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
Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/DischargeSummary | Version: 4.0.0-ballot | |||
Active as of 2024-12-19 | Computable Name: DischargeSummary | |||
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.1.8:2024-05-01 |
The Discharge Summary is a document which synopsizes a patient's admission to a hospital, LTPAC provider, or other setting. It provides information for the continuation of care following discharge. The Joint Commission requires the following information to be included in the Discharge Summary (http://www.jointcommission.org/):
The best practice for a Discharge Summary is to include the discharge disposition in the display of the header.
Although document templates may contain any section, the following sections are specifically called out by this template:
Required Sections
Recommended Sections
Additional Sections
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from USRealmHeader
Name | Flags | Card. | Type | Description & Constraints | ||||||
---|---|---|---|---|---|---|---|---|---|---|
ClinicalDocument | C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) category-18842-5: If category is present, then there shall be a category with LOINC code '18842-5'. | ||||||
templateId | 2..* | II | ||||||||
Slices for templateId | Content/Rules for all slices | |||||||||
templateId:discharge-summary | 1..1 | II | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.8 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
sdtcCategory | 0..* | CD | Used to categorize the document as a Discharge Summary. If present, there SHALL be a category of 18842-5 (Discharge summary). | |||||||
code | 1..1 | CE | The Discharge Summary recommends use of a single document type code, 18842-5 "Discharge summary", with further specification provided by author or performer, setting, or specialty. When pre-coordinated codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type. Binding: DischargeSummaryDocumentTypeCode (required) | |||||||
participant | C | 0..* | Participant1 | The participant element in the Discharge Summary header follows the General Header Constraints for participants. Discharge Summary does not specify any use for functionCode for participants. Local policies will determine how this element should be used in implementations. 1198-8469: When participant/@typeCode is IND, associatedEntity/@classCode **SHALL** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 (CONF:1198-8469). | ||||||
associatedEntity | ||||||||||
@classCode | 1..1 | cs | Binding: CDARoleClassAssociative (required): See additional bindings
| |||||||
componentOf | 1..1 | ComponentOf | The Discharge Summary is always associated with a Hospital Admission using the encompassingEncounter element in the header. | |||||||
encompassingEncounter | 1..1 | EncompassingEncounter | ||||||||
effectiveTime | 1..1 | USRealmDateTimeInterval | Base for all types and resources | |||||||
low | 1..1 | IVXB_TS | The admission date is recorded in the componentOf/encompassingEncounter/effectiveTime/low. | |||||||
high | 1..1 | IVXB_TS | The discharge date is recorded in the componentOf/encompassingEncounter/effectiveTime/high. | |||||||
dischargeDispositionCode | 1..1 | CE | The dischargeDispositionCode records the disposition of the patient at time of discharge. Access to the National Uniform Billing Committee (NUBC) code system requires a membership. The following conformance statement aligns with HITSP C80 requirements.
The dischargeDispositionCode, @displayName, or NUBC UB-04 Print Name, must be displayed when the document is rendered. Binding: USEncounterDischargeDisposition (preferred) | |||||||
responsibleParty | 0..1 | InfrastructureRoot | The responsibleParty element represents only the party responsible for the encounter, not necessarily the entire episode of care. | |||||||
assignedEntity | C | 1..1 | AssignedEntity | 1198-32898: This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32898). | ||||||
encounterParticipant | 0..* | EncounterParticipant | The encounterParticipant element represents persons who participated in the encounter and not necessarily the entire episode of care. | |||||||
assignedEntity | C | 1..1 | AssignedEntity | 1198-32899: This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32899). | ||||||
component | 1..1 | Component | ||||||||
structuredBody | C | 1..1 | StructuredBody | In this template (templateId 2.16.840.1.113883.10.20.22.1.8.2), coded entries are optional. cc-rfv-combo: This structuredBody **SHALL NOT** contain a Chief Complaint and Reason for Visit Section (2.16.840.1.113883.10.20.22.2.13) when either a Chief Complaint Section (1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1) or a Reason for Visit Section (2.16.840.1.113883.10.20.22.2.12) is present. should-section-discharge-meds: SHOULD contain a Discharge Medications Section | ||||||
Slices for component | 7..* | InfrastructureRoot | Slice: Unordered, Open by profile:section | |||||||
component:allergies | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | AllergiesAndIntolerancesSection | Base for all types and resources | |||||||
component:hospitalCourse | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | HospitalCourseSection | Base for all types and resources | |||||||
component:dischargeDx | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | DischargeDiagnosisSection | Base for all types and resources | |||||||
component:dischargeMeds | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | DischargeMedicationsSection | Base for all types and resources | |||||||
component:planOfTreatment | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | PlanofTreatmentSection | Base for all types and resources | |||||||
component:chiefComplaint | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | ChiefComplaintSection | Base for all types and resources | |||||||
component:chiefComplaintRFV | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | ChiefComplaintandReasonforVisitSection | Base for all types and resources | |||||||
component:nutrition | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | NutritionSection | Base for all types and resources | |||||||
component:familyHistory | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | FamilyHistorySection | Base for all types and resources | |||||||
component:functionalStatus | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | FunctionalStatusSection | Base for all types and resources | |||||||
component:pastMedicalHistory | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | PastMedicalHistory | Base for all types and resources | |||||||
component:hpi | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | HistoryofPresentIllnessSection | Base for all types and resources | |||||||
component:admissionDx | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | AdmissionDiagnosisSection | Base for all types and resources | |||||||
component:admissionMeds | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | AdmissionMedicationsSectionEntriesOptional | Base for all types and resources | |||||||
component:hospitalConsults | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | HospitalConsultationsSection | Base for all types and resources | |||||||
component:dischargeInstructions | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | HospitalDischargeInstructionsSection | Base for all types and resources | |||||||
component:dischargePhysical | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | HospitalDischargePhysicalSection | Base for all types and resources | |||||||
component:dischargeStudies | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | HospitalDischargeStudiesSummarySection | Base for all types and resources | |||||||
component:immunization | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | ImmunizationsSection | Base for all types and resources | |||||||
component:problems | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | ProblemSection | Base for all types and resources | |||||||
component:procedures | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | ProceduresSection | Base for all types and resources | |||||||
component:reasonForVisit | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | ReasonforVisitSection | Base for all types and resources | |||||||
component:reviewOfSystems | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | ReviewofSystemsSection | Base for all types and resources | |||||||
component:socialHist | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | SocialHistorySection | Base for all types and resources | |||||||
component:vitalSigns | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | VitalSignsSection | Base for all types and resources | |||||||
component:results | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | ResultsSection | Base for all types and resources | |||||||
component:advDirectives | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | AdvanceDirectivesSection | Base for all types and resources | |||||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
ClinicalDocument.code | required | DischargeSummaryDocumentTypeCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.4.1 | |
ClinicalDocument.participant.associatedEntity.classCode | required | CDARoleClassAssociativehttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassAssociative | |
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode | preferred | USEncounterDischargeDispositionhttp://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition |
Id | Grade | Path(s) | Details | Requirements |
1198-8469 | error | ClinicalDocument.participant | When participant/@typeCode is IND, associatedEntity/@classCode **SHALL** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 (CONF:1198-8469). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
1198-32898 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32898). : assignedPerson.exists() or representedOrganization.exists() | |
1198-32899 | error | ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.assignedEntity | This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32899). : assignedPerson.exists() or representedOrganization.exists() | |
category-18842-5 | error | ClinicalDocument | If category is present, then there shall be a category with LOINC code '18842-5'. : sdtcCategory.empty() or sdtcCategory.exists(code = '18842-5' and codeSystem = '2.16.840.1.113883.6.1') | |
cc-rfv-combo | error | ClinicalDocument.component.structuredBody | This structuredBody **SHALL NOT** contain a Chief Complaint and Reason for Visit Section (2.16.840.1.113883.10.20.22.2.13) when either a Chief Complaint Section (1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1) or a Reason for Visit Section (2.16.840.1.113883.10.20.22.2.12) is present. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintandReasonforVisitSection')).exists() implies component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ReasonforVisitSection')).empty() | |
should-section-discharge-meds | warning | ClinicalDocument.component.structuredBody | SHOULD contain a Discharge Medications Section : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedicationsSection')) |
Name | Flags | Card. | Type | Description & Constraints | ||||||
---|---|---|---|---|---|---|---|---|---|---|
ClinicalDocument | C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) 4537-6380: If setId is present versionNumber **SHALL** be present (CONF:4537-6380). 4537-6387: If versionNumber is present setId **SHALL** be present (CONF:4537-6387). should-legalAuthenticator: SHOULD contain legalAuthenticator should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant category-18842-5: If category is present, then there shall be a category with LOINC code '18842-5'. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@classCode | 0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
realmCode | 1..1 | CS | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: US | |||||||
@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) | |||||||
typeId | C | 1..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 | Fixed Value: POCD_HD000040 | |||||||
Slices for templateId | 2..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||
templateId:us-realm | 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: 2.16.840.1.113883.10.20.22.1.1 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
templateId:discharge-summary | 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: 2.16.840.1.113883.10.20.22.1.8 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
id | 1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991). | |||||||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc Used to categorize the document as a Discharge Summary. If present, there SHALL be a category of 18842-5 (Discharge summary). XML: category (urn:hl7-org:sdtc) | |||||||
code | 1..1 | CE | The Discharge Summary recommends use of a single document type code, 18842-5 "Discharge summary", with further specification provided by author or performer, setting, or specialty. When pre-coordinated codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type. Binding: DischargeSummaryDocumentTypeCode (required) | |||||||
@code | 1..1 | cs | ||||||||
@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:sdtc XML: valueSet (urn:hl7-org:sdtc) | |||||||
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
title | 1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code | |||||||
sdtcStatusCode | 0..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required) | |||||||
effectiveTime | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
confidentialityCode | 1..1 | CE | ||||||||
@code | 1..1 | cs | Binding: HL7 BasicConfidentialityKind (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
languageCode | 1..1 | CS | Binding: AllLanguages (required) | |||||||
setId | 0..1 | II | ||||||||
versionNumber | 0..1 | INT | ||||||||
copyTime | 0..1 | TS | ||||||||
recordTarget | 1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |||||||
@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: RCT | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
patientRole | 1..1 | PatientRole | ||||||||
@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: RoleClassRelationshipFormal (required) Fixed Value: PAT | |||||||
id | 1..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
addr | C | 1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
patient | C | 1..1 | Patient | 4537-32993: If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true should-maritalStatusCode: SHOULD contain maritalStatusCode should-us-languageCommunication: SHOULD contain languageCommunication | ||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 0..1 | II | ||||||||
name | C | 1..* | USRealmPatientNamePTNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. shall-family: SHALL contain exactly one [1..1] family (CONF:81-7159). shall-given: SHALL contain at least one [1..*] given (CONF:81-7157). shall-max-suffix: There may be at most one suffix 81-7278: **SHALL NOT** have mixed content except for white space (CONF:81-7278). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
administrativeGenderCode | 1..1 | CE | Binding: Administrative Gender (HL7 V3) (required) | |||||||
birthTime | C | 1..1 | TS | 𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day | ||||||
sdtcDeceasedInd | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc) | |||||||
sdtcDeceasedTime | C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) should-value-att: SHOULD contain @value ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day | ||||||
sdtcMultipleBirthInd | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc) | |||||||
sdtcMultipleBirthOrderNumber | 0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc) | |||||||
maritalStatusCode | 0..1 | CE | Binding: Marital Status (required) | |||||||
religiousAffiliationCode | 0..1 | CE | Binding: Religious Affiliation (required) | |||||||
raceCode | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls (required) | |||||||
sdtcRaceCode | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Race Value Set (required) | |||||||
ethnicGroupCode | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity (required) | |||||||
sdtcEthnicGroupCode | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity (required) | |||||||
guardian | C | 0..* | Guardian | should-us-code: SHOULD contain code should-us-addr: SHOULD contain addr should-us-telecom: SHOULD contain telecom | ||||||
@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: RoleClassAgent (required) Fixed Value: GUARD | |||||||
id | 0..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (required) | |||||||
addr | C | 0..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 0..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
guardianPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
guardianOrganization | 0..1 | Organization | ||||||||
birthplace | 0..1 | Birthplace | ||||||||
@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: RoleClassPassive (required) Fixed Value: BIRTHPL | |||||||
place | 1..1 | Place | ||||||||
@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: EntityClassPlace (required) Fixed Value: PLC | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | 0..1 | EN | ||||||||
addr | C | 1..1 | AD | 4537-5402: If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). 4537-5403: If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). should-country: SHOULD contain country | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@isNotOrdered | 0..1 | bl | ||||||||
@use | 0..* | cs | Binding: CDAPostalAddressUse (required) | |||||||
item | C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance AD-1: Can only have only one of the possible item elements in each choice | ||||||
(Choice of one) | 1..1 | |||||||||
delimiter | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DEL | |||||||
country | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CNT | |||||||
state | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STA | |||||||
county | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CPA | |||||||
city | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CTY | |||||||
postalCode | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: ZIP | |||||||
streetAddressLine | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: SAL | |||||||
houseNumber | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: BNR | |||||||
houseNumberNumeric | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: BNN | |||||||
direction | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DIR | |||||||
streetName | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STR | |||||||
streetNameBase | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STB | |||||||
streetNameType | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STTYP | |||||||
additionalLocator | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: ADL | |||||||
unitID | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: UNID | |||||||
unitType | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: UNIT | |||||||
careOf | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CAR | |||||||
censusTract | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CEN | |||||||
deliveryAddressLine | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DAL | |||||||
deliveryInstallationType | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DINST | |||||||
deliveryInstallationArea | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DINSTA | |||||||
deliveryInstallationQualifier | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DINSTQ | |||||||
deliveryMode | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DMOD | |||||||
deliveryModeIdentifier | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DMODID | |||||||
buildingNumberSuffix | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: BNS | |||||||
postBox | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: POB | |||||||
precinct | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: PRE | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
languageCommunication | C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode should-preferenceInd: SHOULD contain preferenceInd | ||||||
@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 | ||||||||
languageCode | 1..1 | CS | Binding: Language codes with language and optionally a region modifier (required) | |||||||
modeCode | 0..1 | CE | Binding: LanguageAbilityMode (required) | |||||||
proficiencyLevelCode | 0..1 | CE | Binding: LanguageAbilityProficiency (required) | |||||||
preferenceInd | 0..1 | BL | ||||||||
providerOrganization | 0..1 | Organization | ||||||||
@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: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
name | 1..* | ON | ||||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |||||||
asOrganizationPartOf | 0..1 | OrganizationPartOf | ||||||||
author | 1..* | Author | The author element represents the creator of the clinical document. The author may be a device or a person. | |||||||
@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: AUT | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
functionCode | 0..1 | CE | ||||||||
time | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
assignedAuthor | C | 1..1 | AssignedAuthor | 4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). should-id-npi: SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) should-us-code: SHOULD contain 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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
Slices for id | 1..* | II | Slice: Unordered, Open by value:root | |||||||
id:npi | C | 0..1 | II | should-extension: SHOULD contain extension | ||||||
@nullFlavor | 0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6 | |||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: CDARoleCode (example) | |||||||
@code | 1..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
(Choice of one) | 1..1 | |||||||||
assignedPerson | 0..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
assignedAuthoringDevice | 0..1 | AuthoringDevice | ||||||||
@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: EntityClassDevice (required) Fixed Value: DEV | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
code | 0..1 | CE | Binding: CDAEntityCode (example) | |||||||
manufacturerModelName | 1..1 | SC | Binding: Manufacturer Model Name Example (example) | |||||||
softwareName | 1..1 | SC | Binding: Software Name Example (example) | |||||||
asMaintainedEntity | 0..* | MaintainedEntity | ||||||||
representedOrganization | 0..1 | Organization | ||||||||
dataEnterer | 0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system. | |||||||
@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: ENT | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
time | C | 0..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
Slices for informant | 0..* | Informant | Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity | |||||||
informant:provider | 0..* | Informant | The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient. | |||||||
@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: INF | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946). | |||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | 0..* | TEL | ||||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
informant:non-provider | 0..* | Informant | The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient. | |||||||
@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: INF | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
relatedEntity | 1..1 | RelatedEntity | ||||||||
custodian | 1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |||||||
@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: CST | |||||||
assignedCustodian | 1..1 | AssignedCustodian | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
representedCustodianOrganization | 1..1 | CustodianOrganization | ||||||||
@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: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
name | 1..1 | ON | ||||||||
telecom | C | 1..1 | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
sdtcTelecom | 0..* | TEL | XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc) | |||||||
addr | C | 1..1 | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
informationRecipient | 0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart. | |||||||
@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: XInformationRecipient (2.0.0) (required) | |||||||
intendedRecipient | 1..1 | IntendedRecipient | ||||||||
@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: CDAInformationRecipientRole (required) | |||||||
id | 0..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
addr | 0..* | AD | ||||||||
telecom | 0..* | TEL | ||||||||
informationRecipient | 0..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
receivedOrganization | 0..1 | Organization | ||||||||
@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: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 0..* | II | ||||||||
name | 1..1 | ON | ||||||||
telecom | 0..* | TEL | ||||||||
addr | 0..* | AD | ||||||||
standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |||||||
asOrganizationPartOf | 0..1 | OrganizationPartOf | ||||||||
legalAuthenticator | 0..1 | LegalAuthenticator | The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. | |||||||
@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: LA | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
time | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: S | |||||||
@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) | |||||||
sdtcSignatureText | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc) | |||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | 0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI) | |||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
authenticator | 0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. | |||||||
@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: AUTHEN | |||||||
time | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: S | |||||||
@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) | |||||||
sdtcSignatureText | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc) | |||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: CDARoleCode (example) | |||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 0..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
participant | C | 0..* | Participant1 | The participant element in the Discharge Summary header follows the General Header Constraints for participants. Discharge Summary does not specify any use for functionCode for participants. Local policies will determine how this element should be used in implementations. 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). 1198-8469: When participant/@typeCode is IND, associatedEntity/@classCode **SHALL** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 (CONF:1198-8469). | ||||||
@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 | 1..1 | cs | Binding: CDAParticipationType (required) | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
functionCode | 0..1 | CE | ||||||||
time | C | 0..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
associatedEntity | 1..1 | AssociatedEntity | ||||||||
@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 | 1..1 | cs | Binding: CDARoleClassAssociative (required): See additional bindings
| |||||||
id | 0..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: CDARoleCode (example) | |||||||
addr | 0..* | AD | ||||||||
telecom | 0..* | TEL | ||||||||
associatedPerson | 0..1 | Person | ||||||||
scopingOrganization | 0..1 | Organization | ||||||||
inFulfillmentOf | 0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray. | |||||||
@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: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS | |||||||
order | 1..1 | Order | ||||||||
@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: CDAActClass (required) | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO | |||||||
id | 1..* | II | ||||||||
code | 0..1 | CE | Binding: v3 Code System ActCode (example) | |||||||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |||||||
documentationOf | 0..* | DocumentationOf | ||||||||
@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: CDAActRelationshipType (required) Fixed Value: DOC | |||||||
serviceEvent | C | 1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-us-performer: SHOULD contain performer | ||||||
@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: CDAActClass (required) | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
id | 0..* | II | ||||||||
code | 0..1 | CE | ||||||||
effectiveTime | C | 1..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |||||||
low | C | 1..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
center | 0..1 | TS | ||||||||
width | 0..1 | PQ | ||||||||
high | C | 0..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
performer | 0..* | Performer1 | The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors. | |||||||
@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 | 1..1 | cs | Binding: x_ServiceEventPerformer (required) | |||||||
functionCode | C | 0..1 | CE | should-code-attr: SHOULD contain @code | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 0..1 | cs | Binding: Care Team Member Function (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
time | C | 0..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
assignedEntity | C | 1..1 | AssignedEntity | should-us-code: SHOULD contain 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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | 0..* | AD | ||||||||
telecom | 0..* | TEL | ||||||||
assignedPerson | 0..1 | Person | ||||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
relatedDocument | 0..* | RelatedDocument | ||||||||
authorization | 0..* | Authorization | The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document. | |||||||
@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: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH | |||||||
consent | 1..1 | Consent | ||||||||
@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: CDAActClass (required) Fixed Value: CONS | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
id | 0..* | II | ||||||||
code | 0..1 | CE | The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: v3 Code System ActCode (example) | |||||||
statusCode | 1..1 | CS | Binding: ActStatus (required) | |||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Fixed Value: completed | |||||||
@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) | |||||||
componentOf | 1..1 | ComponentOf | The Discharge Summary is always associated with a Hospital Admission using the encompassingEncounter element in the header. | |||||||
@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) Fixed Value: COMP | |||||||
encompassingEncounter | C | 1..1 | EncompassingEncounter | should-responsibleParty: SHOULD contain responsibleParty | ||||||
@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: CDAActClass (required) Fixed Value: ENC | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
id | 1..* | II | ||||||||
code | 0..1 | CE | Binding: Act Encounter Codes (preferred) | |||||||
effectiveTime | C | 1..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |||||||
low | C | 1..1 | IVXB_TS | The admission date is recorded in the componentOf/encompassingEncounter/effectiveTime/low. ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
center | 0..1 | TS | ||||||||
width | 0..1 | PQ | ||||||||
high | C | 1..1 | IVXB_TS | The discharge date is recorded in the componentOf/encompassingEncounter/effectiveTime/high. ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
sdtcAdmissionReferralSourceCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc) | |||||||
dischargeDispositionCode | 1..1 | CE | The dischargeDispositionCode records the disposition of the patient at time of discharge. Access to the National Uniform Billing Committee (NUBC) code system requires a membership. The following conformance statement aligns with HITSP C80 requirements.
