assessment Section: templateId 2.16.840.1.113883.10.20.22.2.8 and Plan of Treatment Section: templateId 2.16.840.1.113883.10.20.22.2.10:2014-06-09
Templates Used
Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:
Optional Entries : NoteActivity , PlannedProcedure
Usages:
You can also check for usages in the FHIR IG Statistics
Changes since version 3.0.0:
New Content
Formal Views of Template Content
Description of Template, Differentials, Snapshots and how the different presentations work .
This structure is derived from Section
Name Flags Card. Type Description & Constraints Filter: Bindings
Section C 1 .. 1 Section XML Namespace: urn:hl7-org:v3@nullFlavor , realmCode , typeId , templateId , @ID , @classCode , @moodCode , id , code , title , text , confidentialityCode , languageCode , subject , author , informant , entry , component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: no-a-p Slices for templateId 1 .. * II Slice: Unordered, Open by value:root, value:extension templateId:section 1..1
II @root 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.10.20.22.2.9 @extension 1..1
st Required Pattern: 2014-06-09 code 1..1
CE Evaluation + Plan note @code 1..1
cs Required Pattern: 51847-2 @codeSystem 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.6.1 title 1..1
ST text 1..1
xhtml Slices for entry 0 .. * Entry Slice: Unordered, Open by profile:procedure, profile:act entry:plannedProcedure 0..*
Entry procedure 1..1
PlannedProcedure entry:notes 0..*
Entry act 1..1
NoteActivity
Constraints
Id Grade Path(s) Details Requirements no-a-p error Section When using this section, the Assessment Section and the Plan of Treatment Section SHALL NOT be used.
Name Flags Card. Type Description & Constraints Filter: Bindings
Section C 1..1
Section XML Namespace: urn:hl7-org:v3@nullFlavor , realmCode , typeId , templateId , @ID , @classCode , @moodCode , id , code , title , text , confidentialityCode , languageCode , subject , author , informant , entry , component Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: no-a-p @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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:section 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: 2.16.840.1.113883.10.20.22.2.9 @extension 1..1
st Required Pattern: 2014-06-09 @ID 0..1
xs:ID @classCode 0..1
cs Binding: ActClassRecordOrganizer ( required ) Fixed Value: DOCSECT @moodCode 0..1
cs Binding: CDAActMood ( required ) Fixed Value: EVN id 0..1
II code 1..1
CE Evaluation + Plan note @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) @code 1..1
cs Required Pattern: 51847-2 @codeSystem 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.6.1 @codeSystemName 0..1
st @codeSystemVersion 0..1
st @displayName 0..1
st @sdtcValueSet 0..1
oid XML Namespace: urn:hl7-org:sdtcXML: valueSet (urn:hl7-org:sdtc)@sdtcValueSetVersion 0..1
st XML Namespace: urn:hl7-org:sdtcXML: valueSetVersion (urn:hl7-org:sdtc)originalText 0..1
ED translation 0..*
CD title 1..1
ST text 1..1
xhtml confidentialityCode 0..1
CE languageCode 0..1
CS Binding: AllLanguages ( required ) subject 0..1
Subject author 0..*
Author informant 0..*
Informant Slices for entry 0 .. * Entry Slice: Unordered, Open by profile:procedure, profile:act entry:plannedProcedure 0..*
Entry @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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: x_ActRelationshipEntry ( required ) @contextConductionInd 0..1
bl Fixed Value: true act 0..1
Act encounter 0..1
Encounter observation 0..1
Observation observationMedia 0..1
ObservationMedia organizer 0..1
Organizer procedure 1..1
PlannedProcedure regionOfInterest 0..1
RegionOfInterest substanceAdministration 0..1
SubstanceAdministration supply 0..1
Supply entry:notes 0..*
Entry @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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: x_ActRelationshipEntry ( required ) @contextConductionInd 0..1
bl Fixed Value: true act 1..1
NoteActivity encounter 0..1
Encounter observation 0..1
Observation 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 0..*
InfrastructureRoot @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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 Fixed Value: COMP @contextConductionInd 0..1
bl Fixed Value: true section 1..1
Section
Terminology Bindings
Path Conformance ValueSet / Code URI Section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.templateId:section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.classCode required Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer
Section.moodCode required Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood
Section.code.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.languageCode required AllLanguages http://hl7.org/fhir/ValueSet/all-languages
From the FHIR Standard
Section.entry:plannedProcedure.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:plannedProcedure.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:plannedProcedure.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.entry:notes.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:notes.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:notes.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.component.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.component.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Constraints
Id Grade Path(s) Details Requirements II-1 error Section.typeId, Section.entry:plannedProcedure.typeId, Section.entry:notes.typeId, Section.component.typeId An II instance must have either a root or an nullFlavor. no-a-p error Section When using this section, the Assessment Section and the Plan of Treatment Section SHALL NOT be used.