The dischargeDispositionCode, @displayName, or NUBC UB-04 Print Name, must be displayed when the document is rendered. Binding: USEncounterDischargeDisposition (preferred) | |||||||
responsibleParty | 0..1 | InfrastructureRoot | The responsibleParty element represents only the party responsible for the encounter, not necessarily the entire episode of care. | |||||||
@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: RESP | |||||||
assignedEntity | C | 1..1 | AssignedEntity | 1198-32905: This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). 1198-32898: This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32898). | ||||||
encounterParticipant | 0..* | EncounterParticipant | The encounterParticipant element represents persons who participated in the encounter and not necessarily the entire episode of care. | |||||||
@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 | 1..1 | cs | Binding: XEncounterParticipant (2.0.0) (required) | |||||||
time | 0..1 | IVL_TS | ||||||||
assignedEntity | C | 1..1 | AssignedEntity | 1198-32899: This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32899). | ||||||
location | 0..1 | InfrastructureRoot | ||||||||
@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: ParticipationTargetLocation (required) Fixed Value: LOC | |||||||
healthCareFacility | 1..1 | HealthCareFacility | ||||||||
component | 1..1 | Component | ||||||||
@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) Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
nonXMLBody | 0..1 | NonXMLBody | ||||||||
structuredBody | C | 1..1 | StructuredBody | In this template (templateId 2.16.840.1.113883.10.20.22.1.8.2), coded entries are optional. cc-rfv-combo: This structuredBody **SHALL NOT** contain a Chief Complaint and Reason for Visit Section (2.16.840.1.113883.10.20.22.2.13) when either a Chief Complaint Section (1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1) or a Reason for Visit Section (2.16.840.1.113883.10.20.22.2.12) is present. should-section-discharge-meds: SHOULD contain a Discharge Medications Section | ||||||
@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: ActClassRecordOrganizer (required) Fixed Value: DOCBODY | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
confidentialityCode | 0..1 | CE | ||||||||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |||||||
Slices for component | 7..* | InfrastructureRoot | Slice: Unordered, Open by profile:section | |||||||
component:All Slices | Content/Rules for all slices | |||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | Section | ||||||||
component:allergies | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AllergiesAndIntolerancesSection | Base for all types and resources shall-allergy-concern: If section/@nullFlavor is not present, SHALL contain at least one Allergy Concern Act | ||||||
component:hospitalCourse | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalCourseSection | Base for all types and resources | |||||||
component:dischargeDx | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | DischargeDiagnosisSection | Base for all types and resources should-entry: SHOULD contain entry | ||||||
component:dischargeMeds | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | DischargeMedicationsSection | Base for all types and resources shall-discharge-med: If section/@nullFlavor is not present, SHALL contain at least one Discharge Medication | ||||||
component:planOfTreatment | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | PlanofTreatmentSection | Base for all types and resources | |||||||
component:chiefComplaint | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | ChiefComplaintSection | Base for all types and resources | |||||||
component:chiefComplaintRFV | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ChiefComplaintandReasonforVisitSection | Base for all types and resources no-cc-rfv: When using this section, the Chief Complaint Section and the Reason for Visit Section SHALL NOT be used. | ||||||
component:nutrition | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | NutritionSection | Base for all types and resources should-nutritional-status-obs: SHOULD contain Nutritional Status Observation | ||||||
component:familyHistory | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | FamilyHistorySection | Base for all types and resources | |||||||
component:functionalStatus | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | FunctionalStatusSection | Base for all types and resources | |||||||
component:pastMedicalHistory | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | PastMedicalHistory | Base for all types and resources | |||||||
component:hpi | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HistoryofPresentIllnessSection | Base for all types and resources | |||||||
component:admissionDx | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AdmissionDiagnosisSection | Base for all types and resources should-entry: SHOULD contain entry | ||||||
component:admissionMeds | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AdmissionMedicationsSectionEntriesOptional | Base for all types and resources should-admission-medication: SHOULD contain Admission Medication | ||||||
component:hospitalConsults | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalConsultationsSection | Base for all types and resources | |||||||
component:dischargeInstructions | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalDischargeInstructionsSection | Base for all types and resources | |||||||
component:dischargePhysical | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalDischargePhysicalSection | Base for all types and resources | |||||||
component:dischargeStudies | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalDischargeStudiesSummarySection | Base for all types and resources | |||||||
component:immunization | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ImmunizationsSection | Base for all types and resources shall-immunization-activity: If section/@nullFlavor is not present, SHALL contain at least one Immunization Activity | ||||||
component:problems | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ProblemSection | Base for all types and resources shall-problem-concern-act: If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Act | ||||||
component:procedures | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ProceduresSection | Base for all types and resources shall-procedure-act-procedure: If section/@nullFlavor is not present, SHALL contain at least one Procedure Activity Procedure | ||||||
component:reasonForVisit | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | ReasonforVisitSection | Base for all types and resources | |||||||
component:reviewOfSystems | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | ReviewofSystemsSection | Base for all types and resources | |||||||
component:socialHist | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | SocialHistorySection | Base for all types and resources should-smoking-status: SHOULD contain Smoking Status | ||||||
component:vitalSigns | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | VitalSignsSection | Base for all types and resources shall-vital-signs-org: If section/@nullFlavor is not present, SHALL contain at least one Vital Signs Organizer or Average Blood Pressure Organizer | ||||||
component:results | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ResultsSection | Base for all types and resources shall-result-org: If section/@nullFlavor is not present, SHALL contain at least one Result Organizer | ||||||
component:advDirectives | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AdvanceDirectivesSection | Base for all types and resources shall-adv-directive-existence: If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation | ||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
ClinicalDocument.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.classCode | example | Fixed Value: DOCCLINhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.realmCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:us-realm.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:discharge-summary.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.code | required | DischargeSummaryDocumentTypeCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.4.1 | |
ClinicalDocument.sdtcStatusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.confidentialityCode.code | preferred | HL7BasicConfidentialityKind http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 | |
ClinicalDocument.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.recordTarget.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeCode | required | Fixed Value: RCThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.recordTarget.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.recordTarget.patientRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.classCode | required | Fixed Value: PAThttp://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal | |
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode | required | AdministrativeGenderHL7V3 http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 | |
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode | required | MaritalStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212 | |
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode | required | ReligiousAffiliation http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185 | |
ClinicalDocument.recordTarget.patientRole.patient.raceCode | required | RaceCategoryExcludingNulls http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | required | RaceValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914 | |
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode | required | Ethnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode | required | DetailedEthnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode | required | Fixed Value: GUARDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAgent | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.code | required | PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode | required | Fixed Value: BIRTHPLhttp://terminology.hl7.org/ValueSet/v3-RoleClassPassive | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode | required | Fixed Value: PLChttp://terminology.hl7.org/ValueSet/v3-EntityClassPlace | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use | required | CDAPostalAddressUsehttp://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode | required | LanguageCodesWithLanguageAndOptionallyARegionModifierhttp://hl7.org/fhir/us/core/ValueSet/simple-language | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode | required | LanguageAbilityMode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249 | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode | required | LanguageAbilityProficiency http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.author.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeCode | required | Fixed Value: AUThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.author.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.author.assignedAuthor.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.author.assignedAuthor.code.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode | required | Fixed Value: DEVhttp://terminology.hl7.org/ValueSet/v3-EntityClassDevice | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code | example | CDAEntityCodehttp://hl7.org/cda/stds/core/ValueSet/CDAEntityCode | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName | example | ManufacturerModelNameExamplehttp://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName | example | SoftwareNameExamplehttp://terminology.hl7.org/ValueSet/v3-SoftwareNameExample | |
ClinicalDocument.dataEnterer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeCode | required | Fixed Value: ENThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.dataEnterer.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.informant:provider.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.informant:provider.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:non-provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.custodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeCode | required | Fixed Value: CSThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.custodian.assignedCustodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeCode | required | XInformationRecipienthttp://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0 | |
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.classCode | required | CDAInformationRecipientRolehttp://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.legalAuthenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeCode | required | Fixed Value: LAhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.legalAuthenticator.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.legalAuthenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeCode | required | Fixed Value: AUTHENhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.authenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.authenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeCode | required | CDAParticipationTypehttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.participant.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.participant.associatedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.associatedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.associatedEntity.classCode | required | CDARoleClassAssociativehttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassAssociative | |
ClinicalDocument.participant.associatedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.inFulfillmentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeCode | required | Fixed Value: FLFShttp://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0 | |
ClinicalDocument.inFulfillmentOf.order.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.classCode | required | CDAActClasshttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.inFulfillmentOf.order.moodCode | required | Fixed Value: RQOhttp://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent | |
ClinicalDocument.inFulfillmentOf.order.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.inFulfillmentOf.order.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
ClinicalDocument.documentationOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeCode | required | Fixed Value: DOChttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType | |
ClinicalDocument.documentationOf.serviceEvent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.classCode | required | CDAActClasshttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.documentationOf.serviceEvent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode | required | X_ServiceEventPerformer http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code | preferred | CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authorization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeCode | required | Fixed Value: AUTHhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy | |
ClinicalDocument.authorization.consent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.classCode | required | Fixed Value: CONShttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.authorization.consent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.authorization.consent.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.authorization.consent.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.authorization.consent.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.componentOf.encompassingEncounter.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.componentOf.encompassingEncounter.code | preferred | ActEncounterCodes http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5 | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode | preferred | USEncounterDischargeDispositionhttp://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode | required | Fixed Value: RESPhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.typeCode | required | XEncounterParticipanthttp://terminology.hl7.org/ValueSet/v3-xEncounterParticipant|2.0.0 | |
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode | required | Fixed Value: LOChttp://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation | |
ClinicalDocument.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.component.structuredBody.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.classCode | required | Fixed Value: DOCBODYhttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
ClinicalDocument.component.structuredBody.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.component.structuredBody.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.component.structuredBody.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalCourse.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalCourse.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeDx.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeDx.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeMeds.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeMeds.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:familyHistory.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:familyHistory.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:functionalStatus.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:functionalStatus.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:pastMedicalHistory.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:pastMedicalHistory.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hpi.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hpi.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionDx.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionDx.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionMeds.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionMeds.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalConsults.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalConsults.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeInstructions.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeInstructions.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargePhysical.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargePhysical.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeStudies.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeStudies.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:immunization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:immunization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:procedures.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:procedures.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reasonForVisit.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reasonForVisit.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:socialHist.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:socialHist.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
1198-8469 | error | ClinicalDocument.participant | When participant/@typeCode is IND, associatedEntity/@classCode **SHALL** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 (CONF:1198-8469). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
1198-32898 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32898). : assignedPerson.exists() or representedOrganization.exists() | |
1198-32899 | error | ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.assignedEntity | This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32899). : assignedPerson.exists() or representedOrganization.exists() | |
1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). : assignedPerson.exists() or representedOrganization.exists() | |
4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
4537-5403 | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
4537-6380 | error | ClinicalDocument | If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists() | |
4537-6387 | error | ClinicalDocument | If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists() | |
4537-10006 | error | ClinicalDocument.participant | **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists() | |
4537-10007 | warning | ClinicalDocument.participant | When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
4537-16790 | error | ClinicalDocument.author.assignedAuthor | There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1 | |
4537-21000 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true') | |
4537-32993 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists() | |
81-7278 | error | ClinicalDocument.recordTarget.patientRole.patient.name | **SHALL NOT** have mixed content except for white space (CONF:81-7278). : item.xmlText.empty() | |
81-7296 | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | **SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty() | |
81-9371 | error | ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name | The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists() | |
81-9372 | error | ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name | The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty() | |
81-10024 | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
81-10025 | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
AD-1 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item | Can only have only one of the possible item elements in each choice : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1 | |
II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.participant.associatedEntity.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.structuredBody.typeId, ClinicalDocument.component.structuredBody.component.typeId, ClinicalDocument.component.structuredBody.component:allergies.typeId, ClinicalDocument.component.structuredBody.component:hospitalCourse.typeId, ClinicalDocument.component.structuredBody.component:dischargeDx.typeId, ClinicalDocument.component.structuredBody.component:dischargeMeds.typeId, ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId, ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId, ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.typeId, ClinicalDocument.component.structuredBody.component:nutrition.typeId, ClinicalDocument.component.structuredBody.component:familyHistory.typeId, ClinicalDocument.component.structuredBody.component:functionalStatus.typeId, ClinicalDocument.component.structuredBody.component:pastMedicalHistory.typeId, ClinicalDocument.component.structuredBody.component:hpi.typeId, ClinicalDocument.component.structuredBody.component:admissionDx.typeId, ClinicalDocument.component.structuredBody.component:admissionMeds.typeId, ClinicalDocument.component.structuredBody.component:hospitalConsults.typeId, ClinicalDocument.component.structuredBody.component:dischargeInstructions.typeId, ClinicalDocument.component.structuredBody.component:dischargePhysical.typeId, ClinicalDocument.component.structuredBody.component:dischargeStudies.typeId, ClinicalDocument.component.structuredBody.component:immunization.typeId, ClinicalDocument.component.structuredBody.component:problems.typeId, ClinicalDocument.component.structuredBody.component:procedures.typeId, ClinicalDocument.component.structuredBody.component:reasonForVisit.typeId, ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId, ClinicalDocument.component.structuredBody.component:socialHist.typeId, ClinicalDocument.component.structuredBody.component:vitalSigns.typeId, ClinicalDocument.component.structuredBody.component:results.typeId, ClinicalDocument.component.structuredBody.component:advDirectives.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
category-18842-5 | error | ClinicalDocument | If category is present, then there shall be a category with LOINC code '18842-5'. : sdtcCategory.empty() or sdtcCategory.exists(code = '18842-5' and codeSystem = '2.16.840.1.113883.6.1') | |
cc-rfv-combo | error | ClinicalDocument.component.structuredBody | This structuredBody **SHALL NOT** contain a Chief Complaint and Reason for Visit Section (2.16.840.1.113883.10.20.22.2.13) when either a Chief Complaint Section (1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1) or a Reason for Visit Section (2.16.840.1.113883.10.20.22.2.12) is present. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintandReasonforVisitSection')).exists() implies component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ReasonforVisitSection')).empty() | |
ivl-ts-center | error | ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime | Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty()) | |
ivl-value-shall | error | ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime | If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10 | |
ivl-value-should | warning | ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime | If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10 | |
no-cc-rfv | error | ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.section | When using this section, the Chief Complaint Section and the Reason for Visit Section SHALL NOT be used. : %resource.component.structuredBody.component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ReasonforVisitSection')).empty() | |
pn-no-ls | error | ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name | No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty() | |
shall-adv-directive-existence | error | ClinicalDocument.component.structuredBody.component:advDirectives.section | If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation : nullFlavor.exists() or entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveExistenceObservation')).exists() | |
shall-allergy-concern | error | ClinicalDocument.component.structuredBody.component:allergies.section | If section/@nullFlavor is not present, SHALL contain at least one Allergy Concern Act : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AllergyConcernAct')).exists() | |
shall-city | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1 | |
shall-discharge-med | error | ClinicalDocument.component.structuredBody.component:dischargeMeds.section | If section/@nullFlavor is not present, SHALL contain at least one Discharge Medication : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedication')).exists() | |
shall-family | error | ClinicalDocument.recordTarget.patientRole.patient.name | SHALL contain exactly one [1..1] family (CONF:81-7159). : nullFlavor.exists() or item.family.count() = 1 | |
shall-given | error | ClinicalDocument.recordTarget.patientRole.patient.name | SHALL contain at least one [1..*] given (CONF:81-7157). : nullFlavor.exists() or item.given.exists() | |
shall-immunization-activity | error | ClinicalDocument.component.structuredBody.component:immunization.section | If section/@nullFlavor is not present, SHALL contain at least one Immunization Activity : nullFlavor.exists() or entry.where(substanceAdministration.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity')).exists() | |
shall-max-ad-parts | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1) | |
shall-max-suffix | error | ClinicalDocument.recordTarget.patientRole.patient.name | There may be at most one suffix : (item.suffix.empty() or item.suffix.count() = 1) | |
shall-problem-concern-act | error | ClinicalDocument.component.structuredBody.component:problems.section | If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Act : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct')).exists() | |
shall-procedure-act-procedure | error | ClinicalDocument.component.structuredBody.component:procedures.section | If section/@nullFlavor is not present, SHALL contain at least one Procedure Activity Procedure : nullFlavor.exists() or entry.where(procedure.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure')).exists() | |
shall-result-org | error | ClinicalDocument.component.structuredBody.component:results.section | If section/@nullFlavor is not present, SHALL contain at least one Result Organizer : nullFlavor.exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ResultOrganizer')).exists() | |
shall-streetAddressLine | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4) | |
shall-vital-signs-org | error | ClinicalDocument.component.structuredBody.component:vitalSigns.section | If section/@nullFlavor is not present, SHALL contain at least one Vital Signs Organizer or Average Blood Pressure Organizer : nullFlavor.exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/VitalSignsOrganizer')).exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AverageBloodPressureOrganizer')).exists() | |
should-admission-medication | warning | ClinicalDocument.component.structuredBody.component:admissionMeds.section | SHOULD contain Admission Medication : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdmissionMedication')) | |
should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code : code.exists() | |
should-country | warning | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHOULD contain country : nullFlavor.exists() or item.country.exists() | |
should-entry | warning | ClinicalDocument.component.structuredBody.component:dischargeDx.section, ClinicalDocument.component.structuredBody.component:admissionDx.section | SHOULD contain entry : entry.exists() | |
should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension : extension.exists() | |
should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6') | |
should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator : legalAuthenticator.exists() | |
should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode : maritalStatusCode.exists() | |
should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-nutritional-status-obs | warning | ClinicalDocument.component.structuredBody.component:nutrition.section | SHOULD contain Nutritional Status Observation : entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/NutritionalStatusObservation')) | |
should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd : preferenceInd.exists() | |
should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists() | |
should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists() | |
should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty : responsibleParty.exists() | |
should-section-discharge-meds | warning | ClinicalDocument.component.structuredBody | SHOULD contain a Discharge Medications Section : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedicationsSection')) | |
should-smoking-status | warning | ClinicalDocument.component.structuredBody.component:socialHist.section | SHOULD contain Smoking Status : entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus')) | |
should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr : addr.exists() | |
should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | SHOULD contain code : code.exists() | |
should-us-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication : languageCommunication.exists() | |
should-us-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer : performer.exists() | |
should-us-telecom | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain telecom : telecom.exists() | |
should-use | warning | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.telecom | SHOULD contain @use : nullFlavor.exists() or use.exists() | |
should-value-att | warning | ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | SHOULD contain @value : value.exists() | |
signature | warning | ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode | CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X' | |
text-null | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct | xmlText and nullFlavor are mutually exclusive (one must be present) : (xmlText | nullFlavor).count() = 1 | |
ts-shall-day | error | ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-shall-year | error | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4 | |
ts-should-day | warning | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-should-minute | warning | ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10 |
Name | Flags | Card. | Type | Description & Constraints | ||||||
---|---|---|---|---|---|---|---|---|---|---|
ClinicalDocument | C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) 4537-6380: If setId is present versionNumber **SHALL** be present (CONF:4537-6380). 4537-6387: If versionNumber is present setId **SHALL** be present (CONF:4537-6387). should-legalAuthenticator: SHOULD contain legalAuthenticator should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant category-18842-5: If category is present, then there shall be a category with LOINC code '18842-5'. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@classCode | 0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
realmCode | 1..1 | CS | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: US | |||||||
@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) | |||||||
typeId | C | 1..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 | Fixed Value: POCD_HD000040 | |||||||
Slices for templateId | 2..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||
templateId:us-realm | 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: 2.16.840.1.113883.10.20.22.1.1 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
templateId:discharge-summary | 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: 2.16.840.1.113883.10.20.22.1.8 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
id | 1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991). | |||||||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc Used to categorize the document as a Discharge Summary. If present, there SHALL be a category of 18842-5 (Discharge summary). XML: category (urn:hl7-org:sdtc) | |||||||
code | 1..1 | CE | The Discharge Summary recommends use of a single document type code, 18842-5 "Discharge summary", with further specification provided by author or performer, setting, or specialty. When pre-coordinated codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type. Binding: DischargeSummaryDocumentTypeCode (required) | |||||||
@code | 1..1 | cs | ||||||||
@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:sdtc XML: valueSet (urn:hl7-org:sdtc) | |||||||
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
title | 1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code | |||||||
sdtcStatusCode | 0..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required) | |||||||
effectiveTime | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
confidentialityCode | 1..1 | CE | ||||||||
@code | 1..1 | cs | Binding: HL7 BasicConfidentialityKind (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
languageCode | 1..1 | CS | Binding: AllLanguages (required) | |||||||
setId | 0..1 | II | ||||||||
versionNumber | 0..1 | INT | ||||||||
copyTime | 0..1 | TS | ||||||||
recordTarget | 1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |||||||
@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: RCT | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
patientRole | 1..1 | PatientRole | ||||||||
@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: RoleClassRelationshipFormal (required) Fixed Value: PAT | |||||||
id | 1..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
addr | C | 1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
patient | C | 1..1 | Patient | 4537-32993: If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true should-maritalStatusCode: SHOULD contain maritalStatusCode should-us-languageCommunication: SHOULD contain languageCommunication | ||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 0..1 | II | ||||||||
name | C | 1..* | USRealmPatientNamePTNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. shall-family: SHALL contain exactly one [1..1] family (CONF:81-7159). shall-given: SHALL contain at least one [1..*] given (CONF:81-7157). shall-max-suffix: There may be at most one suffix 81-7278: **SHALL NOT** have mixed content except for white space (CONF:81-7278). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
administrativeGenderCode | 1..1 | CE | Binding: Administrative Gender (HL7 V3) (required) | |||||||
birthTime | C | 1..1 | TS | 𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day | ||||||
sdtcDeceasedInd | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc) | |||||||
sdtcDeceasedTime | C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) should-value-att: SHOULD contain @value ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day | ||||||
sdtcMultipleBirthInd | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc) | |||||||
sdtcMultipleBirthOrderNumber | 0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc) | |||||||
maritalStatusCode | 0..1 | CE | Binding: Marital Status (required) | |||||||
religiousAffiliationCode | 0..1 | CE | Binding: Religious Affiliation (required) | |||||||
raceCode | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls (required) | |||||||
sdtcRaceCode | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Race Value Set (required) | |||||||
ethnicGroupCode | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity (required) | |||||||
sdtcEthnicGroupCode | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity (required) | |||||||
guardian | C | 0..* | Guardian | should-us-code: SHOULD contain code should-us-addr: SHOULD contain addr should-us-telecom: SHOULD contain telecom | ||||||
@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: RoleClassAgent (required) Fixed Value: GUARD | |||||||
id | 0..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (required) | |||||||
addr | C | 0..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 0..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
guardianPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
guardianOrganization | 0..1 | Organization | ||||||||
birthplace | 0..1 | Birthplace | ||||||||
@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: RoleClassPassive (required) Fixed Value: BIRTHPL | |||||||
place | 1..1 | Place | ||||||||
@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: EntityClassPlace (required) Fixed Value: PLC | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | 0..1 | EN | ||||||||
addr | C | 1..1 | AD | 4537-5402: If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). 4537-5403: If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). should-country: SHOULD contain country | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@isNotOrdered | 0..1 | bl | ||||||||
@use | 0..* | cs | Binding: CDAPostalAddressUse (required) | |||||||
item | C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance AD-1: Can only have only one of the possible item elements in each choice | ||||||
(Choice of one) | 1..1 | |||||||||
delimiter | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DEL | |||||||
country | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CNT | |||||||
state | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STA | |||||||
county | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CPA | |||||||
city | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CTY | |||||||
postalCode | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: ZIP | |||||||
streetAddressLine | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: SAL | |||||||
houseNumber | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: BNR | |||||||
houseNumberNumeric | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: BNN | |||||||
direction | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DIR | |||||||
streetName | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STR | |||||||
streetNameBase | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STB | |||||||
streetNameType | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STTYP | |||||||
additionalLocator | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: ADL | |||||||
unitID | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: UNID | |||||||
unitType | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: UNIT | |||||||
careOf | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CAR | |||||||
censusTract | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CEN | |||||||
deliveryAddressLine | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DAL | |||||||
deliveryInstallationType | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DINST | |||||||
deliveryInstallationArea | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DINSTA | |||||||
deliveryInstallationQualifier | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DINSTQ | |||||||
deliveryMode | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DMOD | |||||||
deliveryModeIdentifier | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DMODID | |||||||
buildingNumberSuffix | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: BNS | |||||||
postBox | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: POB | |||||||
precinct | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: PRE | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
languageCommunication | C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode should-preferenceInd: SHOULD contain preferenceInd | ||||||
@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 | ||||||||
languageCode | 1..1 | CS | Binding: Language codes with language and optionally a region modifier (required) | |||||||
modeCode | 0..1 | CE | Binding: LanguageAbilityMode (required) | |||||||
proficiencyLevelCode | 0..1 | CE | Binding: LanguageAbilityProficiency (required) | |||||||
preferenceInd | 0..1 | BL | ||||||||
providerOrganization | 0..1 | Organization | ||||||||
@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: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
name | 1..* | ON | ||||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |||||||
asOrganizationPartOf | 0..1 | OrganizationPartOf | ||||||||
author | 1..* | Author | The author element represents the creator of the clinical document. The author may be a device or a person. | |||||||
@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: AUT | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
functionCode | 0..1 | CE | ||||||||
time | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
assignedAuthor | C | 1..1 | AssignedAuthor | 4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). should-id-npi: SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) should-us-code: SHOULD contain 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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
Slices for id | 1..* | II | Slice: Unordered, Open by value:root | |||||||
id:npi | C | 0..1 | II | should-extension: SHOULD contain extension | ||||||
@nullFlavor | 0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6 | |||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: CDARoleCode (example) | |||||||
@code | 1..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
(Choice of one) | 1..1 | |||||||||
assignedPerson | 0..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
assignedAuthoringDevice | 0..1 | AuthoringDevice | ||||||||
@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: EntityClassDevice (required) Fixed Value: DEV | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
code | 0..1 | CE | Binding: CDAEntityCode (example) | |||||||
manufacturerModelName | 1..1 | SC | Binding: Manufacturer Model Name Example (example) | |||||||
softwareName | 1..1 | SC | Binding: Software Name Example (example) | |||||||
asMaintainedEntity | 0..* | MaintainedEntity | ||||||||
representedOrganization | 0..1 | Organization | ||||||||
dataEnterer | 0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system. | |||||||
@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: ENT | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
time | C | 0..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
Slices for informant | 0..* | Informant | Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity | |||||||
informant:provider | 0..* | Informant | The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient. | |||||||
@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: INF | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946). | |||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | 0..* | TEL | ||||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
informant:non-provider | 0..* | Informant | The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient. | |||||||
@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: INF | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
relatedEntity | 1..1 | RelatedEntity | ||||||||
custodian | 1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |||||||
@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: CST | |||||||
assignedCustodian | 1..1 | AssignedCustodian | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
representedCustodianOrganization | 1..1 | CustodianOrganization | ||||||||
@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: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
name | 1..1 | ON | ||||||||
telecom | C | 1..1 | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
sdtcTelecom | 0..* | TEL | XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc) | |||||||
addr | C | 1..1 | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
informationRecipient | 0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart. | |||||||
@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: XInformationRecipient (2.0.0) (required) | |||||||
intendedRecipient | 1..1 | IntendedRecipient | ||||||||
@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: CDAInformationRecipientRole (required) | |||||||
id | 0..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
addr | 0..* | AD | ||||||||
telecom | 0..* | TEL | ||||||||
informationRecipient | 0..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
receivedOrganization | 0..1 | Organization | ||||||||
@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: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 0..* | II | ||||||||
name | 1..1 | ON | ||||||||
telecom | 0..* | TEL | ||||||||
addr | 0..* | AD | ||||||||
standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |||||||
asOrganizationPartOf | 0..1 | OrganizationPartOf | ||||||||
legalAuthenticator | 0..1 | LegalAuthenticator | The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. | |||||||
@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: LA | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
time | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: S | |||||||
@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) | |||||||
sdtcSignatureText | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc) | |||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | 0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI) | |||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
authenticator | 0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. | |||||||
@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: AUTHEN | |||||||
time | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: S | |||||||
@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) | |||||||
sdtcSignatureText | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc) | |||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: CDARoleCode (example) | |||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 0..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
participant | C | 0..* | Participant1 | The participant element in the Discharge Summary header follows the General Header Constraints for participants. Discharge Summary does not specify any use for functionCode for participants. Local policies will determine how this element should be used in implementations. 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). 1198-8469: When participant/@typeCode is IND, associatedEntity/@classCode **SHALL** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 (CONF:1198-8469). | ||||||
@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 | 1..1 | cs | Binding: CDAParticipationType (required) | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
functionCode | 0..1 | CE | ||||||||
time | C | 0..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
associatedEntity | 1..1 | AssociatedEntity | ||||||||
@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 | 1..1 | cs | Binding: CDARoleClassAssociative (required): See additional bindings
| |||||||
id | 0..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: CDARoleCode (example) | |||||||
addr | 0..* | AD | ||||||||
telecom | 0..* | TEL | ||||||||
associatedPerson | 0..1 | Person | ||||||||
scopingOrganization | 0..1 | Organization | ||||||||
inFulfillmentOf | 0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray. | |||||||
@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: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS | |||||||
order | 1..1 | Order | ||||||||
@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: CDAActClass (required) | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO | |||||||
id | 1..* | II | ||||||||
code | 0..1 | CE | Binding: v3 Code System ActCode (example) | |||||||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |||||||
documentationOf | 0..* | DocumentationOf | ||||||||
@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: CDAActRelationshipType (required) Fixed Value: DOC | |||||||
serviceEvent | C | 1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-us-performer: SHOULD contain performer | ||||||
@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: CDAActClass (required) | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
id | 0..* | II | ||||||||
code | 0..1 | CE | ||||||||
effectiveTime | C | 1..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |||||||
low | C | 1..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
center | 0..1 | TS | ||||||||
width | 0..1 | PQ | ||||||||
high | C | 0..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
performer | 0..* | Performer1 | The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors. | |||||||
@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 | 1..1 | cs | Binding: x_ServiceEventPerformer (required) | |||||||
functionCode | C | 0..1 | CE | should-code-attr: SHOULD contain @code | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 0..1 | cs | Binding: Care Team Member Function (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
time | C | 0..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
assignedEntity | C | 1..1 | AssignedEntity | should-us-code: SHOULD contain 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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | 0..* | AD | ||||||||
telecom | 0..* | TEL | ||||||||
assignedPerson | 0..1 | Person | ||||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
relatedDocument | 0..* | RelatedDocument | ||||||||
authorization | 0..* | Authorization | The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document. | |||||||
@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: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH | |||||||
consent | 1..1 | Consent | ||||||||
@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: CDAActClass (required) Fixed Value: CONS | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
id | 0..* | II | ||||||||
code | 0..1 | CE | The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: v3 Code System ActCode (example) | |||||||
statusCode | 1..1 | CS | Binding: ActStatus (required) | |||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Fixed Value: completed | |||||||
@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) | |||||||
componentOf | 1..1 | ComponentOf | The Discharge Summary is always associated with a Hospital Admission using the encompassingEncounter element in the header. | |||||||
@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) Fixed Value: COMP | |||||||
encompassingEncounter | C | 1..1 | EncompassingEncounter | should-responsibleParty: SHOULD contain responsibleParty | ||||||
@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: CDAActClass (required) Fixed Value: ENC | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
id | 1..* | II | ||||||||
code | 0..1 | CE | Binding: Act Encounter Codes (preferred) | |||||||
effectiveTime | C | 1..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |||||||
low | C | 1..1 | IVXB_TS | The admission date is recorded in the componentOf/encompassingEncounter/effectiveTime/low. ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
center | 0..1 | TS | ||||||||
width | 0..1 | PQ | ||||||||
high | C | 1..1 | IVXB_TS | The discharge date is recorded in the componentOf/encompassingEncounter/effectiveTime/high. ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
sdtcAdmissionReferralSourceCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc) | |||||||
dischargeDispositionCode | 1..1 | CE | The dischargeDispositionCode records the disposition of the patient at time of discharge. Access to the National Uniform Billing Committee (NUBC) code system requires a membership. The following conformance statement aligns with HITSP C80 requirements.