Name Flags Card. Type Description & Constraints Filter: Bindings
Section C 1..1
Section XML Namespace: urn:hl7-org:v3@nullFlavor , realmCode , typeId , templateId , @ID , @classCode , @moodCode , id , code , title , text , confidentialityCode , languageCode , subject , author , informant , entry , component Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: no-a-p @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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:section 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: 2.16.840.1.113883.10.20.22.2.9 @extension 1..1
st Required Pattern: 2014-06-09 @ID 0..1
xs:ID @classCode 0..1
cs Binding: ActClassRecordOrganizer ( required ) Fixed Value: DOCSECT @moodCode 0..1
cs Binding: CDAActMood ( required ) Fixed Value: EVN id 0..1
II code 1..1
CE Evaluation + Plan note @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) @code 1..1
cs Required Pattern: 51847-2 @codeSystem 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.6.1 @codeSystemName 0..1
st @codeSystemVersion 0..1
st @displayName 0..1
st @sdtcValueSet 0..1
oid XML Namespace: urn:hl7-org:sdtcXML: valueSet (urn:hl7-org:sdtc)@sdtcValueSetVersion 0..1
st XML Namespace: urn:hl7-org:sdtcXML: valueSetVersion (urn:hl7-org:sdtc)originalText 0..1
ED translation 0..*
CD title 1..1
ST text 1..1
xhtml confidentialityCode 0..1
CE languageCode 0..1
CS Binding: AllLanguages ( required ) subject 0..1
Subject author 0..*
Author informant 0..*
Informant Slices for entry 0 .. * Entry Slice: Unordered, Open by profile:procedure, profile:act entry:plannedProcedure 0..*
Entry @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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: x_ActRelationshipEntry ( required ) @contextConductionInd 0..1
bl Fixed Value: true act 0..1
Act encounter 0..1
Encounter observation 0..1
Observation observationMedia 0..1
ObservationMedia organizer 0..1
Organizer procedure 1..1
PlannedProcedure regionOfInterest 0..1
RegionOfInterest substanceAdministration 0..1
SubstanceAdministration supply 0..1
Supply entry:notes 0..*
Entry @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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: x_ActRelationshipEntry ( required ) @contextConductionInd 0..1
bl Fixed Value: true act 1..1
NoteActivity encounter 0..1
Encounter observation 0..1
Observation 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 0..*
InfrastructureRoot @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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 Fixed Value: COMP @contextConductionInd 0..1
bl Fixed Value: true section 1..1
Section
Terminology Bindings
Path Conformance ValueSet / Code URI Section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.templateId:section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.classCode required Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer
Section.moodCode required Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood
Section.code.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.languageCode required AllLanguages http://hl7.org/fhir/ValueSet/all-languages
From the FHIR Standard
Section.entry:plannedProcedure.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:plannedProcedure.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:plannedProcedure.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.entry:notes.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:notes.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:notes.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.component.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.component.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Constraints
Id Grade Path(s) Details Requirements II-1 error Section.typeId, Section.entry:plannedProcedure.typeId, Section.entry:notes.typeId, Section.component.typeId An II instance must have either a root or an nullFlavor. no-a-p error Section When using this section, the Assessment Section and the Plan of Treatment Section SHALL NOT be used.
This structure is derived from Section
Summary
Mandatory: 9 elements(2 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices :
The element 2 is sliced based on the values of Section.templateId
The element 2 is sliced based on the values of Section.entry
Differential View
This structure is derived from Section
Name Flags Card. Type Description & Constraints Filter: Bindings
Section C 1 .. 1 Section XML Namespace: urn:hl7-org:v3@nullFlavor , realmCode , typeId , templateId , @ID , @classCode , @moodCode , id , code , title , text , confidentialityCode , languageCode , subject , author , informant , entry , component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: no-a-p Slices for templateId 1 .. * II Slice: Unordered, Open by value:root, value:extension templateId:section 1..1
II @root 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.10.20.22.2.9 @extension 1..1
st Required Pattern: 2014-06-09 code 1..1
CE Evaluation + Plan note @code 1..1
cs Required Pattern: 51847-2 @codeSystem 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.6.1 title 1..1
ST text 1..1
xhtml Slices for entry 0 .. * Entry Slice: Unordered, Open by profile:procedure, profile:act entry:plannedProcedure 0..*
Entry procedure 1..1
PlannedProcedure entry:notes 0..*
Entry act 1..1
NoteActivity
Constraints
Id Grade Path(s) Details Requirements no-a-p error Section When using this section, the Assessment Section and the Plan of Treatment Section SHALL NOT be used.
Key Elements View
Name Flags Card. Type Description & Constraints Filter: Bindings
Section C 1..1
Section XML Namespace: urn:hl7-org:v3@nullFlavor , realmCode , typeId , templateId , @ID , @classCode , @moodCode , id , code , title , text , confidentialityCode , languageCode , subject , author , informant , entry , component Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: no-a-p @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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:section 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: 2.16.840.1.113883.10.20.22.2.9 @extension 1..1
st Required Pattern: 2014-06-09 @ID 0..1
xs:ID @classCode 0..1
cs Binding: ActClassRecordOrganizer ( required ) Fixed Value: DOCSECT @moodCode 0..1
cs Binding: CDAActMood ( required ) Fixed Value: EVN id 0..1
II code 1..1
CE Evaluation + Plan note @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) @code 1..1
cs Required Pattern: 51847-2 @codeSystem 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.6.1 @codeSystemName 0..1
st @codeSystemVersion 0..1
st @displayName 0..1
st @sdtcValueSet 0..1
oid XML Namespace: urn:hl7-org:sdtcXML: valueSet (urn:hl7-org:sdtc)@sdtcValueSetVersion 0..1
st XML Namespace: urn:hl7-org:sdtcXML: valueSetVersion (urn:hl7-org:sdtc)originalText 0..1
ED translation 0..*
CD title 1..1
ST text 1..1
xhtml confidentialityCode 0..1
CE languageCode 0..1
CS Binding: AllLanguages ( required ) subject 0..1
Subject author 0..*
Author informant 0..*
Informant Slices for entry 0 .. * Entry Slice: Unordered, Open by profile:procedure, profile:act entry:plannedProcedure 0..*
Entry @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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: x_ActRelationshipEntry ( required ) @contextConductionInd 0..1
bl Fixed Value: true act 0..1
Act encounter 0..1
Encounter observation 0..1
Observation observationMedia 0..1
ObservationMedia organizer 0..1
Organizer procedure 1..1
PlannedProcedure regionOfInterest 0..1
RegionOfInterest substanceAdministration 0..1
SubstanceAdministration supply 0..1
Supply entry:notes 0..*
Entry @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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: x_ActRelationshipEntry ( required ) @contextConductionInd 0..1
bl Fixed Value: true act 1..1
NoteActivity encounter 0..1
Encounter observation 0..1
Observation 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 0..*
InfrastructureRoot @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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 Fixed Value: COMP @contextConductionInd 0..1
bl Fixed Value: true section 1..1
Section
Terminology Bindings
Path Conformance ValueSet / Code URI Section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.templateId:section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.classCode required Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer
Section.moodCode required Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood
Section.code.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.languageCode required AllLanguages http://hl7.org/fhir/ValueSet/all-languages
From the FHIR Standard
Section.entry:plannedProcedure.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:plannedProcedure.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:plannedProcedure.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.entry:notes.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:notes.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:notes.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.component.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.component.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Constraints
Id Grade Path(s) Details Requirements II-1 error Section.typeId, Section.entry:plannedProcedure.typeId, Section.entry:notes.typeId, Section.component.typeId An II instance must have either a root or an nullFlavor. no-a-p error Section When using this section, the Assessment Section and the Plan of Treatment Section SHALL NOT be used.