The dischargeDispositionCode, @displayName, or NUBC UB-04 Print Name, must be displayed when the document is rendered. Binding: USEncounterDischargeDisposition (preferred) | |||||||
responsibleParty | 0..1 | InfrastructureRoot | The responsibleParty element represents only the party responsible for the encounter, not necessarily the entire episode of care. | |||||||
@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: RESP | |||||||
assignedEntity | C | 1..1 | AssignedEntity | 1198-32905: This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). 1198-32898: This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32898). | ||||||
encounterParticipant | 0..* | EncounterParticipant | The encounterParticipant element represents persons who participated in the encounter and not necessarily the entire episode of care. | |||||||
@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 | 1..1 | cs | Binding: XEncounterParticipant (2.0.0) (required) | |||||||
time | 0..1 | IVL_TS | ||||||||
assignedEntity | C | 1..1 | AssignedEntity | 1198-32899: This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32899). | ||||||
location | 0..1 | InfrastructureRoot | ||||||||
@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: ParticipationTargetLocation (required) Fixed Value: LOC | |||||||
healthCareFacility | 1..1 | HealthCareFacility | ||||||||
component | 1..1 | Component | ||||||||
@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) Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
nonXMLBody | 0..1 | NonXMLBody | ||||||||
structuredBody | C | 1..1 | StructuredBody | In this template (templateId 2.16.840.1.113883.10.20.22.1.8.2), coded entries are optional. cc-rfv-combo: This structuredBody **SHALL NOT** contain a Chief Complaint and Reason for Visit Section (2.16.840.1.113883.10.20.22.2.13) when either a Chief Complaint Section (1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1) or a Reason for Visit Section (2.16.840.1.113883.10.20.22.2.12) is present. should-section-discharge-meds: SHOULD contain a Discharge Medications Section | ||||||
@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: ActClassRecordOrganizer (required) Fixed Value: DOCBODY | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
confidentialityCode | 0..1 | CE | ||||||||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |||||||
Slices for component | 7..* | InfrastructureRoot | Slice: Unordered, Open by profile:section | |||||||
component:All Slices | Content/Rules for all slices | |||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | Section | ||||||||
component:allergies | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AllergiesAndIntolerancesSection | Base for all types and resources shall-allergy-concern: If section/@nullFlavor is not present, SHALL contain at least one Allergy Concern Act | ||||||
component:hospitalCourse | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalCourseSection | Base for all types and resources | |||||||
component:dischargeDx | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | DischargeDiagnosisSection | Base for all types and resources should-entry: SHOULD contain entry | ||||||
component:dischargeMeds | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | DischargeMedicationsSection | Base for all types and resources shall-discharge-med: If section/@nullFlavor is not present, SHALL contain at least one Discharge Medication | ||||||
component:planOfTreatment | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | PlanofTreatmentSection | Base for all types and resources | |||||||
component:chiefComplaint | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | ChiefComplaintSection | Base for all types and resources | |||||||
component:chiefComplaintRFV | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ChiefComplaintandReasonforVisitSection | Base for all types and resources no-cc-rfv: When using this section, the Chief Complaint Section and the Reason for Visit Section SHALL NOT be used. | ||||||
component:nutrition | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | NutritionSection | Base for all types and resources should-nutritional-status-obs: SHOULD contain Nutritional Status Observation | ||||||
component:familyHistory | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | FamilyHistorySection | Base for all types and resources | |||||||
component:functionalStatus | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | FunctionalStatusSection | Base for all types and resources | |||||||
component:pastMedicalHistory | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | PastMedicalHistory | Base for all types and resources | |||||||
component:hpi | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HistoryofPresentIllnessSection | Base for all types and resources | |||||||
component:admissionDx | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AdmissionDiagnosisSection | Base for all types and resources should-entry: SHOULD contain entry | ||||||
component:admissionMeds | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AdmissionMedicationsSectionEntriesOptional | Base for all types and resources should-admission-medication: SHOULD contain Admission Medication | ||||||
component:hospitalConsults | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalConsultationsSection | Base for all types and resources | |||||||
component:dischargeInstructions | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalDischargeInstructionsSection | Base for all types and resources | |||||||
component:dischargePhysical | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalDischargePhysicalSection | Base for all types and resources | |||||||
component:dischargeStudies | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalDischargeStudiesSummarySection | Base for all types and resources | |||||||
component:immunization | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ImmunizationsSection | Base for all types and resources shall-immunization-activity: If section/@nullFlavor is not present, SHALL contain at least one Immunization Activity | ||||||
component:problems | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ProblemSection | Base for all types and resources shall-problem-concern-act: If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Act | ||||||
component:procedures | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ProceduresSection | Base for all types and resources shall-procedure-act-procedure: If section/@nullFlavor is not present, SHALL contain at least one Procedure Activity Procedure | ||||||
component:reasonForVisit | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | ReasonforVisitSection | Base for all types and resources | |||||||
component:reviewOfSystems | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | ReviewofSystemsSection | Base for all types and resources | |||||||
component:socialHist | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | SocialHistorySection | Base for all types and resources should-smoking-status: SHOULD contain Smoking Status | ||||||
component:vitalSigns | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | VitalSignsSection | Base for all types and resources shall-vital-signs-org: If section/@nullFlavor is not present, SHALL contain at least one Vital Signs Organizer or Average Blood Pressure Organizer | ||||||
component:results | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ResultsSection | Base for all types and resources shall-result-org: If section/@nullFlavor is not present, SHALL contain at least one Result Organizer | ||||||
component:advDirectives | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AdvanceDirectivesSection | Base for all types and resources shall-adv-directive-existence: If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation | ||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
ClinicalDocument.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.classCode | example | Fixed Value: DOCCLINhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.realmCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:us-realm.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:discharge-summary.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.code | required | DischargeSummaryDocumentTypeCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.4.1 | |
ClinicalDocument.sdtcStatusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.confidentialityCode.code | preferred | HL7BasicConfidentialityKind http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 | |
ClinicalDocument.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.recordTarget.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeCode | required | Fixed Value: RCThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.recordTarget.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.recordTarget.patientRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.classCode | required | Fixed Value: PAThttp://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal | |
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode | required | AdministrativeGenderHL7V3 http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 | |
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode | required | MaritalStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212 | |
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode | required | ReligiousAffiliation http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185 | |
ClinicalDocument.recordTarget.patientRole.patient.raceCode | required | RaceCategoryExcludingNulls http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | required | RaceValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914 | |
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode | required | Ethnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode | required | DetailedEthnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode | required | Fixed Value: GUARDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAgent | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.code | required | PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode | required | Fixed Value: BIRTHPLhttp://terminology.hl7.org/ValueSet/v3-RoleClassPassive | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode | required | Fixed Value: PLChttp://terminology.hl7.org/ValueSet/v3-EntityClassPlace | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use | required | CDAPostalAddressUsehttp://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode | required | LanguageCodesWithLanguageAndOptionallyARegionModifierhttp://hl7.org/fhir/us/core/ValueSet/simple-language | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode | required | LanguageAbilityMode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249 | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode | required | LanguageAbilityProficiency http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.author.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeCode | required | Fixed Value: AUThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.author.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.author.assignedAuthor.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.author.assignedAuthor.code.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode | required | Fixed Value: DEVhttp://terminology.hl7.org/ValueSet/v3-EntityClassDevice | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code | example | CDAEntityCodehttp://hl7.org/cda/stds/core/ValueSet/CDAEntityCode | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName | example | ManufacturerModelNameExamplehttp://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName | example | SoftwareNameExamplehttp://terminology.hl7.org/ValueSet/v3-SoftwareNameExample | |
ClinicalDocument.dataEnterer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeCode | required | Fixed Value: ENThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.dataEnterer.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.informant:provider.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.informant:provider.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:non-provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.custodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeCode | required | Fixed Value: CSThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.custodian.assignedCustodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeCode | required | XInformationRecipienthttp://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0 | |
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.classCode | required | CDAInformationRecipientRolehttp://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.legalAuthenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeCode | required | Fixed Value: LAhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.legalAuthenticator.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.legalAuthenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeCode | required | Fixed Value: AUTHENhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.authenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.authenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeCode | required | CDAParticipationTypehttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.participant.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.participant.associatedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.associatedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.associatedEntity.classCode | required | CDARoleClassAssociativehttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassAssociative | |
ClinicalDocument.participant.associatedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.inFulfillmentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeCode | required | Fixed Value: FLFShttp://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0 | |
ClinicalDocument.inFulfillmentOf.order.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.classCode | required | CDAActClasshttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.inFulfillmentOf.order.moodCode | required | Fixed Value: RQOhttp://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent | |
ClinicalDocument.inFulfillmentOf.order.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.inFulfillmentOf.order.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
ClinicalDocument.documentationOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeCode | required | Fixed Value: DOChttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType | |
ClinicalDocument.documentationOf.serviceEvent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.classCode | required | CDAActClasshttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.documentationOf.serviceEvent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode | required | X_ServiceEventPerformer http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code | preferred | CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authorization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeCode | required | Fixed Value: AUTHhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy | |
ClinicalDocument.authorization.consent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.classCode | required | Fixed Value: CONShttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.authorization.consent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.authorization.consent.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.authorization.consent.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.authorization.consent.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.componentOf.encompassingEncounter.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.componentOf.encompassingEncounter.code | preferred | ActEncounterCodes http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5 | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode | preferred | USEncounterDischargeDispositionhttp://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode | required | Fixed Value: RESPhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.typeCode | required | XEncounterParticipanthttp://terminology.hl7.org/ValueSet/v3-xEncounterParticipant|2.0.0 | |
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode | required | Fixed Value: LOChttp://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation | |
ClinicalDocument.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.component.structuredBody.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.classCode | required | Fixed Value: DOCBODYhttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
ClinicalDocument.component.structuredBody.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.component.structuredBody.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.component.structuredBody.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalCourse.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalCourse.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeDx.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeDx.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeMeds.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeMeds.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:familyHistory.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:familyHistory.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:functionalStatus.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:functionalStatus.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:pastMedicalHistory.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:pastMedicalHistory.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hpi.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hpi.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionDx.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionDx.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionMeds.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionMeds.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalConsults.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalConsults.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeInstructions.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeInstructions.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargePhysical.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargePhysical.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeStudies.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeStudies.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:immunization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:immunization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:procedures.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:procedures.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reasonForVisit.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reasonForVisit.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:socialHist.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:socialHist.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
1198-8469 | error | ClinicalDocument.participant | When participant/@typeCode is IND, associatedEntity/@classCode **SHALL** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 (CONF:1198-8469). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
1198-32898 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32898). : assignedPerson.exists() or representedOrganization.exists() | |
1198-32899 | error | ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.assignedEntity | This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32899). : assignedPerson.exists() or representedOrganization.exists() | |
1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). : assignedPerson.exists() or representedOrganization.exists() | |
4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
4537-5403 | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
4537-6380 | error | ClinicalDocument | If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists() | |
4537-6387 | error | ClinicalDocument | If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists() | |
4537-10006 | error | ClinicalDocument.participant | **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists() | |
4537-10007 | warning | ClinicalDocument.participant | When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
4537-16790 | error | ClinicalDocument.author.assignedAuthor | There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1 | |
4537-21000 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true') | |
4537-32993 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists() | |
81-7278 | error | ClinicalDocument.recordTarget.patientRole.patient.name | **SHALL NOT** have mixed content except for white space (CONF:81-7278). : item.xmlText.empty() | |
81-7296 | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | **SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty() | |
81-9371 | error | ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name | The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists() | |
81-9372 | error | ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name | The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty() | |
81-10024 | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
81-10025 | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
AD-1 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item | Can only have only one of the possible item elements in each choice : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1 | |
II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.participant.associatedEntity.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.structuredBody.typeId, ClinicalDocument.component.structuredBody.component.typeId, ClinicalDocument.component.structuredBody.component:allergies.typeId, ClinicalDocument.component.structuredBody.component:hospitalCourse.typeId, ClinicalDocument.component.structuredBody.component:dischargeDx.typeId, ClinicalDocument.component.structuredBody.component:dischargeMeds.typeId, ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId, ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId, ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.typeId, ClinicalDocument.component.structuredBody.component:nutrition.typeId, ClinicalDocument.component.structuredBody.component:familyHistory.typeId, ClinicalDocument.component.structuredBody.component:functionalStatus.typeId, ClinicalDocument.component.structuredBody.component:pastMedicalHistory.typeId, ClinicalDocument.component.structuredBody.component:hpi.typeId, ClinicalDocument.component.structuredBody.component:admissionDx.typeId, ClinicalDocument.component.structuredBody.component:admissionMeds.typeId, ClinicalDocument.component.structuredBody.component:hospitalConsults.typeId, ClinicalDocument.component.structuredBody.component:dischargeInstructions.typeId, ClinicalDocument.component.structuredBody.component:dischargePhysical.typeId, ClinicalDocument.component.structuredBody.component:dischargeStudies.typeId, ClinicalDocument.component.structuredBody.component:immunization.typeId, ClinicalDocument.component.structuredBody.component:problems.typeId, ClinicalDocument.component.structuredBody.component:procedures.typeId, ClinicalDocument.component.structuredBody.component:reasonForVisit.typeId, ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId, ClinicalDocument.component.structuredBody.component:socialHist.typeId, ClinicalDocument.component.structuredBody.component:vitalSigns.typeId, ClinicalDocument.component.structuredBody.component:results.typeId, ClinicalDocument.component.structuredBody.component:advDirectives.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
category-18842-5 | error | ClinicalDocument | If category is present, then there shall be a category with LOINC code '18842-5'. : sdtcCategory.empty() or sdtcCategory.exists(code = '18842-5' and codeSystem = '2.16.840.1.113883.6.1') | |
cc-rfv-combo | error | ClinicalDocument.component.structuredBody | This structuredBody **SHALL NOT** contain a Chief Complaint and Reason for Visit Section (2.16.840.1.113883.10.20.22.2.13) when either a Chief Complaint Section (1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1) or a Reason for Visit Section (2.16.840.1.113883.10.20.22.2.12) is present. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintandReasonforVisitSection')).exists() implies component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ReasonforVisitSection')).empty() | |
ivl-ts-center | error | ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime | Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty()) | |
ivl-value-shall | error | ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime | If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10 | |
ivl-value-should | warning | ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime | If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10 | |
no-cc-rfv | error | ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.section | When using this section, the Chief Complaint Section and the Reason for Visit Section SHALL NOT be used. : %resource.component.structuredBody.component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ReasonforVisitSection')).empty() | |
pn-no-ls | error | ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name | No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty() | |
shall-adv-directive-existence | error | ClinicalDocument.component.structuredBody.component:advDirectives.section | If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation : nullFlavor.exists() or entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveExistenceObservation')).exists() | |
shall-allergy-concern | error | ClinicalDocument.component.structuredBody.component:allergies.section | If section/@nullFlavor is not present, SHALL contain at least one Allergy Concern Act : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AllergyConcernAct')).exists() | |
shall-city | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1 | |
shall-discharge-med | error | ClinicalDocument.component.structuredBody.component:dischargeMeds.section | If section/@nullFlavor is not present, SHALL contain at least one Discharge Medication : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedication')).exists() | |
shall-family | error | ClinicalDocument.recordTarget.patientRole.patient.name | SHALL contain exactly one [1..1] family (CONF:81-7159). : nullFlavor.exists() or item.family.count() = 1 | |
shall-given | error | ClinicalDocument.recordTarget.patientRole.patient.name | SHALL contain at least one [1..*] given (CONF:81-7157). : nullFlavor.exists() or item.given.exists() | |
shall-immunization-activity | error | ClinicalDocument.component.structuredBody.component:immunization.section | If section/@nullFlavor is not present, SHALL contain at least one Immunization Activity : nullFlavor.exists() or entry.where(substanceAdministration.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity')).exists() | |
shall-max-ad-parts | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1) | |
shall-max-suffix | error | ClinicalDocument.recordTarget.patientRole.patient.name | There may be at most one suffix : (item.suffix.empty() or item.suffix.count() = 1) | |
shall-problem-concern-act | error | ClinicalDocument.component.structuredBody.component:problems.section | If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Act : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct')).exists() | |
shall-procedure-act-procedure | error | ClinicalDocument.component.structuredBody.component:procedures.section | If section/@nullFlavor is not present, SHALL contain at least one Procedure Activity Procedure : nullFlavor.exists() or entry.where(procedure.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure')).exists() | |
shall-result-org | error | ClinicalDocument.component.structuredBody.component:results.section | If section/@nullFlavor is not present, SHALL contain at least one Result Organizer : nullFlavor.exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ResultOrganizer')).exists() | |
shall-streetAddressLine | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4) | |
shall-vital-signs-org | error | ClinicalDocument.component.structuredBody.component:vitalSigns.section | If section/@nullFlavor is not present, SHALL contain at least one Vital Signs Organizer or Average Blood Pressure Organizer : nullFlavor.exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/VitalSignsOrganizer')).exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AverageBloodPressureOrganizer')).exists() | |
should-admission-medication | warning | ClinicalDocument.component.structuredBody.component:admissionMeds.section | SHOULD contain Admission Medication : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdmissionMedication')) | |
should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code : code.exists() | |
should-country | warning | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHOULD contain country : nullFlavor.exists() or item.country.exists() | |
should-entry | warning | ClinicalDocument.component.structuredBody.component:dischargeDx.section, ClinicalDocument.component.structuredBody.component:admissionDx.section | SHOULD contain entry : entry.exists() | |
should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension : extension.exists() | |
should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6') | |
should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator : legalAuthenticator.exists() | |
should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode : maritalStatusCode.exists() | |
should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-nutritional-status-obs | warning | ClinicalDocument.component.structuredBody.component:nutrition.section | SHOULD contain Nutritional Status Observation : entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/NutritionalStatusObservation')) | |
should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd : preferenceInd.exists() | |
should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists() | |
should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists() | |
should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty : responsibleParty.exists() | |
should-section-discharge-meds | warning | ClinicalDocument.component.structuredBody | SHOULD contain a Discharge Medications Section : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedicationsSection')) | |
should-smoking-status | warning | ClinicalDocument.component.structuredBody.component:socialHist.section | SHOULD contain Smoking Status : entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus')) | |
should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr : addr.exists() | |
should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | SHOULD contain code : code.exists() | |
should-us-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication : languageCommunication.exists() | |
should-us-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer : performer.exists() | |
should-us-telecom | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain telecom : telecom.exists() | |
should-use | warning | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.telecom | SHOULD contain @use : nullFlavor.exists() or use.exists() | |
should-value-att | warning | ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | SHOULD contain @value : value.exists() | |
signature | warning | ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode | CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X' | |
text-null | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct | xmlText and nullFlavor are mutually exclusive (one must be present) : (xmlText | nullFlavor).count() = 1 | |
ts-shall-day | error | ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-shall-year | error | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4 | |
ts-should-day | warning | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-should-minute | warning | ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10 |
This structure is derived from USRealmHeader
Summary
Mandatory: 15 elements(1 nested mandatory element)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USRealmHeader
Name | Flags | Card. | Type | Description & Constraints | ||||||
---|---|---|---|---|---|---|---|---|---|---|
ClinicalDocument | C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) category-18842-5: If category is present, then there shall be a category with LOINC code '18842-5'. | ||||||
templateId | 2..* | II | ||||||||
Slices for templateId | Content/Rules for all slices | |||||||||
templateId:discharge-summary | 1..1 | II | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.8 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
sdtcCategory | 0..* | CD | Used to categorize the document as a Discharge Summary. If present, there SHALL be a category of 18842-5 (Discharge summary). | |||||||
code | 1..1 | CE | The Discharge Summary recommends use of a single document type code, 18842-5 "Discharge summary", with further specification provided by author or performer, setting, or specialty. When pre-coordinated codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type. Binding: DischargeSummaryDocumentTypeCode (required) | |||||||
participant | C | 0..* | Participant1 | The participant element in the Discharge Summary header follows the General Header Constraints for participants. Discharge Summary does not specify any use for functionCode for participants. Local policies will determine how this element should be used in implementations. 1198-8469: When participant/@typeCode is IND, associatedEntity/@classCode **SHALL** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 (CONF:1198-8469). | ||||||
associatedEntity | ||||||||||
@classCode | 1..1 | cs | Binding: CDARoleClassAssociative (required): See additional bindings
| |||||||
componentOf | 1..1 | ComponentOf | The Discharge Summary is always associated with a Hospital Admission using the encompassingEncounter element in the header. | |||||||
encompassingEncounter | 1..1 | EncompassingEncounter | ||||||||
effectiveTime | 1..1 | USRealmDateTimeInterval | Base for all types and resources | |||||||
low | 1..1 | IVXB_TS | The admission date is recorded in the componentOf/encompassingEncounter/effectiveTime/low. | |||||||
high | 1..1 | IVXB_TS | The discharge date is recorded in the componentOf/encompassingEncounter/effectiveTime/high. | |||||||
dischargeDispositionCode | 1..1 | CE | The dischargeDispositionCode records the disposition of the patient at time of discharge. Access to the National Uniform Billing Committee (NUBC) code system requires a membership. The following conformance statement aligns with HITSP C80 requirements.
The dischargeDispositionCode, @displayName, or NUBC UB-04 Print Name, must be displayed when the document is rendered. Binding: USEncounterDischargeDisposition (preferred) | |||||||
responsibleParty | 0..1 | InfrastructureRoot | The responsibleParty element represents only the party responsible for the encounter, not necessarily the entire episode of care. | |||||||
assignedEntity | C | 1..1 | AssignedEntity | 1198-32898: This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32898). | ||||||
encounterParticipant | 0..* | EncounterParticipant | The encounterParticipant element represents persons who participated in the encounter and not necessarily the entire episode of care. | |||||||
assignedEntity | C | 1..1 | AssignedEntity | 1198-32899: This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32899). | ||||||
component | 1..1 | Component | ||||||||
structuredBody | C | 1..1 | StructuredBody | In this template (templateId 2.16.840.1.113883.10.20.22.1.8.2), coded entries are optional. cc-rfv-combo: This structuredBody **SHALL NOT** contain a Chief Complaint and Reason for Visit Section (2.16.840.1.113883.10.20.22.2.13) when either a Chief Complaint Section (1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1) or a Reason for Visit Section (2.16.840.1.113883.10.20.22.2.12) is present. should-section-discharge-meds: SHOULD contain a Discharge Medications Section | ||||||
Slices for component | 7..* | InfrastructureRoot | Slice: Unordered, Open by profile:section | |||||||
component:allergies | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | AllergiesAndIntolerancesSection | Base for all types and resources | |||||||
component:hospitalCourse | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | HospitalCourseSection | Base for all types and resources | |||||||
component:dischargeDx | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | DischargeDiagnosisSection | Base for all types and resources | |||||||
component:dischargeMeds | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | DischargeMedicationsSection | Base for all types and resources | |||||||
component:planOfTreatment | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | PlanofTreatmentSection | Base for all types and resources | |||||||
component:chiefComplaint | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | ChiefComplaintSection | Base for all types and resources | |||||||
component:chiefComplaintRFV | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | ChiefComplaintandReasonforVisitSection | Base for all types and resources | |||||||
component:nutrition | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | NutritionSection | Base for all types and resources | |||||||
component:familyHistory | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | FamilyHistorySection | Base for all types and resources | |||||||
component:functionalStatus | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | FunctionalStatusSection | Base for all types and resources | |||||||
component:pastMedicalHistory | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | PastMedicalHistory | Base for all types and resources | |||||||
component:hpi | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | HistoryofPresentIllnessSection | Base for all types and resources | |||||||
component:admissionDx | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | AdmissionDiagnosisSection | Base for all types and resources | |||||||
component:admissionMeds | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | AdmissionMedicationsSectionEntriesOptional | Base for all types and resources | |||||||
component:hospitalConsults | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | HospitalConsultationsSection | Base for all types and resources | |||||||
component:dischargeInstructions | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | HospitalDischargeInstructionsSection | Base for all types and resources | |||||||
component:dischargePhysical | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | HospitalDischargePhysicalSection | Base for all types and resources | |||||||
component:dischargeStudies | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | HospitalDischargeStudiesSummarySection | Base for all types and resources | |||||||
component:immunization | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | ImmunizationsSection | Base for all types and resources | |||||||
component:problems | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | ProblemSection | Base for all types and resources | |||||||
component:procedures | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | ProceduresSection | Base for all types and resources | |||||||
component:reasonForVisit | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | ReasonforVisitSection | Base for all types and resources | |||||||
component:reviewOfSystems | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | ReviewofSystemsSection | Base for all types and resources | |||||||
component:socialHist | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | SocialHistorySection | Base for all types and resources | |||||||
component:vitalSigns | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | VitalSignsSection | Base for all types and resources | |||||||
component:results | 1..1 | InfrastructureRoot | ||||||||
section | 1..1 | ResultsSection | Base for all types and resources | |||||||
component:advDirectives | 0..1 | InfrastructureRoot | ||||||||
section | 1..1 | AdvanceDirectivesSection | Base for all types and resources | |||||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
ClinicalDocument.code | required | DischargeSummaryDocumentTypeCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.4.1 | |
ClinicalDocument.participant.associatedEntity.classCode | required | CDARoleClassAssociativehttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassAssociative | |
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode | preferred | USEncounterDischargeDispositionhttp://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition |
Id | Grade | Path(s) | Details | Requirements |
1198-8469 | error | ClinicalDocument.participant | When participant/@typeCode is IND, associatedEntity/@classCode **SHALL** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 (CONF:1198-8469). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
1198-32898 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32898). : assignedPerson.exists() or representedOrganization.exists() | |
1198-32899 | error | ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.assignedEntity | This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32899). : assignedPerson.exists() or representedOrganization.exists() | |
category-18842-5 | error | ClinicalDocument | If category is present, then there shall be a category with LOINC code '18842-5'. : sdtcCategory.empty() or sdtcCategory.exists(code = '18842-5' and codeSystem = '2.16.840.1.113883.6.1') | |
cc-rfv-combo | error | ClinicalDocument.component.structuredBody | This structuredBody **SHALL NOT** contain a Chief Complaint and Reason for Visit Section (2.16.840.1.113883.10.20.22.2.13) when either a Chief Complaint Section (1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1) or a Reason for Visit Section (2.16.840.1.113883.10.20.22.2.12) is present. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintandReasonforVisitSection')).exists() implies component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ReasonforVisitSection')).empty() | |
should-section-discharge-meds | warning | ClinicalDocument.component.structuredBody | SHOULD contain a Discharge Medications Section : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedicationsSection')) |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||||
---|---|---|---|---|---|---|---|---|---|---|
ClinicalDocument | C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) 4537-6380: If setId is present versionNumber **SHALL** be present (CONF:4537-6380). 4537-6387: If versionNumber is present setId **SHALL** be present (CONF:4537-6387). should-legalAuthenticator: SHOULD contain legalAuthenticator should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant category-18842-5: If category is present, then there shall be a category with LOINC code '18842-5'. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@classCode | 0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
realmCode | 1..1 | CS | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: US | |||||||
@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) | |||||||
typeId | C | 1..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 | Fixed Value: POCD_HD000040 | |||||||
Slices for templateId | 2..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||
templateId:us-realm | 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: 2.16.840.1.113883.10.20.22.1.1 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
templateId:discharge-summary | 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: 2.16.840.1.113883.10.20.22.1.8 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
id | 1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991). | |||||||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc Used to categorize the document as a Discharge Summary. If present, there SHALL be a category of 18842-5 (Discharge summary). XML: category (urn:hl7-org:sdtc) | |||||||
code | 1..1 | CE | The Discharge Summary recommends use of a single document type code, 18842-5 "Discharge summary", with further specification provided by author or performer, setting, or specialty. When pre-coordinated codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type. Binding: DischargeSummaryDocumentTypeCode (required) | |||||||
@code | 1..1 | cs | ||||||||
@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:sdtc XML: valueSet (urn:hl7-org:sdtc) | |||||||
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
title | 1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code | |||||||
sdtcStatusCode | 0..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required) | |||||||
effectiveTime | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
confidentialityCode | 1..1 | CE | ||||||||
@code | 1..1 | cs | Binding: HL7 BasicConfidentialityKind (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
languageCode | 1..1 | CS | Binding: AllLanguages (required) | |||||||
setId | 0..1 | II | ||||||||
versionNumber | 0..1 | INT | ||||||||
copyTime | 0..1 | TS | ||||||||
recordTarget | 1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |||||||
@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: RCT | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
patientRole | 1..1 | PatientRole | ||||||||
@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: RoleClassRelationshipFormal (required) Fixed Value: PAT | |||||||
id | 1..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
addr | C | 1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
patient | C | 1..1 | Patient | 4537-32993: If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true should-maritalStatusCode: SHOULD contain maritalStatusCode should-us-languageCommunication: SHOULD contain languageCommunication | ||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 0..1 | II | ||||||||
name | C | 1..* | USRealmPatientNamePTNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. shall-family: SHALL contain exactly one [1..1] family (CONF:81-7159). shall-given: SHALL contain at least one [1..*] given (CONF:81-7157). shall-max-suffix: There may be at most one suffix 81-7278: **SHALL NOT** have mixed content except for white space (CONF:81-7278). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
administrativeGenderCode | 1..1 | CE | Binding: Administrative Gender (HL7 V3) (required) | |||||||
birthTime | C | 1..1 | TS | 𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day | ||||||
sdtcDeceasedInd | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc) | |||||||
sdtcDeceasedTime | C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) should-value-att: SHOULD contain @value ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day | ||||||
sdtcMultipleBirthInd | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc) | |||||||
sdtcMultipleBirthOrderNumber | 0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc) | |||||||
maritalStatusCode | 0..1 | CE | Binding: Marital Status (required) | |||||||
religiousAffiliationCode | 0..1 | CE | Binding: Religious Affiliation (required) | |||||||
raceCode | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls (required) | |||||||
sdtcRaceCode | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Race Value Set (required) | |||||||
ethnicGroupCode | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity (required) | |||||||
sdtcEthnicGroupCode | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity (required) | |||||||
guardian | C | 0..* | Guardian | should-us-code: SHOULD contain code should-us-addr: SHOULD contain addr should-us-telecom: SHOULD contain telecom | ||||||
@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: RoleClassAgent (required) Fixed Value: GUARD | |||||||
id | 0..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (required) | |||||||
addr | C | 0..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 0..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
guardianPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
guardianOrganization | 0..1 | Organization | ||||||||
birthplace | 0..1 | Birthplace | ||||||||
@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: RoleClassPassive (required) Fixed Value: BIRTHPL | |||||||
place | 1..1 | Place | ||||||||
@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: EntityClassPlace (required) Fixed Value: PLC | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | 0..1 | EN | ||||||||
addr | C | 1..1 | AD | 4537-5402: If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). 4537-5403: If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). should-country: SHOULD contain country | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@isNotOrdered | 0..1 | bl | ||||||||
@use | 0..* | cs | Binding: CDAPostalAddressUse (required) | |||||||
item | C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance AD-1: Can only have only one of the possible item elements in each choice | ||||||
(Choice of one) | 1..1 | |||||||||
delimiter | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DEL | |||||||
country | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CNT | |||||||
state | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STA | |||||||
county | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CPA | |||||||
city | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CTY | |||||||
postalCode | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: ZIP | |||||||
streetAddressLine | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: SAL | |||||||
houseNumber | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: BNR | |||||||
houseNumberNumeric | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: BNN | |||||||
direction | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DIR | |||||||
streetName | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STR | |||||||
streetNameBase | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STB | |||||||
streetNameType | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STTYP | |||||||
additionalLocator | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: ADL | |||||||
unitID | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: UNID | |||||||
unitType | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: UNIT | |||||||
careOf | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CAR | |||||||
censusTract | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CEN | |||||||
deliveryAddressLine | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DAL | |||||||
deliveryInstallationType | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DINST | |||||||
deliveryInstallationArea | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DINSTA | |||||||
deliveryInstallationQualifier | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DINSTQ | |||||||
deliveryMode | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DMOD | |||||||
deliveryModeIdentifier | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DMODID | |||||||
buildingNumberSuffix | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: BNS | |||||||
postBox | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: POB | |||||||
precinct | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: PRE | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
languageCommunication | C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode should-preferenceInd: SHOULD contain preferenceInd | ||||||
@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 | ||||||||
languageCode | 1..1 | CS | Binding: Language codes with language and optionally a region modifier (required) | |||||||
modeCode | 0..1 | CE | Binding: LanguageAbilityMode (required) | |||||||
proficiencyLevelCode | 0..1 | CE | Binding: LanguageAbilityProficiency (required) | |||||||
preferenceInd | 0..1 | BL | ||||||||
providerOrganization | 0..1 | Organization | ||||||||
@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: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
name | 1..* | ON | ||||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |||||||
asOrganizationPartOf | 0..1 | OrganizationPartOf | ||||||||
author | 1..* | Author | The author element represents the creator of the clinical document. The author may be a device or a person. | |||||||
@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: AUT | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
functionCode | 0..1 | CE | ||||||||
time | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
assignedAuthor | C | 1..1 | AssignedAuthor | 4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). should-id-npi: SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) should-us-code: SHOULD contain 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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
Slices for id | 1..* | II | Slice: Unordered, Open by value:root | |||||||
id:npi | C | 0..1 | II | should-extension: SHOULD contain extension | ||||||
@nullFlavor | 0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6 | |||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: CDARoleCode (example) | |||||||
@code | 1..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
(Choice of one) | 1..1 | |||||||||
assignedPerson | 0..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
assignedAuthoringDevice | 0..1 | AuthoringDevice | ||||||||
@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: EntityClassDevice (required) Fixed Value: DEV | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
code | 0..1 | CE | Binding: CDAEntityCode (example) | |||||||
manufacturerModelName | 1..1 | SC | Binding: Manufacturer Model Name Example (example) | |||||||
softwareName | 1..1 | SC | Binding: Software Name Example (example) | |||||||
asMaintainedEntity | 0..* | MaintainedEntity | ||||||||
representedOrganization | 0..1 | Organization | ||||||||
dataEnterer | 0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system. | |||||||
@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: ENT | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
time | C | 0..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
Slices for informant | 0..* | Informant | Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity | |||||||
informant:provider | 0..* | Informant | The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient. | |||||||
@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: INF | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946). | |||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | 0..* | TEL | ||||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
informant:non-provider | 0..* | Informant | The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient. | |||||||
@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: INF | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
relatedEntity | 1..1 | RelatedEntity | ||||||||
custodian | 1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |||||||
@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: CST | |||||||
assignedCustodian | 1..1 | AssignedCustodian | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
representedCustodianOrganization | 1..1 | CustodianOrganization | ||||||||
@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: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
name | 1..1 | ON | ||||||||
telecom | C | 1..1 | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
sdtcTelecom | 0..* | TEL | XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc) | |||||||
addr | C | 1..1 | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
informationRecipient | 0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart. | |||||||
@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: XInformationRecipient (2.0.0) (required) | |||||||
intendedRecipient | 1..1 | IntendedRecipient | ||||||||
@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: CDAInformationRecipientRole (required) | |||||||
id | 0..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
addr | 0..* | AD | ||||||||
telecom | 0..* | TEL | ||||||||
informationRecipient | 0..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
receivedOrganization | 0..1 | Organization | ||||||||
@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: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 0..* | II | ||||||||
name | 1..1 | ON | ||||||||
telecom | 0..* | TEL | ||||||||
addr | 0..* | AD | ||||||||
standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |||||||
asOrganizationPartOf | 0..1 | OrganizationPartOf | ||||||||
legalAuthenticator | 0..1 | LegalAuthenticator | The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. | |||||||
@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: LA | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
time | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: S | |||||||
@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) | |||||||
sdtcSignatureText | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc) | |||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | 0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI) | |||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
authenticator | 0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. | |||||||
@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: AUTHEN | |||||||
time | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: S | |||||||
@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) | |||||||
sdtcSignatureText | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc) | |||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: CDARoleCode (example) | |||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 0..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
participant | C | 0..* | Participant1 | The participant element in the Discharge Summary header follows the General Header Constraints for participants. Discharge Summary does not specify any use for functionCode for participants. Local policies will determine how this element should be used in implementations. 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). 1198-8469: When participant/@typeCode is IND, associatedEntity/@classCode **SHALL** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 (CONF:1198-8469). | ||||||
@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 | 1..1 | cs | Binding: CDAParticipationType (required) | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
functionCode | 0..1 | CE | ||||||||
time | C | 0..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
associatedEntity | 1..1 | AssociatedEntity | ||||||||
@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 | 1..1 | cs | Binding: CDARoleClassAssociative (required): See additional bindings
| |||||||
id | 0..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: CDARoleCode (example) | |||||||
addr | 0..* | AD | ||||||||
telecom | 0..* | TEL | ||||||||
associatedPerson | 0..1 | Person | ||||||||
scopingOrganization | 0..1 | Organization | ||||||||
inFulfillmentOf | 0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray. | |||||||
@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: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS | |||||||
order | 1..1 | Order | ||||||||
@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: CDAActClass (required) | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO | |||||||
id | 1..* | II | ||||||||
code | 0..1 | CE | Binding: v3 Code System ActCode (example) | |||||||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |||||||
documentationOf | 0..* | DocumentationOf | ||||||||
@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: CDAActRelationshipType (required) Fixed Value: DOC | |||||||
serviceEvent | C | 1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-us-performer: SHOULD contain performer | ||||||
@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: CDAActClass (required) | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
id | 0..* | II | ||||||||
code | 0..1 | CE | ||||||||
effectiveTime | C | 1..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |||||||
low | C | 1..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
center | 0..1 | TS | ||||||||
width | 0..1 | PQ | ||||||||
high | C | 0..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
performer | 0..* | Performer1 | The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors. | |||||||
@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 | 1..1 | cs | Binding: x_ServiceEventPerformer (required) | |||||||
functionCode | C | 0..1 | CE | should-code-attr: SHOULD contain @code | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 0..1 | cs | Binding: Care Team Member Function (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
time | C | 0..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
assignedEntity | C | 1..1 | AssignedEntity | should-us-code: SHOULD contain 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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | 0..* | AD | ||||||||
telecom | 0..* | TEL | ||||||||
assignedPerson | 0..1 | Person | ||||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
relatedDocument | 0..* | RelatedDocument | ||||||||
authorization | 0..* | Authorization | The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document. | |||||||
@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: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH | |||||||
consent | 1..1 | Consent | ||||||||
@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: CDAActClass (required) Fixed Value: CONS | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
id | 0..* | II | ||||||||
code | 0..1 | CE | The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: v3 Code System ActCode (example) | |||||||
statusCode | 1..1 | CS | Binding: ActStatus (required) | |||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Fixed Value: completed | |||||||
@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) | |||||||
componentOf | 1..1 | ComponentOf | The Discharge Summary is always associated with a Hospital Admission using the encompassingEncounter element in the header. | |||||||
@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) Fixed Value: COMP | |||||||
encompassingEncounter | C | 1..1 | EncompassingEncounter | should-responsibleParty: SHOULD contain responsibleParty | ||||||
@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: CDAActClass (required) Fixed Value: ENC | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
id | 1..* | II | ||||||||
code | 0..1 | CE | Binding: Act Encounter Codes (preferred) | |||||||
effectiveTime | C | 1..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |||||||
low | C | 1..1 | IVXB_TS | The admission date is recorded in the componentOf/encompassingEncounter/effectiveTime/low. ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
center | 0..1 | TS | ||||||||
width | 0..1 | PQ | ||||||||
high | C | 1..1 | IVXB_TS | The discharge date is recorded in the componentOf/encompassingEncounter/effectiveTime/high. ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
sdtcAdmissionReferralSourceCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc) | |||||||
dischargeDispositionCode | 1..1 | CE | The dischargeDispositionCode records the disposition of the patient at time of discharge. Access to the National Uniform Billing Committee (NUBC) code system requires a membership. The following conformance statement aligns with HITSP C80 requirements.