Snapshot View
Name Flags Card. Type Description & Constraints Filter: Bindings
Section C 1..1
Section XML Namespace: urn:hl7-org:v3@nullFlavor , realmCode , typeId , templateId , @ID , @classCode , @moodCode , id , code , title , text , confidentialityCode , languageCode , subject , author , informant , entry , component Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: no-a-p @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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:section 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: 2.16.840.1.113883.10.20.22.2.9 @extension 1..1
st Required Pattern: 2014-06-09 @ID 0..1
xs:ID @classCode 0..1
cs Binding: ActClassRecordOrganizer ( required ) Fixed Value: DOCSECT @moodCode 0..1
cs Binding: CDAActMood ( required ) Fixed Value: EVN id 0..1
II code 1..1
CE Evaluation + Plan note @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) @code 1..1
cs Required Pattern: 51847-2 @codeSystem 1..1
oid , uuid , ruid Required Pattern: 2.16.840.1.113883.6.1 @codeSystemName 0..1
st @codeSystemVersion 0..1
st @displayName 0..1
st @sdtcValueSet 0..1
oid XML Namespace: urn:hl7-org:sdtcXML: valueSet (urn:hl7-org:sdtc)@sdtcValueSetVersion 0..1
st XML Namespace: urn:hl7-org:sdtcXML: valueSetVersion (urn:hl7-org:sdtc)originalText 0..1
ED translation 0..*
CD title 1..1
ST text 1..1
xhtml confidentialityCode 0..1
CE languageCode 0..1
CS Binding: AllLanguages ( required ) subject 0..1
Subject author 0..*
Author informant 0..*
Informant Slices for entry 0 .. * Entry Slice: Unordered, Open by profile:procedure, profile:act entry:plannedProcedure 0..*
Entry @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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: x_ActRelationshipEntry ( required ) @contextConductionInd 0..1
bl Fixed Value: true act 0..1
Act encounter 0..1
Encounter observation 0..1
Observation observationMedia 0..1
ObservationMedia organizer 0..1
Organizer procedure 1..1
PlannedProcedure regionOfInterest 0..1
RegionOfInterest substanceAdministration 0..1
SubstanceAdministration supply 0..1
Supply entry:notes 0..*
Entry @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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: x_ActRelationshipEntry ( required ) @contextConductionInd 0..1
bl Fixed Value: true act 1..1
NoteActivity encounter 0..1
Encounter observation 0..1
Observation 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 0..*
InfrastructureRoot @nullFlavor 0..1
cs Binding: CDANullFlavor ( required ) realmCode 0..*
CS typeId C 0..1
II Constraints: II-1 @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 Fixed Value: COMP @contextConductionInd 0..1
bl Fixed Value: true section 1..1
Section
Terminology Bindings
Path Conformance ValueSet / Code URI Section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.templateId:section.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.classCode required Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer
Section.moodCode required Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood
Section.code.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.languageCode required AllLanguages http://hl7.org/fhir/ValueSet/all-languages
From the FHIR Standard
Section.entry:plannedProcedure.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:plannedProcedure.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:plannedProcedure.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.entry:notes.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:notes.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.entry:notes.typeCode required XActRelationshipEntry http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry
Section.component.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Section.component.typeId.nullFlavor required CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Constraints
Id Grade Path(s) Details Requirements II-1 error Section.typeId, Section.entry:plannedProcedure.typeId, Section.entry:notes.typeId, Section.component.typeId An II instance must have either a root or an nullFlavor. no-a-p error Section When using this section, the Assessment Section and the Plan of Treatment Section SHALL NOT be used.
This structure is derived from Section
Summary
Mandatory: 9 elements(2 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices :
The element 2 is sliced based on the values of Section.templateId
The element 2 is sliced based on the values of Section.entry
Other representations of profile: CSV , Excel
Section 
Slices for templateId 
templateId:section 
@extension 
procedure 
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Propose a change 