The dischargeDispositionCode, @displayName, or NUBC UB-04 Print Name, must be displayed when the document is rendered. Binding: USEncounterDischargeDisposition (preferred) | |||||||
responsibleParty | 0..1 | InfrastructureRoot | The responsibleParty element represents only the party responsible for the encounter, not necessarily the entire episode of care. | |||||||
@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: RESP | |||||||
assignedEntity | C | 1..1 | AssignedEntity | 1198-32905: This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). 1198-32898: This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32898). | ||||||
encounterParticipant | 0..* | EncounterParticipant | The encounterParticipant element represents persons who participated in the encounter and not necessarily the entire episode of care. | |||||||
@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 | 1..1 | cs | Binding: XEncounterParticipant (2.0.0) (required) | |||||||
time | 0..1 | IVL_TS | ||||||||
assignedEntity | C | 1..1 | AssignedEntity | 1198-32899: This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32899). | ||||||
location | 0..1 | InfrastructureRoot | ||||||||
@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: ParticipationTargetLocation (required) Fixed Value: LOC | |||||||
healthCareFacility | 1..1 | HealthCareFacility | ||||||||
component | 1..1 | Component | ||||||||
@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) Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
nonXMLBody | 0..1 | NonXMLBody | ||||||||
structuredBody | C | 1..1 | StructuredBody | In this template (templateId 2.16.840.1.113883.10.20.22.1.8.2), coded entries are optional. cc-rfv-combo: This structuredBody **SHALL NOT** contain a Chief Complaint and Reason for Visit Section (2.16.840.1.113883.10.20.22.2.13) when either a Chief Complaint Section (1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1) or a Reason for Visit Section (2.16.840.1.113883.10.20.22.2.12) is present. should-section-discharge-meds: SHOULD contain a Discharge Medications Section | ||||||
@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: ActClassRecordOrganizer (required) Fixed Value: DOCBODY | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
confidentialityCode | 0..1 | CE | ||||||||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |||||||
Slices for component | 7..* | InfrastructureRoot | Slice: Unordered, Open by profile:section | |||||||
component:All Slices | Content/Rules for all slices | |||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | Section | ||||||||
component:allergies | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AllergiesAndIntolerancesSection | Base for all types and resources shall-allergy-concern: If section/@nullFlavor is not present, SHALL contain at least one Allergy Concern Act | ||||||
component:hospitalCourse | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalCourseSection | Base for all types and resources | |||||||
component:dischargeDx | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | DischargeDiagnosisSection | Base for all types and resources should-entry: SHOULD contain entry | ||||||
component:dischargeMeds | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | DischargeMedicationsSection | Base for all types and resources shall-discharge-med: If section/@nullFlavor is not present, SHALL contain at least one Discharge Medication | ||||||
component:planOfTreatment | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | PlanofTreatmentSection | Base for all types and resources | |||||||
component:chiefComplaint | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | ChiefComplaintSection | Base for all types and resources | |||||||
component:chiefComplaintRFV | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ChiefComplaintandReasonforVisitSection | Base for all types and resources no-cc-rfv: When using this section, the Chief Complaint Section and the Reason for Visit Section SHALL NOT be used. | ||||||
component:nutrition | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | NutritionSection | Base for all types and resources should-nutritional-status-obs: SHOULD contain Nutritional Status Observation | ||||||
component:familyHistory | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | FamilyHistorySection | Base for all types and resources | |||||||
component:functionalStatus | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | FunctionalStatusSection | Base for all types and resources | |||||||
component:pastMedicalHistory | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | PastMedicalHistory | Base for all types and resources | |||||||
component:hpi | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HistoryofPresentIllnessSection | Base for all types and resources | |||||||
component:admissionDx | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AdmissionDiagnosisSection | Base for all types and resources should-entry: SHOULD contain entry | ||||||
component:admissionMeds | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AdmissionMedicationsSectionEntriesOptional | Base for all types and resources should-admission-medication: SHOULD contain Admission Medication | ||||||
component:hospitalConsults | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalConsultationsSection | Base for all types and resources | |||||||
component:dischargeInstructions | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalDischargeInstructionsSection | Base for all types and resources | |||||||
component:dischargePhysical | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalDischargePhysicalSection | Base for all types and resources | |||||||
component:dischargeStudies | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalDischargeStudiesSummarySection | Base for all types and resources | |||||||
component:immunization | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ImmunizationsSection | Base for all types and resources shall-immunization-activity: If section/@nullFlavor is not present, SHALL contain at least one Immunization Activity | ||||||
component:problems | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ProblemSection | Base for all types and resources shall-problem-concern-act: If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Act | ||||||
component:procedures | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ProceduresSection | Base for all types and resources shall-procedure-act-procedure: If section/@nullFlavor is not present, SHALL contain at least one Procedure Activity Procedure | ||||||
component:reasonForVisit | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | ReasonforVisitSection | Base for all types and resources | |||||||
component:reviewOfSystems | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | ReviewofSystemsSection | Base for all types and resources | |||||||
component:socialHist | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | SocialHistorySection | Base for all types and resources should-smoking-status: SHOULD contain Smoking Status | ||||||
component:vitalSigns | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | VitalSignsSection | Base for all types and resources shall-vital-signs-org: If section/@nullFlavor is not present, SHALL contain at least one Vital Signs Organizer or Average Blood Pressure Organizer | ||||||
component:results | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ResultsSection | Base for all types and resources shall-result-org: If section/@nullFlavor is not present, SHALL contain at least one Result Organizer | ||||||
component:advDirectives | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AdvanceDirectivesSection | Base for all types and resources shall-adv-directive-existence: If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation | ||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
ClinicalDocument.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.classCode | example | Fixed Value: DOCCLINhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.realmCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:us-realm.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:discharge-summary.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.code | required | DischargeSummaryDocumentTypeCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.4.1 | |
ClinicalDocument.sdtcStatusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.confidentialityCode.code | preferred | HL7BasicConfidentialityKind http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 | |
ClinicalDocument.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.recordTarget.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeCode | required | Fixed Value: RCThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.recordTarget.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.recordTarget.patientRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.classCode | required | Fixed Value: PAThttp://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal | |
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode | required | AdministrativeGenderHL7V3 http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 | |
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode | required | MaritalStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212 | |
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode | required | ReligiousAffiliation http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185 | |
ClinicalDocument.recordTarget.patientRole.patient.raceCode | required | RaceCategoryExcludingNulls http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | required | RaceValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914 | |
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode | required | Ethnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode | required | DetailedEthnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode | required | Fixed Value: GUARDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAgent | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.code | required | PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode | required | Fixed Value: BIRTHPLhttp://terminology.hl7.org/ValueSet/v3-RoleClassPassive | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode | required | Fixed Value: PLChttp://terminology.hl7.org/ValueSet/v3-EntityClassPlace | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use | required | CDAPostalAddressUsehttp://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode | required | LanguageCodesWithLanguageAndOptionallyARegionModifierhttp://hl7.org/fhir/us/core/ValueSet/simple-language | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode | required | LanguageAbilityMode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249 | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode | required | LanguageAbilityProficiency http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.author.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeCode | required | Fixed Value: AUThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.author.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.author.assignedAuthor.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.author.assignedAuthor.code.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode | required | Fixed Value: DEVhttp://terminology.hl7.org/ValueSet/v3-EntityClassDevice | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code | example | CDAEntityCodehttp://hl7.org/cda/stds/core/ValueSet/CDAEntityCode | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName | example | ManufacturerModelNameExamplehttp://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName | example | SoftwareNameExamplehttp://terminology.hl7.org/ValueSet/v3-SoftwareNameExample | |
ClinicalDocument.dataEnterer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeCode | required | Fixed Value: ENThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.dataEnterer.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.informant:provider.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.informant:provider.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:non-provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.custodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeCode | required | Fixed Value: CSThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.custodian.assignedCustodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeCode | required | XInformationRecipienthttp://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0 | |
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.classCode | required | CDAInformationRecipientRolehttp://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.legalAuthenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeCode | required | Fixed Value: LAhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.legalAuthenticator.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.legalAuthenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeCode | required | Fixed Value: AUTHENhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.authenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.authenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeCode | required | CDAParticipationTypehttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.participant.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.participant.associatedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.associatedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.associatedEntity.classCode | required | CDARoleClassAssociativehttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassAssociative | |
ClinicalDocument.participant.associatedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.inFulfillmentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeCode | required | Fixed Value: FLFShttp://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0 | |
ClinicalDocument.inFulfillmentOf.order.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.classCode | required | CDAActClasshttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.inFulfillmentOf.order.moodCode | required | Fixed Value: RQOhttp://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent | |
ClinicalDocument.inFulfillmentOf.order.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.inFulfillmentOf.order.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
ClinicalDocument.documentationOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeCode | required | Fixed Value: DOChttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType | |
ClinicalDocument.documentationOf.serviceEvent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.classCode | required | CDAActClasshttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.documentationOf.serviceEvent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode | required | X_ServiceEventPerformer http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code | preferred | CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authorization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeCode | required | Fixed Value: AUTHhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy | |
ClinicalDocument.authorization.consent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.classCode | required | Fixed Value: CONShttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.authorization.consent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.authorization.consent.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.authorization.consent.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.authorization.consent.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.componentOf.encompassingEncounter.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.componentOf.encompassingEncounter.code | preferred | ActEncounterCodes http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5 | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode | preferred | USEncounterDischargeDispositionhttp://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode | required | Fixed Value: RESPhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.typeCode | required | XEncounterParticipanthttp://terminology.hl7.org/ValueSet/v3-xEncounterParticipant|2.0.0 | |
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode | required | Fixed Value: LOChttp://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation | |
ClinicalDocument.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.component.structuredBody.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.classCode | required | Fixed Value: DOCBODYhttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
ClinicalDocument.component.structuredBody.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.component.structuredBody.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.component.structuredBody.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalCourse.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalCourse.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeDx.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeDx.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeMeds.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeMeds.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:familyHistory.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:familyHistory.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:functionalStatus.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:functionalStatus.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:pastMedicalHistory.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:pastMedicalHistory.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hpi.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hpi.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionDx.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionDx.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionMeds.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionMeds.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalConsults.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalConsults.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeInstructions.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeInstructions.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargePhysical.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargePhysical.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeStudies.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeStudies.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:immunization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:immunization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:procedures.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:procedures.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reasonForVisit.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reasonForVisit.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:socialHist.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:socialHist.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
1198-8469 | error | ClinicalDocument.participant | When participant/@typeCode is IND, associatedEntity/@classCode **SHALL** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 (CONF:1198-8469). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
1198-32898 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32898). : assignedPerson.exists() or representedOrganization.exists() | |
1198-32899 | error | ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.assignedEntity | This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32899). : assignedPerson.exists() or representedOrganization.exists() | |
1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). : assignedPerson.exists() or representedOrganization.exists() | |
4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
4537-5403 | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
4537-6380 | error | ClinicalDocument | If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists() | |
4537-6387 | error | ClinicalDocument | If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists() | |
4537-10006 | error | ClinicalDocument.participant | **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists() | |
4537-10007 | warning | ClinicalDocument.participant | When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
4537-16790 | error | ClinicalDocument.author.assignedAuthor | There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1 | |
4537-21000 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true') | |
4537-32993 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists() | |
81-7278 | error | ClinicalDocument.recordTarget.patientRole.patient.name | **SHALL NOT** have mixed content except for white space (CONF:81-7278). : item.xmlText.empty() | |
81-7296 | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | **SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty() | |
81-9371 | error | ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name | The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists() | |
81-9372 | error | ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name | The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty() | |
81-10024 | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
81-10025 | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
AD-1 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item | Can only have only one of the possible item elements in each choice : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1 | |
II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.participant.associatedEntity.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.structuredBody.typeId, ClinicalDocument.component.structuredBody.component.typeId, ClinicalDocument.component.structuredBody.component:allergies.typeId, ClinicalDocument.component.structuredBody.component:hospitalCourse.typeId, ClinicalDocument.component.structuredBody.component:dischargeDx.typeId, ClinicalDocument.component.structuredBody.component:dischargeMeds.typeId, ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId, ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId, ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.typeId, ClinicalDocument.component.structuredBody.component:nutrition.typeId, ClinicalDocument.component.structuredBody.component:familyHistory.typeId, ClinicalDocument.component.structuredBody.component:functionalStatus.typeId, ClinicalDocument.component.structuredBody.component:pastMedicalHistory.typeId, ClinicalDocument.component.structuredBody.component:hpi.typeId, ClinicalDocument.component.structuredBody.component:admissionDx.typeId, ClinicalDocument.component.structuredBody.component:admissionMeds.typeId, ClinicalDocument.component.structuredBody.component:hospitalConsults.typeId, ClinicalDocument.component.structuredBody.component:dischargeInstructions.typeId, ClinicalDocument.component.structuredBody.component:dischargePhysical.typeId, ClinicalDocument.component.structuredBody.component:dischargeStudies.typeId, ClinicalDocument.component.structuredBody.component:immunization.typeId, ClinicalDocument.component.structuredBody.component:problems.typeId, ClinicalDocument.component.structuredBody.component:procedures.typeId, ClinicalDocument.component.structuredBody.component:reasonForVisit.typeId, ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId, ClinicalDocument.component.structuredBody.component:socialHist.typeId, ClinicalDocument.component.structuredBody.component:vitalSigns.typeId, ClinicalDocument.component.structuredBody.component:results.typeId, ClinicalDocument.component.structuredBody.component:advDirectives.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
category-18842-5 | error | ClinicalDocument | If category is present, then there shall be a category with LOINC code '18842-5'. : sdtcCategory.empty() or sdtcCategory.exists(code = '18842-5' and codeSystem = '2.16.840.1.113883.6.1') | |
cc-rfv-combo | error | ClinicalDocument.component.structuredBody | This structuredBody **SHALL NOT** contain a Chief Complaint and Reason for Visit Section (2.16.840.1.113883.10.20.22.2.13) when either a Chief Complaint Section (1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1) or a Reason for Visit Section (2.16.840.1.113883.10.20.22.2.12) is present. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintandReasonforVisitSection')).exists() implies component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ReasonforVisitSection')).empty() | |
ivl-ts-center | error | ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime | Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty()) | |
ivl-value-shall | error | ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime | If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10 | |
ivl-value-should | warning | ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime | If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10 | |
no-cc-rfv | error | ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.section | When using this section, the Chief Complaint Section and the Reason for Visit Section SHALL NOT be used. : %resource.component.structuredBody.component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ReasonforVisitSection')).empty() | |
pn-no-ls | error | ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name | No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty() | |
shall-adv-directive-existence | error | ClinicalDocument.component.structuredBody.component:advDirectives.section | If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation : nullFlavor.exists() or entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveExistenceObservation')).exists() | |
shall-allergy-concern | error | ClinicalDocument.component.structuredBody.component:allergies.section | If section/@nullFlavor is not present, SHALL contain at least one Allergy Concern Act : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AllergyConcernAct')).exists() | |
shall-city | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1 | |
shall-discharge-med | error | ClinicalDocument.component.structuredBody.component:dischargeMeds.section | If section/@nullFlavor is not present, SHALL contain at least one Discharge Medication : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedication')).exists() | |
shall-family | error | ClinicalDocument.recordTarget.patientRole.patient.name | SHALL contain exactly one [1..1] family (CONF:81-7159). : nullFlavor.exists() or item.family.count() = 1 | |
shall-given | error | ClinicalDocument.recordTarget.patientRole.patient.name | SHALL contain at least one [1..*] given (CONF:81-7157). : nullFlavor.exists() or item.given.exists() | |
shall-immunization-activity | error | ClinicalDocument.component.structuredBody.component:immunization.section | If section/@nullFlavor is not present, SHALL contain at least one Immunization Activity : nullFlavor.exists() or entry.where(substanceAdministration.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity')).exists() | |
shall-max-ad-parts | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1) | |
shall-max-suffix | error | ClinicalDocument.recordTarget.patientRole.patient.name | There may be at most one suffix : (item.suffix.empty() or item.suffix.count() = 1) | |
shall-problem-concern-act | error | ClinicalDocument.component.structuredBody.component:problems.section | If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Act : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct')).exists() | |
shall-procedure-act-procedure | error | ClinicalDocument.component.structuredBody.component:procedures.section | If section/@nullFlavor is not present, SHALL contain at least one Procedure Activity Procedure : nullFlavor.exists() or entry.where(procedure.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure')).exists() | |
shall-result-org | error | ClinicalDocument.component.structuredBody.component:results.section | If section/@nullFlavor is not present, SHALL contain at least one Result Organizer : nullFlavor.exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ResultOrganizer')).exists() | |
shall-streetAddressLine | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4) | |
shall-vital-signs-org | error | ClinicalDocument.component.structuredBody.component:vitalSigns.section | If section/@nullFlavor is not present, SHALL contain at least one Vital Signs Organizer or Average Blood Pressure Organizer : nullFlavor.exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/VitalSignsOrganizer')).exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AverageBloodPressureOrganizer')).exists() | |
should-admission-medication | warning | ClinicalDocument.component.structuredBody.component:admissionMeds.section | SHOULD contain Admission Medication : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdmissionMedication')) | |
should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code : code.exists() | |
should-country | warning | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHOULD contain country : nullFlavor.exists() or item.country.exists() | |
should-entry | warning | ClinicalDocument.component.structuredBody.component:dischargeDx.section, ClinicalDocument.component.structuredBody.component:admissionDx.section | SHOULD contain entry : entry.exists() | |
should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension : extension.exists() | |
should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6') | |
should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator : legalAuthenticator.exists() | |
should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode : maritalStatusCode.exists() | |
should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-nutritional-status-obs | warning | ClinicalDocument.component.structuredBody.component:nutrition.section | SHOULD contain Nutritional Status Observation : entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/NutritionalStatusObservation')) | |
should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd : preferenceInd.exists() | |
should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists() | |
should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists() | |
should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty : responsibleParty.exists() | |
should-section-discharge-meds | warning | ClinicalDocument.component.structuredBody | SHOULD contain a Discharge Medications Section : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedicationsSection')) | |
should-smoking-status | warning | ClinicalDocument.component.structuredBody.component:socialHist.section | SHOULD contain Smoking Status : entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus')) | |
should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr : addr.exists() | |
should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | SHOULD contain code : code.exists() | |
should-us-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication : languageCommunication.exists() | |
should-us-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer : performer.exists() | |
should-us-telecom | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain telecom : telecom.exists() | |
should-use | warning | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.telecom | SHOULD contain @use : nullFlavor.exists() or use.exists() | |
should-value-att | warning | ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | SHOULD contain @value : value.exists() | |
signature | warning | ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode | CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X' | |
text-null | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct | xmlText and nullFlavor are mutually exclusive (one must be present) : (xmlText | nullFlavor).count() = 1 | |
ts-shall-day | error | ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-shall-year | error | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4 | |
ts-should-day | warning | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-should-minute | warning | ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10 |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||||
---|---|---|---|---|---|---|---|---|---|---|
ClinicalDocument | C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) 4537-6380: If setId is present versionNumber **SHALL** be present (CONF:4537-6380). 4537-6387: If versionNumber is present setId **SHALL** be present (CONF:4537-6387). should-legalAuthenticator: SHOULD contain legalAuthenticator should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant category-18842-5: If category is present, then there shall be a category with LOINC code '18842-5'. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@classCode | 0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
realmCode | 1..1 | CS | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: US | |||||||
@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) | |||||||
typeId | C | 1..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 | Fixed Value: POCD_HD000040 | |||||||
Slices for templateId | 2..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||
templateId:us-realm | 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: 2.16.840.1.113883.10.20.22.1.1 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
templateId:discharge-summary | 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: 2.16.840.1.113883.10.20.22.1.8 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
id | 1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991). | |||||||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc Used to categorize the document as a Discharge Summary. If present, there SHALL be a category of 18842-5 (Discharge summary). XML: category (urn:hl7-org:sdtc) | |||||||
code | 1..1 | CE | The Discharge Summary recommends use of a single document type code, 18842-5 "Discharge summary", with further specification provided by author or performer, setting, or specialty. When pre-coordinated codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type. Binding: DischargeSummaryDocumentTypeCode (required) | |||||||
@code | 1..1 | cs | ||||||||
@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:sdtc XML: valueSet (urn:hl7-org:sdtc) | |||||||
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
title | 1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code | |||||||
sdtcStatusCode | 0..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required) | |||||||
effectiveTime | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
confidentialityCode | 1..1 | CE | ||||||||
@code | 1..1 | cs | Binding: HL7 BasicConfidentialityKind (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
languageCode | 1..1 | CS | Binding: AllLanguages (required) | |||||||
setId | 0..1 | II | ||||||||
versionNumber | 0..1 | INT | ||||||||
copyTime | 0..1 | TS | ||||||||
recordTarget | 1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |||||||
@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: RCT | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
patientRole | 1..1 | PatientRole | ||||||||
@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: RoleClassRelationshipFormal (required) Fixed Value: PAT | |||||||
id | 1..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
addr | C | 1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
patient | C | 1..1 | Patient | 4537-32993: If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true should-maritalStatusCode: SHOULD contain maritalStatusCode should-us-languageCommunication: SHOULD contain languageCommunication | ||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 0..1 | II | ||||||||
name | C | 1..* | USRealmPatientNamePTNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. shall-family: SHALL contain exactly one [1..1] family (CONF:81-7159). shall-given: SHALL contain at least one [1..*] given (CONF:81-7157). shall-max-suffix: There may be at most one suffix 81-7278: **SHALL NOT** have mixed content except for white space (CONF:81-7278). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
administrativeGenderCode | 1..1 | CE | Binding: Administrative Gender (HL7 V3) (required) | |||||||
birthTime | C | 1..1 | TS | 𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day | ||||||
sdtcDeceasedInd | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc) | |||||||
sdtcDeceasedTime | C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) should-value-att: SHOULD contain @value ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day | ||||||
sdtcMultipleBirthInd | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc) | |||||||
sdtcMultipleBirthOrderNumber | 0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc) | |||||||
maritalStatusCode | 0..1 | CE | Binding: Marital Status (required) | |||||||
religiousAffiliationCode | 0..1 | CE | Binding: Religious Affiliation (required) | |||||||
raceCode | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls (required) | |||||||
sdtcRaceCode | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Race Value Set (required) | |||||||
ethnicGroupCode | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity (required) | |||||||
sdtcEthnicGroupCode | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity (required) | |||||||
guardian | C | 0..* | Guardian | should-us-code: SHOULD contain code should-us-addr: SHOULD contain addr should-us-telecom: SHOULD contain telecom | ||||||
@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: RoleClassAgent (required) Fixed Value: GUARD | |||||||
id | 0..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (required) | |||||||
addr | C | 0..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 0..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
guardianPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
guardianOrganization | 0..1 | Organization | ||||||||
birthplace | 0..1 | Birthplace | ||||||||
@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: RoleClassPassive (required) Fixed Value: BIRTHPL | |||||||
place | 1..1 | Place | ||||||||
@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: EntityClassPlace (required) Fixed Value: PLC | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | 0..1 | EN | ||||||||
addr | C | 1..1 | AD | 4537-5402: If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). 4537-5403: If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). should-country: SHOULD contain country | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@isNotOrdered | 0..1 | bl | ||||||||
@use | 0..* | cs | Binding: CDAPostalAddressUse (required) | |||||||
item | C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance AD-1: Can only have only one of the possible item elements in each choice | ||||||
(Choice of one) | 1..1 | |||||||||
delimiter | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DEL | |||||||
country | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CNT | |||||||
state | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STA | |||||||
county | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CPA | |||||||
city | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CTY | |||||||
postalCode | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: ZIP | |||||||
streetAddressLine | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: SAL | |||||||
houseNumber | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: BNR | |||||||
houseNumberNumeric | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: BNN | |||||||
direction | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DIR | |||||||
streetName | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STR | |||||||
streetNameBase | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STB | |||||||
streetNameType | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: STTYP | |||||||
additionalLocator | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: ADL | |||||||
unitID | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: UNID | |||||||
unitType | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: UNIT | |||||||
careOf | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CAR | |||||||
censusTract | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: CEN | |||||||
deliveryAddressLine | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DAL | |||||||
deliveryInstallationType | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DINST | |||||||
deliveryInstallationArea | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DINSTA | |||||||
deliveryInstallationQualifier | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DINSTQ | |||||||
deliveryMode | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DMOD | |||||||
deliveryModeIdentifier | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: DMODID | |||||||
buildingNumberSuffix | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: BNS | |||||||
postBox | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: POB | |||||||
precinct | C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) | ||||||
(Choice of one) | 1..1 | |||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
@representation | 0..1 | cs | Fixed Value: TXT | |||||||
@mediaType | 0..1 | cs | Fixed Value: text/plain | |||||||
@language | 0..1 | cs | ||||||||
@partType | 0..1 | cs | Fixed Value: PRE | |||||||
xmlText | 0..1 | st | Allows for mixed text content | |||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
languageCommunication | C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode should-preferenceInd: SHOULD contain preferenceInd | ||||||
@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 | ||||||||
languageCode | 1..1 | CS | Binding: Language codes with language and optionally a region modifier (required) | |||||||
modeCode | 0..1 | CE | Binding: LanguageAbilityMode (required) | |||||||
proficiencyLevelCode | 0..1 | CE | Binding: LanguageAbilityProficiency (required) | |||||||
preferenceInd | 0..1 | BL | ||||||||
providerOrganization | 0..1 | Organization | ||||||||
@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: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
name | 1..* | ON | ||||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |||||||
asOrganizationPartOf | 0..1 | OrganizationPartOf | ||||||||
author | 1..* | Author | The author element represents the creator of the clinical document. The author may be a device or a person. | |||||||
@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: AUT | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
functionCode | 0..1 | CE | ||||||||
time | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
assignedAuthor | C | 1..1 | AssignedAuthor | 4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). should-id-npi: SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) should-us-code: SHOULD contain 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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
Slices for id | 1..* | II | Slice: Unordered, Open by value:root | |||||||
id:npi | C | 0..1 | II | should-extension: SHOULD contain extension | ||||||
@nullFlavor | 0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6 | |||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: CDARoleCode (example) | |||||||
@code | 1..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
(Choice of one) | 1..1 | |||||||||
assignedPerson | 0..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
assignedAuthoringDevice | 0..1 | AuthoringDevice | ||||||||
@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: EntityClassDevice (required) Fixed Value: DEV | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
code | 0..1 | CE | Binding: CDAEntityCode (example) | |||||||
manufacturerModelName | 1..1 | SC | Binding: Manufacturer Model Name Example (example) | |||||||
softwareName | 1..1 | SC | Binding: Software Name Example (example) | |||||||
asMaintainedEntity | 0..* | MaintainedEntity | ||||||||
representedOrganization | 0..1 | Organization | ||||||||
dataEnterer | 0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system. | |||||||
@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: ENT | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
time | C | 0..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
Slices for informant | 0..* | Informant | Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity | |||||||
informant:provider | 0..* | Informant | The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient. | |||||||
@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: INF | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946). | |||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | 0..* | TEL | ||||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
informant:non-provider | 0..* | Informant | The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient. | |||||||
@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: INF | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
relatedEntity | 1..1 | RelatedEntity | ||||||||
custodian | 1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |||||||
@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: CST | |||||||
assignedCustodian | 1..1 | AssignedCustodian | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
representedCustodianOrganization | 1..1 | CustodianOrganization | ||||||||
@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: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
name | 1..1 | ON | ||||||||
telecom | C | 1..1 | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
sdtcTelecom | 0..* | TEL | XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc) | |||||||
addr | C | 1..1 | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
informationRecipient | 0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart. | |||||||
@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: XInformationRecipient (2.0.0) (required) | |||||||
intendedRecipient | 1..1 | IntendedRecipient | ||||||||
@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: CDAInformationRecipientRole (required) | |||||||
id | 0..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
addr | 0..* | AD | ||||||||
telecom | 0..* | TEL | ||||||||
informationRecipient | 0..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
receivedOrganization | 0..1 | Organization | ||||||||
@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: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 0..* | II | ||||||||
name | 1..1 | ON | ||||||||
telecom | 0..* | TEL | ||||||||
addr | 0..* | AD | ||||||||
standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |||||||
asOrganizationPartOf | 0..1 | OrganizationPartOf | ||||||||
legalAuthenticator | 0..1 | LegalAuthenticator | The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. | |||||||
@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: LA | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
time | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: S | |||||||
@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) | |||||||
sdtcSignatureText | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc) | |||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | 0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI) | |||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
authenticator | 0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. | |||||||
@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: AUTHEN | |||||||
time | C | 1..1 | USRealmDateTime | Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Required Pattern: S | |||||||
@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) | |||||||
sdtcSignatureText | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc) | |||||||
assignedEntity | 1..1 | AssignedEntity | ||||||||
@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: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: CDARoleCode (example) | |||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 0..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | C | 1..* | TEL | should-use: SHOULD contain @use | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | url | ||||||||
useablePeriod | 0..* | |||||||||
useablePeriod | IVL_TS | |||||||||
useablePeriod | EIVL_TS | |||||||||
useablePeriod | PIVL_TS | |||||||||
useablePeriod | SXPR_TS | |||||||||
@use | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |||||||
assignedPerson | 1..1 | Person | ||||||||
@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: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
participant | C | 0..* | Participant1 | The participant element in the Discharge Summary header follows the General Header Constraints for participants. Discharge Summary does not specify any use for functionCode for participants. Local policies will determine how this element should be used in implementations. 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). 1198-8469: When participant/@typeCode is IND, associatedEntity/@classCode **SHALL** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 (CONF:1198-8469). | ||||||
@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 | 1..1 | cs | Binding: CDAParticipationType (required) | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
functionCode | 0..1 | CE | ||||||||
time | C | 0..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
associatedEntity | 1..1 | AssociatedEntity | ||||||||
@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 | 1..1 | cs | Binding: CDARoleClassAssociative (required): See additional bindings
| |||||||
id | 0..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: CDARoleCode (example) | |||||||
addr | 0..* | AD | ||||||||
telecom | 0..* | TEL | ||||||||
associatedPerson | 0..1 | Person | ||||||||
scopingOrganization | 0..1 | Organization | ||||||||
inFulfillmentOf | 0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray. | |||||||
@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: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS | |||||||
order | 1..1 | Order | ||||||||
@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: CDAActClass (required) | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO | |||||||
id | 1..* | II | ||||||||
code | 0..1 | CE | Binding: v3 Code System ActCode (example) | |||||||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |||||||
documentationOf | 0..* | DocumentationOf | ||||||||
@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: CDAActRelationshipType (required) Fixed Value: DOC | |||||||
serviceEvent | C | 1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-us-performer: SHOULD contain performer | ||||||
@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: CDAActClass (required) | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
id | 0..* | II | ||||||||
code | 0..1 | CE | ||||||||
effectiveTime | C | 1..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |||||||
low | C | 1..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
center | 0..1 | TS | ||||||||
width | 0..1 | PQ | ||||||||
high | C | 0..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
performer | 0..* | Performer1 | The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors. | |||||||
@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 | 1..1 | cs | Binding: x_ServiceEventPerformer (required) | |||||||
functionCode | C | 0..1 | CE | should-code-attr: SHOULD contain @code | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 0..1 | cs | Binding: Care Team Member Function (preferred) | |||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@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) | |||||||
originalText | 0..1 | ED | ||||||||
translation | 0..* | CD | ||||||||
time | C | 0..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
assignedEntity | C | 1..1 | AssignedEntity | should-us-code: SHOULD contain 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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@assigningAuthorityName | 0..1 | st | ||||||||
@displayable | 0..1 | bl | ||||||||
@root | C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI | ||||||
@extension | 0..1 | st | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |||||||
addr | 0..* | AD | ||||||||
telecom | 0..* | TEL | ||||||||
assignedPerson | 0..1 | Person | ||||||||
representedOrganization | 0..1 | Organization | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
relatedDocument | 0..* | RelatedDocument | ||||||||
authorization | 0..* | Authorization | The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document. | |||||||
@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: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH | |||||||
consent | 1..1 | Consent | ||||||||
@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: CDAActClass (required) Fixed Value: CONS | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
id | 0..* | II | ||||||||
code | 0..1 | CE | The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: v3 Code System ActCode (example) | |||||||
statusCode | 1..1 | CS | Binding: ActStatus (required) | |||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 1..1 | cs | Fixed Value: completed | |||||||
@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) | |||||||
componentOf | 1..1 | ComponentOf | The Discharge Summary is always associated with a Hospital Admission using the encompassingEncounter element in the header. | |||||||
@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) Fixed Value: COMP | |||||||
encompassingEncounter | C | 1..1 | EncompassingEncounter | should-responsibleParty: SHOULD contain responsibleParty | ||||||
@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: CDAActClass (required) Fixed Value: ENC | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
id | 1..* | II | ||||||||
code | 0..1 | CE | Binding: Act Encounter Codes (preferred) | |||||||
effectiveTime | C | 1..1 | USRealmDateTimeInterval | Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |||||||
low | C | 1..1 | IVXB_TS | The admission date is recorded in the componentOf/encompassingEncounter/effectiveTime/low. ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
center | 0..1 | TS | ||||||||
width | 0..1 | PQ | ||||||||
high | C | 1..1 | IVXB_TS | The discharge date is recorded in the componentOf/encompassingEncounter/effectiveTime/high. ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
sdtcAdmissionReferralSourceCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc) | |||||||
dischargeDispositionCode | 1..1 | CE | The dischargeDispositionCode records the disposition of the patient at time of discharge. Access to the National Uniform Billing Committee (NUBC) code system requires a membership. The following conformance statement aligns with HITSP C80 requirements.
The dischargeDispositionCode, @displayName, or NUBC UB-04 Print Name, must be displayed when the document is rendered. Binding: USEncounterDischargeDisposition (preferred) | |||||||
responsibleParty | 0..1 | InfrastructureRoot | The responsibleParty element represents only the party responsible for the encounter, not necessarily the entire episode of care. | |||||||
@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: RESP | |||||||
assignedEntity | C | 1..1 | AssignedEntity | 1198-32905: This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). 1198-32898: This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32898). | ||||||
encounterParticipant | 0..* | EncounterParticipant | The encounterParticipant element represents persons who participated in the encounter and not necessarily the entire episode of care. | |||||||
@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 | 1..1 | cs | Binding: XEncounterParticipant (2.0.0) (required) | |||||||
time | 0..1 | IVL_TS | ||||||||
assignedEntity | C | 1..1 | AssignedEntity | 1198-32899: This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32899). | ||||||
location | 0..1 | InfrastructureRoot | ||||||||
@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: ParticipationTargetLocation (required) Fixed Value: LOC | |||||||
healthCareFacility | 1..1 | HealthCareFacility | ||||||||
component | 1..1 | Component | ||||||||
@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) Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
nonXMLBody | 0..1 | NonXMLBody | ||||||||
structuredBody | C | 1..1 | StructuredBody | In this template (templateId 2.16.840.1.113883.10.20.22.1.8.2), coded entries are optional. cc-rfv-combo: This structuredBody **SHALL NOT** contain a Chief Complaint and Reason for Visit Section (2.16.840.1.113883.10.20.22.2.13) when either a Chief Complaint Section (1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1) or a Reason for Visit Section (2.16.840.1.113883.10.20.22.2.12) is present. should-section-discharge-meds: SHOULD contain a Discharge Medications Section | ||||||
@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: ActClassRecordOrganizer (required) Fixed Value: DOCBODY | |||||||
@moodCode | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |||||||
confidentialityCode | 0..1 | CE | ||||||||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |||||||
Slices for component | 7..* | InfrastructureRoot | Slice: Unordered, Open by profile:section | |||||||
component:All Slices | Content/Rules for all slices | |||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | Section | ||||||||
component:allergies | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AllergiesAndIntolerancesSection | Base for all types and resources shall-allergy-concern: If section/@nullFlavor is not present, SHALL contain at least one Allergy Concern Act | ||||||
component:hospitalCourse | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalCourseSection | Base for all types and resources | |||||||
component:dischargeDx | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | DischargeDiagnosisSection | Base for all types and resources should-entry: SHOULD contain entry | ||||||
component:dischargeMeds | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | DischargeMedicationsSection | Base for all types and resources shall-discharge-med: If section/@nullFlavor is not present, SHALL contain at least one Discharge Medication | ||||||
component:planOfTreatment | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | PlanofTreatmentSection | Base for all types and resources | |||||||
component:chiefComplaint | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | ChiefComplaintSection | Base for all types and resources | |||||||
component:chiefComplaintRFV | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ChiefComplaintandReasonforVisitSection | Base for all types and resources no-cc-rfv: When using this section, the Chief Complaint Section and the Reason for Visit Section SHALL NOT be used. | ||||||
component:nutrition | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | NutritionSection | Base for all types and resources should-nutritional-status-obs: SHOULD contain Nutritional Status Observation | ||||||
component:familyHistory | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | FamilyHistorySection | Base for all types and resources | |||||||
component:functionalStatus | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | FunctionalStatusSection | Base for all types and resources | |||||||
component:pastMedicalHistory | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | PastMedicalHistory | Base for all types and resources | |||||||
component:hpi | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HistoryofPresentIllnessSection | Base for all types and resources | |||||||
component:admissionDx | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AdmissionDiagnosisSection | Base for all types and resources should-entry: SHOULD contain entry | ||||||
component:admissionMeds | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AdmissionMedicationsSectionEntriesOptional | Base for all types and resources should-admission-medication: SHOULD contain Admission Medication | ||||||
component:hospitalConsults | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalConsultationsSection | Base for all types and resources | |||||||
component:dischargeInstructions | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalDischargeInstructionsSection | Base for all types and resources | |||||||
component:dischargePhysical | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalDischargePhysicalSection | Base for all types and resources | |||||||
component:dischargeStudies | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | HospitalDischargeStudiesSummarySection | Base for all types and resources | |||||||
component:immunization | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ImmunizationsSection | Base for all types and resources shall-immunization-activity: If section/@nullFlavor is not present, SHALL contain at least one Immunization Activity | ||||||
component:problems | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ProblemSection | Base for all types and resources shall-problem-concern-act: If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Act | ||||||
component:procedures | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ProceduresSection | Base for all types and resources shall-procedure-act-procedure: If section/@nullFlavor is not present, SHALL contain at least one Procedure Activity Procedure | ||||||
component:reasonForVisit | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | ReasonforVisitSection | Base for all types and resources | |||||||
component:reviewOfSystems | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | 1..1 | ReviewofSystemsSection | Base for all types and resources | |||||||
component:socialHist | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | SocialHistorySection | Base for all types and resources should-smoking-status: SHOULD contain Smoking Status | ||||||
component:vitalSigns | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | VitalSignsSection | Base for all types and resources shall-vital-signs-org: If section/@nullFlavor is not present, SHALL contain at least one Vital Signs Organizer or Average Blood Pressure Organizer | ||||||
component:results | 1..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | ResultsSection | Base for all types and resources shall-result-org: If section/@nullFlavor is not present, SHALL contain at least one Result Organizer | ||||||
component:advDirectives | 0..1 | InfrastructureRoot | ||||||||
@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 | Fixed Value: COMP | |||||||
@contextConductionInd | 0..1 | bl | Fixed Value: true | |||||||
section | C | 1..1 | AdvanceDirectivesSection | Base for all types and resources shall-adv-directive-existence: If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation | ||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
ClinicalDocument.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.classCode | example | Fixed Value: DOCCLINhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.realmCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:us-realm.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:discharge-summary.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.code | required | DischargeSummaryDocumentTypeCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.4.1 | |
ClinicalDocument.sdtcStatusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.confidentialityCode.code | preferred | HL7BasicConfidentialityKind http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 | |
ClinicalDocument.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.recordTarget.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeCode | required | Fixed Value: RCThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.recordTarget.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.recordTarget.patientRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.classCode | required | Fixed Value: PAThttp://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal | |
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode | required | AdministrativeGenderHL7V3 http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 | |
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode | required | MaritalStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212 | |
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode | required | ReligiousAffiliation http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185 | |
ClinicalDocument.recordTarget.patientRole.patient.raceCode | required | RaceCategoryExcludingNulls http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | required | RaceValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914 | |
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode | required | Ethnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode | required | DetailedEthnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode | required | Fixed Value: GUARDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAgent | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.code | required | PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode | required | Fixed Value: BIRTHPLhttp://terminology.hl7.org/ValueSet/v3-RoleClassPassive | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode | required | Fixed Value: PLChttp://terminology.hl7.org/ValueSet/v3-EntityClassPlace | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use | required | CDAPostalAddressUsehttp://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode | required | LanguageCodesWithLanguageAndOptionallyARegionModifierhttp://hl7.org/fhir/us/core/ValueSet/simple-language | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode | required | LanguageAbilityMode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249 | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode | required | LanguageAbilityProficiency http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.author.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeCode | required | Fixed Value: AUThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.author.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.author.assignedAuthor.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.author.assignedAuthor.code.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode | required | Fixed Value: DEVhttp://terminology.hl7.org/ValueSet/v3-EntityClassDevice | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code | example | CDAEntityCodehttp://hl7.org/cda/stds/core/ValueSet/CDAEntityCode | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName | example | ManufacturerModelNameExamplehttp://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName | example | SoftwareNameExamplehttp://terminology.hl7.org/ValueSet/v3-SoftwareNameExample | |
ClinicalDocument.dataEnterer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeCode | required | Fixed Value: ENThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.dataEnterer.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.informant:provider.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.informant:provider.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:non-provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.custodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeCode | required | Fixed Value: CSThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.custodian.assignedCustodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeCode | required | XInformationRecipienthttp://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0 | |
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.classCode | required | CDAInformationRecipientRolehttp://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.legalAuthenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeCode | required | Fixed Value: LAhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.legalAuthenticator.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.legalAuthenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeCode | required | Fixed Value: AUTHENhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.authenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.authenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeCode | required | CDAParticipationTypehttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.participant.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.participant.associatedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.associatedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.associatedEntity.classCode | required | CDARoleClassAssociativehttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassAssociative | |
ClinicalDocument.participant.associatedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.inFulfillmentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeCode | required | Fixed Value: FLFShttp://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0 | |
ClinicalDocument.inFulfillmentOf.order.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.classCode | required | CDAActClasshttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.inFulfillmentOf.order.moodCode | required | Fixed Value: RQOhttp://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent | |
ClinicalDocument.inFulfillmentOf.order.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.inFulfillmentOf.order.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
ClinicalDocument.documentationOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeCode | required | Fixed Value: DOChttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType | |
ClinicalDocument.documentationOf.serviceEvent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.classCode | required | CDAActClasshttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.documentationOf.serviceEvent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode | required | X_ServiceEventPerformer http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code | preferred | CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code | preferred | HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authorization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeCode | required | Fixed Value: AUTHhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy | |
ClinicalDocument.authorization.consent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.classCode | required | Fixed Value: CONShttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.authorization.consent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.authorization.consent.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.authorization.consent.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.authorization.consent.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.componentOf.encompassingEncounter.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.componentOf.encompassingEncounter.code | preferred | ActEncounterCodes http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5 | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode | preferred | USEncounterDischargeDispositionhttp://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode | required | Fixed Value: RESPhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.typeCode | required | XEncounterParticipanthttp://terminology.hl7.org/ValueSet/v3-xEncounterParticipant|2.0.0 | |
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode | required | Fixed Value: LOChttp://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation | |
ClinicalDocument.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.component.structuredBody.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.classCode | required | Fixed Value: DOCBODYhttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
ClinicalDocument.component.structuredBody.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.component.structuredBody.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.component.structuredBody.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalCourse.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalCourse.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeDx.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeDx.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeMeds.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeMeds.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:familyHistory.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:familyHistory.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:functionalStatus.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:functionalStatus.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:pastMedicalHistory.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:pastMedicalHistory.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hpi.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hpi.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionDx.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionDx.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionMeds.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:admissionMeds.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalConsults.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:hospitalConsults.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeInstructions.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeInstructions.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargePhysical.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargePhysical.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeStudies.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:dischargeStudies.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:immunization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:immunization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:procedures.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:procedures.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reasonForVisit.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reasonForVisit.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:socialHist.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:socialHist.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
1198-8469 | error | ClinicalDocument.participant | When participant/@typeCode is IND, associatedEntity/@classCode **SHALL** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 (CONF:1198-8469). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
1198-32898 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32898). : assignedPerson.exists() or representedOrganization.exists() | |
1198-32899 | error | ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.assignedEntity | This assignedEntity **SHALL** contain an assignedPerson or a representedOrganization or both (CONF:1198-32899). : assignedPerson.exists() or representedOrganization.exists() | |
1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). : assignedPerson.exists() or representedOrganization.exists() | |
4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
4537-5403 | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
4537-6380 | error | ClinicalDocument | If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists() | |
4537-6387 | error | ClinicalDocument | If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists() | |
4537-10006 | error | ClinicalDocument.participant | **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists() | |
4537-10007 | warning | ClinicalDocument.participant | When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
4537-16790 | error | ClinicalDocument.author.assignedAuthor | There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1 | |
4537-21000 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true') | |
4537-32993 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists() | |
81-7278 | error | ClinicalDocument.recordTarget.patientRole.patient.name | **SHALL NOT** have mixed content except for white space (CONF:81-7278). : item.xmlText.empty() | |
81-7296 | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | **SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty() | |
81-9371 | error | ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name | The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists() | |
81-9372 | error | ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name | The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty() | |
81-10024 | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
81-10025 | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
AD-1 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item | Can only have only one of the possible item elements in each choice : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1 | |
II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.participant.associatedEntity.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.structuredBody.typeId, ClinicalDocument.component.structuredBody.component.typeId, ClinicalDocument.component.structuredBody.component:allergies.typeId, ClinicalDocument.component.structuredBody.component:hospitalCourse.typeId, ClinicalDocument.component.structuredBody.component:dischargeDx.typeId, ClinicalDocument.component.structuredBody.component:dischargeMeds.typeId, ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId, ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId, ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.typeId, ClinicalDocument.component.structuredBody.component:nutrition.typeId, ClinicalDocument.component.structuredBody.component:familyHistory.typeId, ClinicalDocument.component.structuredBody.component:functionalStatus.typeId, ClinicalDocument.component.structuredBody.component:pastMedicalHistory.typeId, ClinicalDocument.component.structuredBody.component:hpi.typeId, ClinicalDocument.component.structuredBody.component:admissionDx.typeId, ClinicalDocument.component.structuredBody.component:admissionMeds.typeId, ClinicalDocument.component.structuredBody.component:hospitalConsults.typeId, ClinicalDocument.component.structuredBody.component:dischargeInstructions.typeId, ClinicalDocument.component.structuredBody.component:dischargePhysical.typeId, ClinicalDocument.component.structuredBody.component:dischargeStudies.typeId, ClinicalDocument.component.structuredBody.component:immunization.typeId, ClinicalDocument.component.structuredBody.component:problems.typeId, ClinicalDocument.component.structuredBody.component:procedures.typeId, ClinicalDocument.component.structuredBody.component:reasonForVisit.typeId, ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId, ClinicalDocument.component.structuredBody.component:socialHist.typeId, ClinicalDocument.component.structuredBody.component:vitalSigns.typeId, ClinicalDocument.component.structuredBody.component:results.typeId, ClinicalDocument.component.structuredBody.component:advDirectives.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
category-18842-5 | error | ClinicalDocument | If category is present, then there shall be a category with LOINC code '18842-5'. : sdtcCategory.empty() or sdtcCategory.exists(code = '18842-5' and codeSystem = '2.16.840.1.113883.6.1') | |
cc-rfv-combo | error | ClinicalDocument.component.structuredBody | This structuredBody **SHALL NOT** contain a Chief Complaint and Reason for Visit Section (2.16.840.1.113883.10.20.22.2.13) when either a Chief Complaint Section (1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1) or a Reason for Visit Section (2.16.840.1.113883.10.20.22.2.12) is present. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintandReasonforVisitSection')).exists() implies component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ReasonforVisitSection')).empty() | |
ivl-ts-center | error | ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime | Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty()) | |
ivl-value-shall | error | ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime | If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10 | |
ivl-value-should | warning | ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime | If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10 | |
no-cc-rfv | error | ClinicalDocument.component.structuredBody.component:chiefComplaintRFV.section | When using this section, the Chief Complaint Section and the Reason for Visit Section SHALL NOT be used. : %resource.component.structuredBody.component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ChiefComplaintSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ReasonforVisitSection')).empty() | |
pn-no-ls | error | ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name | No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty() | |
shall-adv-directive-existence | error | ClinicalDocument.component.structuredBody.component:advDirectives.section | If section/@nullFlavor is not present, SHALL contain at least one Advance Directive Existence Observation : nullFlavor.exists() or entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveExistenceObservation')).exists() | |
shall-allergy-concern | error | ClinicalDocument.component.structuredBody.component:allergies.section | If section/@nullFlavor is not present, SHALL contain at least one Allergy Concern Act : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AllergyConcernAct')).exists() | |
shall-city | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1 | |
shall-discharge-med | error | ClinicalDocument.component.structuredBody.component:dischargeMeds.section | If section/@nullFlavor is not present, SHALL contain at least one Discharge Medication : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedication')).exists() | |
shall-family | error | ClinicalDocument.recordTarget.patientRole.patient.name | SHALL contain exactly one [1..1] family (CONF:81-7159). : nullFlavor.exists() or item.family.count() = 1 | |
shall-given | error | ClinicalDocument.recordTarget.patientRole.patient.name | SHALL contain at least one [1..*] given (CONF:81-7157). : nullFlavor.exists() or item.given.exists() | |
shall-immunization-activity | error | ClinicalDocument.component.structuredBody.component:immunization.section | If section/@nullFlavor is not present, SHALL contain at least one Immunization Activity : nullFlavor.exists() or entry.where(substanceAdministration.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity')).exists() | |
shall-max-ad-parts | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1) | |
shall-max-suffix | error | ClinicalDocument.recordTarget.patientRole.patient.name | There may be at most one suffix : (item.suffix.empty() or item.suffix.count() = 1) | |
shall-problem-concern-act | error | ClinicalDocument.component.structuredBody.component:problems.section | If section/@nullFlavor is not present, SHALL contain at least one Problem Concern Act : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ProblemConcernAct')).exists() | |
shall-procedure-act-procedure | error | ClinicalDocument.component.structuredBody.component:procedures.section | If section/@nullFlavor is not present, SHALL contain at least one Procedure Activity Procedure : nullFlavor.exists() or entry.where(procedure.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure')).exists() | |
shall-result-org | error | ClinicalDocument.component.structuredBody.component:results.section | If section/@nullFlavor is not present, SHALL contain at least one Result Organizer : nullFlavor.exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ResultOrganizer')).exists() | |
shall-streetAddressLine | error | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4) | |
shall-vital-signs-org | error | ClinicalDocument.component.structuredBody.component:vitalSigns.section | If section/@nullFlavor is not present, SHALL contain at least one Vital Signs Organizer or Average Blood Pressure Organizer : nullFlavor.exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/VitalSignsOrganizer')).exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AverageBloodPressureOrganizer')).exists() | |
should-admission-medication | warning | ClinicalDocument.component.structuredBody.component:admissionMeds.section | SHOULD contain Admission Medication : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AdmissionMedication')) | |
should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code : code.exists() | |
should-country | warning | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr | SHOULD contain country : nullFlavor.exists() or item.country.exists() | |
should-entry | warning | ClinicalDocument.component.structuredBody.component:dischargeDx.section, ClinicalDocument.component.structuredBody.component:admissionDx.section | SHOULD contain entry : entry.exists() | |
should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension : extension.exists() | |
should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6') | |
should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator : legalAuthenticator.exists() | |
should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode : maritalStatusCode.exists() | |
should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-nutritional-status-obs | warning | ClinicalDocument.component.structuredBody.component:nutrition.section | SHOULD contain Nutritional Status Observation : entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/NutritionalStatusObservation')) | |
should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd : preferenceInd.exists() | |
should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists() | |
should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists() | |
should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty : responsibleParty.exists() | |
should-section-discharge-meds | warning | ClinicalDocument.component.structuredBody | SHOULD contain a Discharge Medications Section : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedicationsSection')) | |
should-smoking-status | warning | ClinicalDocument.component.structuredBody.component:socialHist.section | SHOULD contain Smoking Status : entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus')) | |
should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr : addr.exists() | |
should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | SHOULD contain code : code.exists() | |
should-us-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication : languageCommunication.exists() | |
should-us-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer : performer.exists() | |
should-us-telecom | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain telecom : telecom.exists() | |
should-use | warning | ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.telecom | SHOULD contain @use : nullFlavor.exists() or use.exists() | |
should-value-att | warning | ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | SHOULD contain @value : value.exists() | |
signature | warning | ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode | CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X' | |
text-null | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct | xmlText and nullFlavor are mutually exclusive (one must be present) : (xmlText | nullFlavor).count() = 1 | |
ts-shall-day | error | ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-shall-year | error | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4 | |
ts-should-day | warning | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-should-minute | warning | ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10 |
This structure is derived from USRealmHeader
Summary
Mandatory: 15 elements(1 nested mandatory element)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices: