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

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

Logical Model: Operative Note

The Operative Note is a frequently used type of procedure note with specific requirements set forth by regulatory agencies.

The Operative Note is created immediately following a surgical or other high-risk procedure. It records the pre- and post-surgical diagnosis, pertinent events of the procedure, as well as the condition of the patient following the procedure. The report should be sufficiently detailed to support the diagnoses, justify the treatment, document the course of the procedure, and provide continuity of care.

Document Sections

Although document templates may contain any section, the following sections are specifically called out by this template:

Required Sections

• AnesthesiaSection
• ComplicationsSection
• PreoperativeDiagnosisSection
• ProcedureEstimatedBloodLossSection
• ProcedureFindingsSection
• ProcedureSpecimensTakenSection
• ProcedureDescriptionSection
• PostoperativeDiagnosisSection

Additional Sections

• ProcedureImplantsSection
• OperativeNoteFluidsSection
• OperativeNoteSurgicalProcedureSection
• PlanofTreatmentSection
• PlannedProcedureSection
• ProcedureDispositionSection
• ProcedureIndicationsSection
• SurgicalDrainsSection
• AdvanceDirectivesSection

Usage:

• This Logical Model is not used by any profiles in this Implementation Guide

Formal Views of Template Content

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

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

This structure is derived from 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-11504-8: If category is present, then there shall be a category with LOINC code '11504-8'.
templateId		2..*	II
Slices for templateId				Content/Rules for all slices
templateId:operative-note		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.7
@extension		1..1	st	Required Pattern: 2024-05-01
sdtcCategory		0..*	CD	Used to categorize the document as a Operative Note. If present, there SHALL be a category of 11504-8 (Surgical operation note).
code		1..1	CE	The Operative Note recommends use of a single document type code, 11504-8 "Surgical operation note", with further specification provided by author or performer, setting, or specialty data in the CDA header. Some of the LOINC codes in the Surgical Operation Note Document Type Code table are pre-coordinated with the practice setting or the training or professional level of the author. Use of pre-coordinated codes is not recommended because of potential conflict with other information in the header. When these 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: SurgicalOperationNoteDocumentTypeCode (required)
documentationOf		1..*	DocumentationOf	A serviceEvent represents the main act, such as a colonoscopy or an appendectomy, being documented. A serviceEvent can further specialize the act inherent in the ClinicalDocument/code, such as where the ClinicalDocument/code is simply "Surgical Operation Note" and the procedure is "Appendectomy." serviceEvent is required in the Operative Note and it must be equivalent to or further specialize the value inherent in the ClinicalDocument/code; it shall not conflict with the value inherent in the ClinicalDocument/code, as such a conflict would create ambiguity. serviceEvent/effectiveTime can be used to indicate the time the actual event (as opposed to the encounter surrounding the event) took place. If the date and the duration of the procedure is known, serviceEvent/effectiveTime/low is used with a width element that describes the duration; no high element is used. However, if only the date is known, the date is placed in both the low and high elements.
serviceEvent		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.
code	C	1..1	CE	Binding Description (No ValueSet): (required): The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487). Additional Bindings Purpose Documentation Procedure Preferred Allowed SNOMED Codes 1198-8487: The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487).
effectiveTime	C	1..1	USRealmDateTimeInterval	Base for all types and resources width-or-high: Width and high are mutually exclusive. If width is known, high **SHALL NOT** be present. If with is not present, **SHALL** include high.
low		1..1	IVXB_TS	Low is required
(Choice of one)		1..1
width		0..1	PQ	Represents the duration
high		0..1	IVXB_TS	Equals low if only the date is known
Slices for performer		1..*	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. Slice: Unordered, Open by value:typeCode
performer:primary		1..*	Performer1	This performer represents clinicians who actually and principally carry out the serviceEvent. Typically, these are clinicians who have surgical privileges in their institutions such as Surgeons, Obstetrician/Gynecologists, and Family Practice Physicians. The performer may also be non-physician providers (NPPs) who have surgical privileges. There may be more than one primary performer in the case of complicated surgeries. There are occasionally co-surgeons. Usually they will be billing separately and will each dictate their own notes. An example may be spinal surgery , where a general surgeon and an orthopedic surgeon both are present and billing off the same Current Procedural Terminology (CPT) codes. Typically two Operative Notes are generated; however, each will list the other as a co-surgeon. Any assistants are identified as a secondary performer (SPRF) in a second performer participant.
@typeCode		1..1	cs	Fixed Value: PPRF
functionCode		0..1	CE	Binding: Care Team Member Function (preferred)
assignedEntity	C	1..1	AssignedEntity	should-code: SHOULD contain code
code		0..1	CE	Binding: Healthcare Provider Taxonomy (required)
performer:secondary		0..*	Performer1	This performer represents any assistants
@typeCode		1..1	cs	Fixed Value: SPRF
functionCode		0..1	CE	Binding: Care Team Member Function (preferred)
assignedEntity	C	1..1	AssignedEntity	should-code: SHOULD contain code
code		0..1	CE	Binding: Healthcare Provider Taxonomy (required)
authorization		0..1	Authorization	Authorization represents consent. Consent, if present, shall be represented by authorization/consent.
@typeCode		1..1	cs
consent		1..1	Consent
@classCode		1..1	cs
@moodCode		1..1	cs
statusCode		1..1	CS
component		1..1	Component
structuredBody		1..1	StructuredBody
Slices for component		8..*	InfrastructureRoot	Slice: Unordered, Open by profile:section
component:anesthesia		1..1	InfrastructureRoot
section		1..1	AnesthesiaSection	Base for all types and resources
component:complications		1..1	InfrastructureRoot
section		1..1	ComplicationsSection	Base for all types and resources
component:preopDx		1..1	InfrastructureRoot
section		1..1	PreoperativeDiagnosisSection	Base for all types and resources
component:estBloodLoss		1..1	InfrastructureRoot
section		1..1	ProcedureEstimatedBloodLossSection	Base for all types and resources
component:findings		1..1	InfrastructureRoot
section		1..1	ProcedureFindingsSection	Base for all types and resources
component:specimensTaken		1..1	InfrastructureRoot
section		1..1	ProcedureSpecimensTakenSection	Base for all types and resources
component:procedureDescription		1..1	InfrastructureRoot
section		1..1	ProcedureDescriptionSection	Base for all types and resources
component:postopDx		1..1	InfrastructureRoot
section		1..1	PostoperativeDiagnosisSection	Base for all types and resources
component:implants		0..1	InfrastructureRoot
section		1..1	ProcedureImplantsSection	Base for all types and resources
component:fluids		0..1	InfrastructureRoot
section		1..1	OperativeNoteFluidsSection	Base for all types and resources
component:surgicalProcedures		0..1	InfrastructureRoot
section		1..1	OperativeNoteSurgicalProcedureSection	Base for all types and resources
component:planOfTreatment		0..1	InfrastructureRoot
section		1..1	PlanofTreatmentSection	Base for all types and resources
component:plannedProcedure		0..1	InfrastructureRoot
section		1..1	PlannedProcedureSection	Base for all types and resources
component:disposition		0..1	InfrastructureRoot
section		1..1	ProcedureDispositionSection	Base for all types and resources
component:indications		0..1	InfrastructureRoot
section		1..1	ProcedureIndicationsSection	Base for all types and resources
component:surgicalDrains		0..1	InfrastructureRoot
section		1..1	SurgicalDrainsSection	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

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ClinicalDocument.code	required	SurgicalOperationNoteDocumentTypeCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.1.1 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.code	required
ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.code	required	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 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.functionCode	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.code	required	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 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-8487	error	ClinicalDocument.documentationOf.serviceEvent.code	The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487). : codeSystem = '2.16.840.1.113883.6.104' or codeSystem = '2.16.840.1.113883.6.4' or codeSystem = '2.16.840.1.113883.6.12' or (codeSystem = '2.16.840.1.113883.6.96' and code.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.28'))
category-11504-8	error	ClinicalDocument	If category is present, then there shall be a category with LOINC code '11504-8'. : sdtcCategory.empty() or sdtcCategory.exists(code = '11504-8' and codeSystem = '2.16.840.1.113883.6.1')
should-code	warning	ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity	SHOULD contain code : code.exists()
width-or-high	error	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	Width and high are mutually exclusive. If width is known, high **SHALL NOT** be present. If with is not present, **SHALL** include high. : (width | high).count() = 1

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-11504-8: If category is present, then there shall be a category with LOINC code '11504-8'.
realmCode		1..1	CS
@code		1..1	cs	Required Pattern: US
typeId		1..1	II
@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
@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:operative-note		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.7
@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 Operative Note. If present, there SHALL be a category of 11504-8 (Surgical operation note). XML: category (urn:hl7-org:sdtc)
code		1..1	CE	The Operative Note recommends use of a single document type code, 11504-8 "Surgical operation note", with further specification provided by author or performer, setting, or specialty data in the CDA header. Some of the LOINC codes in the Surgical Operation Note Document Type Code table are pre-coordinated with the practice setting or the training or professional level of the author. Use of pre-coordinated codes is not recommended because of potential conflict with other information in the header. When these 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: SurgicalOperationNoteDocumentTypeCode (required)
@code		1..1	cs
@codeSystem		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.6.1
title		1..1	ST	The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
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)
languageCode		1..1	CS	Binding: AllLanguages (required)
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
patientRole		1..1	PatientRole
id		1..*	II
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
@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
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).
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
raceCode		1..1	CE	𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls (required)
ethnicGroupCode		1..1	CE	𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity (required)
author		1..*	Author	The author element represents the creator of the clinical document. The author may be a device or a person.
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
Slices for id		1..*	II	Slice: Unordered, Open by value:root
id:npi	C	0..1	II	should-extension: SHOULD contain extension
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.4.6
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
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
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.
assignedEntity		1..1	AssignedEntity
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).
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
assignedPerson		1..1	Person
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).
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.
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.
assignedCustodian		1..1	AssignedCustodian
representedCustodianOrganization		1..1	CustodianOrganization
id		1..*	II
name		1..1	ON
telecom	C	1..1	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
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
documentationOf		1..*	DocumentationOf	A serviceEvent represents the main act, such as a colonoscopy or an appendectomy, being documented. A serviceEvent can further specialize the act inherent in the ClinicalDocument/code, such as where the ClinicalDocument/code is simply "Surgical Operation Note" and the procedure is "Appendectomy." serviceEvent is required in the Operative Note and it must be equivalent to or further specialize the value inherent in the ClinicalDocument/code; it shall not conflict with the value inherent in the ClinicalDocument/code, as such a conflict would create ambiguity. serviceEvent/effectiveTime can be used to indicate the time the actual event (as opposed to the encounter surrounding the event) took place. If the date and the duration of the procedure is known, serviceEvent/effectiveTime/low is used with a width element that describes the duration; no high element is used. However, if only the date is known, the date is placed in both the low and high elements.
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
code	C	1..1	CE	Binding Description (No ValueSet): (required): The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487). Additional Bindings Purpose Documentation Procedure Preferred Allowed SNOMED Codes 1198-8487: The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487).
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. width-or-high: Width and high are mutually exclusive. If width is known, high **SHALL NOT** be present. If with is not present, **SHALL** include high.
low	C	1..1	IVXB_TS	Low is required ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
(Choice of one)		1..1
width		0..1	PQ	Represents the duration
high	C	0..1	IVXB_TS	Equals low if only the date is known ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
Slices for performer		1..*	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. Slice: Unordered, Open by value:typeCode
performer:All Slices				Content/Rules for all slices
@typeCode		1..1	cs	Binding: x_ServiceEventPerformer (required)
assignedEntity	C	1..1	AssignedEntity	should-us-code: SHOULD contain code
id		1..*	II
performer:primary		1..*	Performer1	This performer represents clinicians who actually and principally carry out the serviceEvent. Typically, these are clinicians who have surgical privileges in their institutions such as Surgeons, Obstetrician/Gynecologists, and Family Practice Physicians. The performer may also be non-physician providers (NPPs) who have surgical privileges. There may be more than one primary performer in the case of complicated surgeries. There are occasionally co-surgeons. Usually they will be billing separately and will each dictate their own notes. An example may be spinal surgery , where a general surgeon and an orthopedic surgeon both are present and billing off the same Current Procedural Terminology (CPT) codes. Typically two Operative Notes are generated; however, each will list the other as a co-surgeon. Any assistants are identified as a secondary performer (SPRF) in a second performer participant.
@typeCode		1..1	cs	Binding: x_ServiceEventPerformer (required) Fixed Value: PPRF
functionCode	C	0..1	CE	Binding: Care Team Member Function (preferred) should-code-attr: SHOULD contain @code
assignedEntity	C	1..1	AssignedEntity	should-us-code: SHOULD contain code should-code: SHOULD contain code
id		1..*	II
code		0..1	CE	Binding: Healthcare Provider Taxonomy (required)
performer:secondary		0..*	Performer1	This performer represents any assistants
@typeCode		1..1	cs	Binding: x_ServiceEventPerformer (required) Fixed Value: SPRF
functionCode	C	0..1	CE	Binding: Care Team Member Function (preferred) should-code-attr: SHOULD contain @code
assignedEntity	C	1..1	AssignedEntity	should-us-code: SHOULD contain code should-code: SHOULD contain code
id		1..*	II
code		0..1	CE	Binding: Healthcare Provider Taxonomy (required)
authorization		0..1	Authorization	Authorization represents consent. Consent, if present, shall be represented by authorization/consent.
@typeCode		1..1	cs	Binding: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH
consent		1..1	Consent
@classCode		1..1	cs	Binding: CDAActClass (required) Fixed Value: CONS
@moodCode		1..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
statusCode		1..1	CS	Binding: ActStatus (required)
@code		1..1	cs	Fixed Value: completed
component		1..1	Component
structuredBody		1..1	StructuredBody
Slices for component		8..*	InfrastructureRoot	Slice: Unordered, Open by profile:section
component:All Slices				Content/Rules for all slices
section		1..1	Section
component:anesthesia		1..1	InfrastructureRoot
section		1..1	AnesthesiaSection	Base for all types and resources
component:complications		1..1	InfrastructureRoot
section		1..1	ComplicationsSection	Base for all types and resources
component:preopDx		1..1	InfrastructureRoot
section	C	1..1	PreoperativeDiagnosisSection	Base for all types and resources should-preop-dx: SHOULD contain Preoperative Diagnosis
component:estBloodLoss		1..1	InfrastructureRoot
section		1..1	ProcedureEstimatedBloodLossSection	Base for all types and resources
component:findings		1..1	InfrastructureRoot
section		1..1	ProcedureFindingsSection	Base for all types and resources
component:specimensTaken		1..1	InfrastructureRoot
section		1..1	ProcedureSpecimensTakenSection	Base for all types and resources
component:procedureDescription		1..1	InfrastructureRoot
section		1..1	ProcedureDescriptionSection	Base for all types and resources
component:postopDx		1..1	InfrastructureRoot
section		1..1	PostoperativeDiagnosisSection	Base for all types and resources
component:implants		0..1	InfrastructureRoot
section		1..1	ProcedureImplantsSection	Base for all types and resources
component:fluids		0..1	InfrastructureRoot
section		1..1	OperativeNoteFluidsSection	Base for all types and resources
component:surgicalProcedures		0..1	InfrastructureRoot
section		1..1	OperativeNoteSurgicalProcedureSection	Base for all types and resources
component:planOfTreatment		0..1	InfrastructureRoot
section		1..1	PlanofTreatmentSection	Base for all types and resources
component:plannedProcedure		0..1	InfrastructureRoot
section		1..1	PlannedProcedureSection	Base for all types and resources
component:disposition		0..1	InfrastructureRoot
section		1..1	ProcedureDispositionSection	Base for all types and resources
component:indications		0..1	InfrastructureRoot
section		1..1	ProcedureIndicationsSection	Base for all types and resources
component:surgicalDrains		0..1	InfrastructureRoot
section		1..1	SurgicalDrainsSection	Base for all types and resources
component:advDirectives		0..1	InfrastructureRoot
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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalDocument.code	required	SurgicalOperationNoteDocumentTypeCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.1.1 from https://vsac.nlm.nih.gov
ClinicalDocument.confidentialityCode.code	preferred	HL7BasicConfidentialityKind http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 from https://vsac.nlm.nih.gov
ClinicalDocument.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.recordTarget.patientRole.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode	required	AdministrativeGenderHL7V3 http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.raceCode	required	RaceCategoryExcludingNulls http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode	required	Ethnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.code	required
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode	required	X_ServiceEventPerformer http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.typeCode	required	Fixed Value: PPRF http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.code	required	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 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.typeCode	required	Fixed Value: SPRF http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.functionCode	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.code	required	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 from https://vsac.nlm.nih.gov
ClinicalDocument.authorization.typeCode	required	Fixed Value: AUTH http://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy
ClinicalDocument.authorization.consent.classCode	required	Fixed Value: CONS http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.authorization.consent.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.authorization.consent.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-8487	error	ClinicalDocument.documentationOf.serviceEvent.code	The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487). : codeSystem = '2.16.840.1.113883.6.104' or codeSystem = '2.16.840.1.113883.6.4' or codeSystem = '2.16.840.1.113883.6.12' or (codeSystem = '2.16.840.1.113883.6.96' and code.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.28'))
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()
4537-16790	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.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	**SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty()
81-9371	error	ClinicalDocument.informant:provider.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.informant:provider.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.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.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.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.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})?'))
category-11504-8	error	ClinicalDocument	If category is present, then there shall be a category with LOINC code '11504-8'. : sdtcCategory.empty() or sdtcCategory.exists(code = '11504-8' and codeSystem = '2.16.840.1.113883.6.1')
ivl-ts-center	error	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty())
ivl-value-shall	error	ClinicalDocument.documentationOf.serviceEvent.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.documentationOf.serviceEvent.effectiveTime	If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10
pn-no-ls	error	ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.informant:provider.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-city	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1
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-max-ad-parts	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.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-streetAddressLine	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.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)
should-code	warning	ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity	SHOULD contain code : code.exists()
should-code-attr	warning	ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.functionCode	SHOULD contain @code : code.exists()
should-country	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHOULD contain country : nullFlavor.exists() or item.country.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-preop-dx	warning	ClinicalDocument.component.structuredBody.component:preopDx.section	SHOULD contain Preoperative Diagnosis : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosis'))
should-relatedParticipant	warning	ClinicalDocument	Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
should-us-code	warning	ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity, ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.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-use	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHOULD contain @use : nullFlavor.exists() or use.exists()
ts-shall-day	error	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.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	**SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4
ts-should-day	warning	ClinicalDocument.recordTarget.patientRole.patient.birthTime	**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.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10
width-or-high	error	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	Width and high are mutually exclusive. If width is known, high **SHALL NOT** be present. If with is not present, **SHALL** include high. : (width | high).count() = 1

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-11504-8: If category is present, then there shall be a category with LOINC code '11504-8'.
@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		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	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:operative-note		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: 2.16.840.1.113883.10.20.22.1.7
@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 Operative Note. If present, there SHALL be a category of 11504-8 (Surgical operation note). XML: category (urn:hl7-org:sdtc)
code		1..1	CE	The Operative Note recommends use of a single document type code, 11504-8 "Surgical operation note", with further specification provided by author or performer, setting, or specialty data in the CDA header. Some of the LOINC codes in the Surgical Operation Note Document Type Code table are pre-coordinated with the practice setting or the training or professional level of the author. Use of pre-coordinated codes is not recommended because of potential conflict with other information in the header. When these 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: SurgicalOperationNoteDocumentTypeCode (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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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 identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin). 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).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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
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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		1..*	DocumentationOf	A serviceEvent represents the main act, such as a colonoscopy or an appendectomy, being documented. A serviceEvent can further specialize the act inherent in the ClinicalDocument/code, such as where the ClinicalDocument/code is simply "Surgical Operation Note" and the procedure is "Appendectomy." serviceEvent is required in the Operative Note and it must be equivalent to or further specialize the value inherent in the ClinicalDocument/code; it shall not conflict with the value inherent in the ClinicalDocument/code, as such a conflict would create ambiguity. serviceEvent/effectiveTime can be used to indicate the time the actual event (as opposed to the encounter surrounding the event) took place. If the date and the duration of the procedure is known, serviceEvent/effectiveTime/low is used with a width element that describes the duration; no high element is used. However, if only the date is known, the date is placed in both the low and high elements.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	C	1..1	CE	Binding Description (No ValueSet): (required): The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487). Additional Bindings Purpose Documentation Procedure Preferred Allowed SNOMED Codes 1198-8487: The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487).
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. width-or-high: Width and high are mutually exclusive. If width is known, high **SHALL NOT** be present. If with is not present, **SHALL** include high.
@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	Low is required 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
(Choice of one)		1..1
width		0..1	PQ	Represents the duration
high	C	0..1	IVXB_TS	Equals low if only the date is known 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
Slices for performer		1..*	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. Slice: Unordered, Open by value:typeCode
performer:All Slices				Content/Rules for all slices
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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
performer:primary		1..*	Performer1	This performer represents clinicians who actually and principally carry out the serviceEvent. Typically, these are clinicians who have surgical privileges in their institutions such as Surgeons, Obstetrician/Gynecologists, and Family Practice Physicians. The performer may also be non-physician providers (NPPs) who have surgical privileges. There may be more than one primary performer in the case of complicated surgeries. There are occasionally co-surgeons. Usually they will be billing separately and will each dictate their own notes. An example may be spinal surgery , where a general surgeon and an orthopedic surgeon both are present and billing off the same Current Procedural Terminology (CPT) codes. Typically two Operative Notes are generated; however, each will list the other as a co-surgeon. Any assistants are identified as a secondary performer (SPRF) in a second performer participant.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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) Fixed Value: PPRF
functionCode	C	0..1	CE	Binding: Care Team Member Function (preferred) 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 should-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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 (required)
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
performer:secondary		0..*	Performer1	This performer represents any assistants
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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) Fixed Value: SPRF
functionCode	C	0..1	CE	Binding: Care Team Member Function (preferred) 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 should-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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 (required)
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..1	Authorization	Authorization represents consent. Consent, if present, shall be represented by authorization/consent.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH
consent		1..1	Consent
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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: CDAActClass (required) Fixed Value: CONS
@moodCode		1..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		0..1	ComponentOf	The encompassing encounter represents the setting of the clinical encounter during which the document act(s) or ServiceEvent(s) occurred. In order to represent providers associated with a specific encounter, they are recorded within the encompassingEncounter as participants. In a CCD, the encompassingEncounter may be used when documenting a specific encounter and its participants. All relevant encounters in a CCD may be listed in the encounters section.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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.
sdtcAdmissionReferralSourceCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc)
dischargeDispositionCode		0..1	CE	Binding: USEncounterDischargeDisposition (example)
responsibleParty		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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).
encounterParticipant		0..*	EncounterParticipant
location		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		1..1	StructuredBody
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		8..*	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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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:anesthesia		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	AnesthesiaSection	Base for all types and resources
component:complications		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ComplicationsSection	Base for all types and resources
component:preopDx		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	PreoperativeDiagnosisSection	Base for all types and resources should-preop-dx: SHOULD contain Preoperative Diagnosis
component:estBloodLoss		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureEstimatedBloodLossSection	Base for all types and resources
component:findings		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureFindingsSection	Base for all types and resources
component:specimensTaken		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureSpecimensTakenSection	Base for all types and resources
component:procedureDescription		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureDescriptionSection	Base for all types and resources
component:postopDx		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	PostoperativeDiagnosisSection	Base for all types and resources
component:implants		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureImplantsSection	Base for all types and resources
component:fluids		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	OperativeNoteFluidsSection	Base for all types and resources
component:surgicalProcedures		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	OperativeNoteSurgicalProcedureSection	Base for all types and resources
component:planOfTreatment		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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:plannedProcedure		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	PlannedProcedureSection	Base for all types and resources
component:disposition		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureDispositionSection	Base for all types and resources
component:indications		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureIndicationsSection	Base for all types and resources
component:surgicalDrains		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	SurgicalDrainsSection	Base for all types and resources
component:advDirectives		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalDocument.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.classCode	example	Fixed Value: DOCCLIN http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.realmCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.templateId:us-realm.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.templateId:operative-note.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.code	required	SurgicalOperationNoteDocumentTypeCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.1.1 from https://vsac.nlm.nih.gov
ClinicalDocument.sdtcStatusCode	required	ActStatus http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.recordTarget.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.typeCode	required	Fixed Value: RCT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.recordTarget.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.recordTarget.patientRole.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.classCode	required	Fixed Value: PAT http://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.recordTarget.patientRole.patient.determinerCode	required	Fixed Value: INSTANCE http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode	required	MaritalStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode	required	ReligiousAffiliation http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.raceCode	required	RaceCategoryExcludingNulls http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode	required	RaceValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode	required	Ethnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode	required	DetailedEthnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode	required	Fixed Value: GUARD http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode	required	Fixed Value: BIRTHPL http://terminology.hl7.org/ValueSet/v3-RoleClassPassive
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode	required	Fixed Value: PLC http://terminology.hl7.org/ValueSet/v3-EntityClassPlace
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use	required	CDAPostalAddressUse http://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode	required	LanguageCodesWithLanguageAndOptionallyARegionModifier http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode	required	LanguageAbilityProficiency http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
ClinicalDocument.author.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.typeCode	required	Fixed Value: AUT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.author.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.author.assignedAuthor.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.code	example	CDARoleCode http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode	required	Fixed Value: DEV http://terminology.hl7.org/ValueSet/v3-EntityClassDevice
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code	example	CDAEntityCode http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName	example	ManufacturerModelNameExample http://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName	example	SoftwareNameExample http://terminology.hl7.org/ValueSet/v3-SoftwareNameExample
ClinicalDocument.dataEnterer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.typeCode	required	Fixed Value: ENT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.dataEnterer.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.typeCode	required	Fixed Value: INF http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.informant:provider.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.informant:provider.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.typeCode	required	Fixed Value: INF http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.informant:non-provider.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.custodian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.typeCode	required	Fixed Value: CST http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.custodian.assignedCustodian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.informationRecipient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.typeCode	required	XInformationRecipient http://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.classCode	required	CDAInformationRecipientRole http://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
ClinicalDocument.legalAuthenticator.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.typeCode	required	Fixed Value: LA http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.legalAuthenticator.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.legalAuthenticator.signatureCode	required	CDASignatureCode http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.typeCode	required	Fixed Value: AUTHEN http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.authenticator.signatureCode	required	CDASignatureCode http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
ClinicalDocument.authenticator.signatureCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.code	example	CDARoleCode http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.typeCode	required	CDAParticipationType http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.participant.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.inFulfillmentOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.typeCode	required	Fixed Value: FLFS http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0
ClinicalDocument.inFulfillmentOf.order.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.order.classCode	required	CDAActClass http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.inFulfillmentOf.order.moodCode	required	Fixed Value: RQO http://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent
ClinicalDocument.inFulfillmentOf.order.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
ClinicalDocument.inFulfillmentOf.order.priorityCode	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
ClinicalDocument.documentationOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.typeCode	required	Fixed Value: DOC http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
ClinicalDocument.documentationOf.serviceEvent.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.classCode	required	CDAActClass http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.documentationOf.serviceEvent.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.documentationOf.serviceEvent.code	required
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator	required	CDASetOperator http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:primary.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:primary.typeCode	required	Fixed Value: PPRF http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode.code	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.code	required	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 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.typeCode	required	Fixed Value: SPRF http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.functionCode	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.functionCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.functionCode.code	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.code	required	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 from https://vsac.nlm.nih.gov
ClinicalDocument.authorization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.typeCode	required	Fixed Value: AUTH http://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy
ClinicalDocument.authorization.consent.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.consent.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.consent.classCode	required	Fixed Value: CONS http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.authorization.consent.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.authorization.consent.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
ClinicalDocument.authorization.consent.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
ClinicalDocument.authorization.consent.statusCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.classCode	required	Fixed Value: ENC http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.componentOf.encompassingEncounter.moodCode	required	Fixed Value: EVN http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode	example	USEncounterDischargeDisposition http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode	required	Fixed Value: RESP http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode	required	Fixed Value: LOC http://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation
ClinicalDocument.component.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
ClinicalDocument.component.structuredBody.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.classCode	required	Fixed Value: DOCBODY http://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer
ClinicalDocument.component.structuredBody.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.component.structuredBody.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.component.structuredBody.component.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:anesthesia.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:anesthesia.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:complications.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:complications.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:preopDx.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:preopDx.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:estBloodLoss.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:estBloodLoss.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:findings.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:findings.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:specimensTaken.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:specimensTaken.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:procedureDescription.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:procedureDescription.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:postopDx.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:postopDx.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:implants.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:implants.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:fluids.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:fluids.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:surgicalProcedures.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:surgicalProcedures.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:planOfTreatment.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:plannedProcedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:plannedProcedure.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:disposition.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:disposition.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:indications.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:indications.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:surgicalDrains.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:surgicalDrains.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:advDirectives.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:advDirectives.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-8487	error	ClinicalDocument.documentationOf.serviceEvent.code	The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487). : codeSystem = '2.16.840.1.113883.6.104' or codeSystem = '2.16.840.1.113883.6.4' or codeSystem = '2.16.840.1.113883.6.12' or (codeSystem = '2.16.840.1.113883.6.96' and code.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.28'))
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
category-11504-8	error	ClinicalDocument	If category is present, then there shall be a category with LOINC code '11504-8'. : sdtcCategory.empty() or sdtcCategory.exists(code = '11504-8' and codeSystem = '2.16.840.1.113883.6.1')
ivl-ts-center	error	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.documentationOf.serviceEvent.performer:primary.time, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.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.documentationOf.serviceEvent.performer:primary.time, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.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.documentationOf.serviceEvent.performer:primary.time, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.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
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-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-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-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-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)
should-code	warning	ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity	SHOULD contain code : code.exists()
should-code-attr	warning	ClinicalDocument.documentationOf.serviceEvent.performer.functionCode, ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.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-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, ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.id.root	SHOULD be NPI : $this = '2.16.840.1.113883.4.6'
should-preferenceInd	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain preferenceInd : preferenceInd.exists()
should-preop-dx	warning	ClinicalDocument.component.structuredBody.component:preopDx.section	SHOULD contain Preoperative Diagnosis : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosis'))
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-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, ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.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	**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	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10
width-or-high	error	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	Width and high are mutually exclusive. If width is known, high **SHALL NOT** be present. If with is not present, **SHALL** include high. : (width | high).count() = 1

This structure is derived from USRealmHeader

Summary

Mandatory: 16 elements(3 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Anesthesia Section (http://hl7.org/cda/us/ccda/StructureDefinition/AnesthesiaSection)
• Complications Section (http://hl7.org/cda/us/ccda/StructureDefinition/ComplicationsSection)
• Preoperative Diagnosis Section (http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosisSection)
• Procedure Estimated Blood Loss Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureEstimatedBloodLossSection)
• Procedure Findings Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureFindingsSection)
• Procedure Specimens Taken Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureSpecimensTakenSection)
• Procedure Description Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureDescriptionSection)
• Postoperative Diagnosis Section (http://hl7.org/cda/us/ccda/StructureDefinition/PostoperativeDiagnosisSection)
• Procedure Implants Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureImplantsSection)
• Operative Note Fluids Section (http://hl7.org/cda/us/ccda/StructureDefinition/OperativeNoteFluidsSection)
• Operative Note Surgical Procedure Section (http://hl7.org/cda/us/ccda/StructureDefinition/OperativeNoteSurgicalProcedureSection)
• Plan of Treatment Section (http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection)
• Planned Procedure Section (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedProcedureSection)
• Procedure Disposition Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureDispositionSection)
• Procedure Indications Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureIndicationsSection)
• Surgical Drains Section (http://hl7.org/cda/us/ccda/StructureDefinition/SurgicalDrainsSection)
• Advance Directives Section (http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectivesSection)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ClinicalDocument.documentationOf.serviceEvent.performer
• The element 1 is sliced based on the value of ClinicalDocument.component.structuredBody.component

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-11504-8: If category is present, then there shall be a category with LOINC code '11504-8'.
templateId		2..*	II
Slices for templateId				Content/Rules for all slices
templateId:operative-note		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.7
@extension		1..1	st	Required Pattern: 2024-05-01
sdtcCategory		0..*	CD	Used to categorize the document as a Operative Note. If present, there SHALL be a category of 11504-8 (Surgical operation note).
code		1..1	CE	The Operative Note recommends use of a single document type code, 11504-8 "Surgical operation note", with further specification provided by author or performer, setting, or specialty data in the CDA header. Some of the LOINC codes in the Surgical Operation Note Document Type Code table are pre-coordinated with the practice setting or the training or professional level of the author. Use of pre-coordinated codes is not recommended because of potential conflict with other information in the header. When these 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: SurgicalOperationNoteDocumentTypeCode (required)
documentationOf		1..*	DocumentationOf	A serviceEvent represents the main act, such as a colonoscopy or an appendectomy, being documented. A serviceEvent can further specialize the act inherent in the ClinicalDocument/code, such as where the ClinicalDocument/code is simply "Surgical Operation Note" and the procedure is "Appendectomy." serviceEvent is required in the Operative Note and it must be equivalent to or further specialize the value inherent in the ClinicalDocument/code; it shall not conflict with the value inherent in the ClinicalDocument/code, as such a conflict would create ambiguity. serviceEvent/effectiveTime can be used to indicate the time the actual event (as opposed to the encounter surrounding the event) took place. If the date and the duration of the procedure is known, serviceEvent/effectiveTime/low is used with a width element that describes the duration; no high element is used. However, if only the date is known, the date is placed in both the low and high elements.
serviceEvent		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.
code	C	1..1	CE	Binding Description (No ValueSet): (required): The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487). Additional Bindings Purpose Documentation Procedure Preferred Allowed SNOMED Codes 1198-8487: The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487).
effectiveTime	C	1..1	USRealmDateTimeInterval	Base for all types and resources width-or-high: Width and high are mutually exclusive. If width is known, high **SHALL NOT** be present. If with is not present, **SHALL** include high.
low		1..1	IVXB_TS	Low is required
(Choice of one)		1..1
width		0..1	PQ	Represents the duration
high		0..1	IVXB_TS	Equals low if only the date is known
Slices for performer		1..*	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. Slice: Unordered, Open by value:typeCode
performer:primary		1..*	Performer1	This performer represents clinicians who actually and principally carry out the serviceEvent. Typically, these are clinicians who have surgical privileges in their institutions such as Surgeons, Obstetrician/Gynecologists, and Family Practice Physicians. The performer may also be non-physician providers (NPPs) who have surgical privileges. There may be more than one primary performer in the case of complicated surgeries. There are occasionally co-surgeons. Usually they will be billing separately and will each dictate their own notes. An example may be spinal surgery , where a general surgeon and an orthopedic surgeon both are present and billing off the same Current Procedural Terminology (CPT) codes. Typically two Operative Notes are generated; however, each will list the other as a co-surgeon. Any assistants are identified as a secondary performer (SPRF) in a second performer participant.
@typeCode		1..1	cs	Fixed Value: PPRF
functionCode		0..1	CE	Binding: Care Team Member Function (preferred)
assignedEntity	C	1..1	AssignedEntity	should-code: SHOULD contain code
code		0..1	CE	Binding: Healthcare Provider Taxonomy (required)
performer:secondary		0..*	Performer1	This performer represents any assistants
@typeCode		1..1	cs	Fixed Value: SPRF
functionCode		0..1	CE	Binding: Care Team Member Function (preferred)
assignedEntity	C	1..1	AssignedEntity	should-code: SHOULD contain code
code		0..1	CE	Binding: Healthcare Provider Taxonomy (required)
authorization		0..1	Authorization	Authorization represents consent. Consent, if present, shall be represented by authorization/consent.
@typeCode		1..1	cs
consent		1..1	Consent
@classCode		1..1	cs
@moodCode		1..1	cs
statusCode		1..1	CS
component		1..1	Component
structuredBody		1..1	StructuredBody
Slices for component		8..*	InfrastructureRoot	Slice: Unordered, Open by profile:section
component:anesthesia		1..1	InfrastructureRoot
section		1..1	AnesthesiaSection	Base for all types and resources
component:complications		1..1	InfrastructureRoot
section		1..1	ComplicationsSection	Base for all types and resources
component:preopDx		1..1	InfrastructureRoot
section		1..1	PreoperativeDiagnosisSection	Base for all types and resources
component:estBloodLoss		1..1	InfrastructureRoot
section		1..1	ProcedureEstimatedBloodLossSection	Base for all types and resources
component:findings		1..1	InfrastructureRoot
section		1..1	ProcedureFindingsSection	Base for all types and resources
component:specimensTaken		1..1	InfrastructureRoot
section		1..1	ProcedureSpecimensTakenSection	Base for all types and resources
component:procedureDescription		1..1	InfrastructureRoot
section		1..1	ProcedureDescriptionSection	Base for all types and resources
component:postopDx		1..1	InfrastructureRoot
section		1..1	PostoperativeDiagnosisSection	Base for all types and resources
component:implants		0..1	InfrastructureRoot
section		1..1	ProcedureImplantsSection	Base for all types and resources
component:fluids		0..1	InfrastructureRoot
section		1..1	OperativeNoteFluidsSection	Base for all types and resources
component:surgicalProcedures		0..1	InfrastructureRoot
section		1..1	OperativeNoteSurgicalProcedureSection	Base for all types and resources
component:planOfTreatment		0..1	InfrastructureRoot
section		1..1	PlanofTreatmentSection	Base for all types and resources
component:plannedProcedure		0..1	InfrastructureRoot
section		1..1	PlannedProcedureSection	Base for all types and resources
component:disposition		0..1	InfrastructureRoot
section		1..1	ProcedureDispositionSection	Base for all types and resources
component:indications		0..1	InfrastructureRoot
section		1..1	ProcedureIndicationsSection	Base for all types and resources
component:surgicalDrains		0..1	InfrastructureRoot
section		1..1	SurgicalDrainsSection	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

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ClinicalDocument.code	required	SurgicalOperationNoteDocumentTypeCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.1.1 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.code	required
ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.code	required	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 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.functionCode	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.code	required	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 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-8487	error	ClinicalDocument.documentationOf.serviceEvent.code	The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487). : codeSystem = '2.16.840.1.113883.6.104' or codeSystem = '2.16.840.1.113883.6.4' or codeSystem = '2.16.840.1.113883.6.12' or (codeSystem = '2.16.840.1.113883.6.96' and code.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.28'))
category-11504-8	error	ClinicalDocument	If category is present, then there shall be a category with LOINC code '11504-8'. : sdtcCategory.empty() or sdtcCategory.exists(code = '11504-8' and codeSystem = '2.16.840.1.113883.6.1')
should-code	warning	ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity	SHOULD contain code : code.exists()
width-or-high	error	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	Width and high are mutually exclusive. If width is known, high **SHALL NOT** be present. If with is not present, **SHALL** include high. : (width | high).count() = 1

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-11504-8: If category is present, then there shall be a category with LOINC code '11504-8'.
realmCode		1..1	CS
@code		1..1	cs	Required Pattern: US
typeId		1..1	II
@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
@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:operative-note		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.7
@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 Operative Note. If present, there SHALL be a category of 11504-8 (Surgical operation note). XML: category (urn:hl7-org:sdtc)
code		1..1	CE	The Operative Note recommends use of a single document type code, 11504-8 "Surgical operation note", with further specification provided by author or performer, setting, or specialty data in the CDA header. Some of the LOINC codes in the Surgical Operation Note Document Type Code table are pre-coordinated with the practice setting or the training or professional level of the author. Use of pre-coordinated codes is not recommended because of potential conflict with other information in the header. When these 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: SurgicalOperationNoteDocumentTypeCode (required)
@code		1..1	cs
@codeSystem		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.6.1
title		1..1	ST	The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
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)
languageCode		1..1	CS	Binding: AllLanguages (required)
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
patientRole		1..1	PatientRole
id		1..*	II
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
@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
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).
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
raceCode		1..1	CE	𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls (required)
ethnicGroupCode		1..1	CE	𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity (required)
author		1..*	Author	The author element represents the creator of the clinical document. The author may be a device or a person.
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
Slices for id		1..*	II	Slice: Unordered, Open by value:root
id:npi	C	0..1	II	should-extension: SHOULD contain extension
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.4.6
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
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
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.
assignedEntity		1..1	AssignedEntity
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).
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
assignedPerson		1..1	Person
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).
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.
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.
assignedCustodian		1..1	AssignedCustodian
representedCustodianOrganization		1..1	CustodianOrganization
id		1..*	II
name		1..1	ON
telecom	C	1..1	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
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
documentationOf		1..*	DocumentationOf	A serviceEvent represents the main act, such as a colonoscopy or an appendectomy, being documented. A serviceEvent can further specialize the act inherent in the ClinicalDocument/code, such as where the ClinicalDocument/code is simply "Surgical Operation Note" and the procedure is "Appendectomy." serviceEvent is required in the Operative Note and it must be equivalent to or further specialize the value inherent in the ClinicalDocument/code; it shall not conflict with the value inherent in the ClinicalDocument/code, as such a conflict would create ambiguity. serviceEvent/effectiveTime can be used to indicate the time the actual event (as opposed to the encounter surrounding the event) took place. If the date and the duration of the procedure is known, serviceEvent/effectiveTime/low is used with a width element that describes the duration; no high element is used. However, if only the date is known, the date is placed in both the low and high elements.
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
code	C	1..1	CE	Binding Description (No ValueSet): (required): The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487). Additional Bindings Purpose Documentation Procedure Preferred Allowed SNOMED Codes 1198-8487: The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487).
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. width-or-high: Width and high are mutually exclusive. If width is known, high **SHALL NOT** be present. If with is not present, **SHALL** include high.
low	C	1..1	IVXB_TS	Low is required ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
(Choice of one)		1..1
width		0..1	PQ	Represents the duration
high	C	0..1	IVXB_TS	Equals low if only the date is known ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
Slices for performer		1..*	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. Slice: Unordered, Open by value:typeCode
performer:All Slices				Content/Rules for all slices
@typeCode		1..1	cs	Binding: x_ServiceEventPerformer (required)
assignedEntity	C	1..1	AssignedEntity	should-us-code: SHOULD contain code
id		1..*	II
performer:primary		1..*	Performer1	This performer represents clinicians who actually and principally carry out the serviceEvent. Typically, these are clinicians who have surgical privileges in their institutions such as Surgeons, Obstetrician/Gynecologists, and Family Practice Physicians. The performer may also be non-physician providers (NPPs) who have surgical privileges. There may be more than one primary performer in the case of complicated surgeries. There are occasionally co-surgeons. Usually they will be billing separately and will each dictate their own notes. An example may be spinal surgery , where a general surgeon and an orthopedic surgeon both are present and billing off the same Current Procedural Terminology (CPT) codes. Typically two Operative Notes are generated; however, each will list the other as a co-surgeon. Any assistants are identified as a secondary performer (SPRF) in a second performer participant.
@typeCode		1..1	cs	Binding: x_ServiceEventPerformer (required) Fixed Value: PPRF
functionCode	C	0..1	CE	Binding: Care Team Member Function (preferred) should-code-attr: SHOULD contain @code
assignedEntity	C	1..1	AssignedEntity	should-us-code: SHOULD contain code should-code: SHOULD contain code
id		1..*	II
code		0..1	CE	Binding: Healthcare Provider Taxonomy (required)
performer:secondary		0..*	Performer1	This performer represents any assistants
@typeCode		1..1	cs	Binding: x_ServiceEventPerformer (required) Fixed Value: SPRF
functionCode	C	0..1	CE	Binding: Care Team Member Function (preferred) should-code-attr: SHOULD contain @code
assignedEntity	C	1..1	AssignedEntity	should-us-code: SHOULD contain code should-code: SHOULD contain code
id		1..*	II
code		0..1	CE	Binding: Healthcare Provider Taxonomy (required)
authorization		0..1	Authorization	Authorization represents consent. Consent, if present, shall be represented by authorization/consent.
@typeCode		1..1	cs	Binding: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH
consent		1..1	Consent
@classCode		1..1	cs	Binding: CDAActClass (required) Fixed Value: CONS
@moodCode		1..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
statusCode		1..1	CS	Binding: ActStatus (required)
@code		1..1	cs	Fixed Value: completed
component		1..1	Component
structuredBody		1..1	StructuredBody
Slices for component		8..*	InfrastructureRoot	Slice: Unordered, Open by profile:section
component:All Slices				Content/Rules for all slices
section		1..1	Section
component:anesthesia		1..1	InfrastructureRoot
section		1..1	AnesthesiaSection	Base for all types and resources
component:complications		1..1	InfrastructureRoot
section		1..1	ComplicationsSection	Base for all types and resources
component:preopDx		1..1	InfrastructureRoot
section	C	1..1	PreoperativeDiagnosisSection	Base for all types and resources should-preop-dx: SHOULD contain Preoperative Diagnosis
component:estBloodLoss		1..1	InfrastructureRoot
section		1..1	ProcedureEstimatedBloodLossSection	Base for all types and resources
component:findings		1..1	InfrastructureRoot
section		1..1	ProcedureFindingsSection	Base for all types and resources
component:specimensTaken		1..1	InfrastructureRoot
section		1..1	ProcedureSpecimensTakenSection	Base for all types and resources
component:procedureDescription		1..1	InfrastructureRoot
section		1..1	ProcedureDescriptionSection	Base for all types and resources
component:postopDx		1..1	InfrastructureRoot
section		1..1	PostoperativeDiagnosisSection	Base for all types and resources
component:implants		0..1	InfrastructureRoot
section		1..1	ProcedureImplantsSection	Base for all types and resources
component:fluids		0..1	InfrastructureRoot
section		1..1	OperativeNoteFluidsSection	Base for all types and resources
component:surgicalProcedures		0..1	InfrastructureRoot
section		1..1	OperativeNoteSurgicalProcedureSection	Base for all types and resources
component:planOfTreatment		0..1	InfrastructureRoot
section		1..1	PlanofTreatmentSection	Base for all types and resources
component:plannedProcedure		0..1	InfrastructureRoot
section		1..1	PlannedProcedureSection	Base for all types and resources
component:disposition		0..1	InfrastructureRoot
section		1..1	ProcedureDispositionSection	Base for all types and resources
component:indications		0..1	InfrastructureRoot
section		1..1	ProcedureIndicationsSection	Base for all types and resources
component:surgicalDrains		0..1	InfrastructureRoot
section		1..1	SurgicalDrainsSection	Base for all types and resources
component:advDirectives		0..1	InfrastructureRoot
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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalDocument.code	required	SurgicalOperationNoteDocumentTypeCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.1.1 from https://vsac.nlm.nih.gov
ClinicalDocument.confidentialityCode.code	preferred	HL7BasicConfidentialityKind http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 from https://vsac.nlm.nih.gov
ClinicalDocument.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.recordTarget.patientRole.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode	required	AdministrativeGenderHL7V3 http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.raceCode	required	RaceCategoryExcludingNulls http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode	required	Ethnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.code	required
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode	required	X_ServiceEventPerformer http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.typeCode	required	Fixed Value: PPRF http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.code	required	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 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.typeCode	required	Fixed Value: SPRF http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.functionCode	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.code	required	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 from https://vsac.nlm.nih.gov
ClinicalDocument.authorization.typeCode	required	Fixed Value: AUTH http://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy
ClinicalDocument.authorization.consent.classCode	required	Fixed Value: CONS http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.authorization.consent.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.authorization.consent.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-8487	error	ClinicalDocument.documentationOf.serviceEvent.code	The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487). : codeSystem = '2.16.840.1.113883.6.104' or codeSystem = '2.16.840.1.113883.6.4' or codeSystem = '2.16.840.1.113883.6.12' or (codeSystem = '2.16.840.1.113883.6.96' and code.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.28'))
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()
4537-16790	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.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	**SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty()
81-9371	error	ClinicalDocument.informant:provider.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.informant:provider.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.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.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.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.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})?'))
category-11504-8	error	ClinicalDocument	If category is present, then there shall be a category with LOINC code '11504-8'. : sdtcCategory.empty() or sdtcCategory.exists(code = '11504-8' and codeSystem = '2.16.840.1.113883.6.1')
ivl-ts-center	error	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty())
ivl-value-shall	error	ClinicalDocument.documentationOf.serviceEvent.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.documentationOf.serviceEvent.effectiveTime	If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10
pn-no-ls	error	ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.informant:provider.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-city	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1
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-max-ad-parts	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.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-streetAddressLine	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.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)
should-code	warning	ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity	SHOULD contain code : code.exists()
should-code-attr	warning	ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.functionCode	SHOULD contain @code : code.exists()
should-country	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHOULD contain country : nullFlavor.exists() or item.country.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-preop-dx	warning	ClinicalDocument.component.structuredBody.component:preopDx.section	SHOULD contain Preoperative Diagnosis : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosis'))
should-relatedParticipant	warning	ClinicalDocument	Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
should-us-code	warning	ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity, ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.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-use	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHOULD contain @use : nullFlavor.exists() or use.exists()
ts-shall-day	error	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.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	**SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4
ts-should-day	warning	ClinicalDocument.recordTarget.patientRole.patient.birthTime	**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.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10
width-or-high	error	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	Width and high are mutually exclusive. If width is known, high **SHALL NOT** be present. If with is not present, **SHALL** include high. : (width | high).count() = 1

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-11504-8: If category is present, then there shall be a category with LOINC code '11504-8'.
@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		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	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:operative-note		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: 2.16.840.1.113883.10.20.22.1.7
@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 Operative Note. If present, there SHALL be a category of 11504-8 (Surgical operation note). XML: category (urn:hl7-org:sdtc)
code		1..1	CE	The Operative Note recommends use of a single document type code, 11504-8 "Surgical operation note", with further specification provided by author or performer, setting, or specialty data in the CDA header. Some of the LOINC codes in the Surgical Operation Note Document Type Code table are pre-coordinated with the practice setting or the training or professional level of the author. Use of pre-coordinated codes is not recommended because of potential conflict with other information in the header. When these 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: SurgicalOperationNoteDocumentTypeCode (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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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 identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin). 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).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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
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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		1..*	DocumentationOf	A serviceEvent represents the main act, such as a colonoscopy or an appendectomy, being documented. A serviceEvent can further specialize the act inherent in the ClinicalDocument/code, such as where the ClinicalDocument/code is simply "Surgical Operation Note" and the procedure is "Appendectomy." serviceEvent is required in the Operative Note and it must be equivalent to or further specialize the value inherent in the ClinicalDocument/code; it shall not conflict with the value inherent in the ClinicalDocument/code, as such a conflict would create ambiguity. serviceEvent/effectiveTime can be used to indicate the time the actual event (as opposed to the encounter surrounding the event) took place. If the date and the duration of the procedure is known, serviceEvent/effectiveTime/low is used with a width element that describes the duration; no high element is used. However, if only the date is known, the date is placed in both the low and high elements.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	C	1..1	CE	Binding Description (No ValueSet): (required): The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487). Additional Bindings Purpose Documentation Procedure Preferred Allowed SNOMED Codes 1198-8487: The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487).
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. width-or-high: Width and high are mutually exclusive. If width is known, high **SHALL NOT** be present. If with is not present, **SHALL** include high.
@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	Low is required 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
(Choice of one)		1..1
width		0..1	PQ	Represents the duration
high	C	0..1	IVXB_TS	Equals low if only the date is known 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
Slices for performer		1..*	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. Slice: Unordered, Open by value:typeCode
performer:All Slices				Content/Rules for all slices
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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
performer:primary		1..*	Performer1	This performer represents clinicians who actually and principally carry out the serviceEvent. Typically, these are clinicians who have surgical privileges in their institutions such as Surgeons, Obstetrician/Gynecologists, and Family Practice Physicians. The performer may also be non-physician providers (NPPs) who have surgical privileges. There may be more than one primary performer in the case of complicated surgeries. There are occasionally co-surgeons. Usually they will be billing separately and will each dictate their own notes. An example may be spinal surgery , where a general surgeon and an orthopedic surgeon both are present and billing off the same Current Procedural Terminology (CPT) codes. Typically two Operative Notes are generated; however, each will list the other as a co-surgeon. Any assistants are identified as a secondary performer (SPRF) in a second performer participant.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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) Fixed Value: PPRF
functionCode	C	0..1	CE	Binding: Care Team Member Function (preferred) 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 should-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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 (required)
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
performer:secondary		0..*	Performer1	This performer represents any assistants
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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) Fixed Value: SPRF
functionCode	C	0..1	CE	Binding: Care Team Member Function (preferred) 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 should-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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 (required)
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..1	Authorization	Authorization represents consent. Consent, if present, shall be represented by authorization/consent.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH
consent		1..1	Consent
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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: CDAActClass (required) Fixed Value: CONS
@moodCode		1..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		0..1	ComponentOf	The encompassing encounter represents the setting of the clinical encounter during which the document act(s) or ServiceEvent(s) occurred. In order to represent providers associated with a specific encounter, they are recorded within the encompassingEncounter as participants. In a CCD, the encompassingEncounter may be used when documenting a specific encounter and its participants. All relevant encounters in a CCD may be listed in the encounters section.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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.
sdtcAdmissionReferralSourceCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc)
dischargeDispositionCode		0..1	CE	Binding: USEncounterDischargeDisposition (example)
responsibleParty		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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).
encounterParticipant		0..*	EncounterParticipant
location		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		1..1	StructuredBody
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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		8..*	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		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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:anesthesia		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	AnesthesiaSection	Base for all types and resources
component:complications		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ComplicationsSection	Base for all types and resources
component:preopDx		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	PreoperativeDiagnosisSection	Base for all types and resources should-preop-dx: SHOULD contain Preoperative Diagnosis
component:estBloodLoss		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureEstimatedBloodLossSection	Base for all types and resources
component:findings		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureFindingsSection	Base for all types and resources
component:specimensTaken		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureSpecimensTakenSection	Base for all types and resources
component:procedureDescription		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureDescriptionSection	Base for all types and resources
component:postopDx		1..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	PostoperativeDiagnosisSection	Base for all types and resources
component:implants		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureImplantsSection	Base for all types and resources
component:fluids		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	OperativeNoteFluidsSection	Base for all types and resources
component:surgicalProcedures		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	OperativeNoteSurgicalProcedureSection	Base for all types and resources
component:planOfTreatment		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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:plannedProcedure		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	PlannedProcedureSection	Base for all types and resources
component:disposition		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureDispositionSection	Base for all types and resources
component:indications		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	ProcedureIndicationsSection	Base for all types and resources
component:surgicalDrains		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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	SurgicalDrainsSection	Base for all types and resources
component:advDirectives		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalDocument.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.classCode	example	Fixed Value: DOCCLIN http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.realmCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.templateId:us-realm.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.templateId:operative-note.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.code	required	SurgicalOperationNoteDocumentTypeCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.1.1 from https://vsac.nlm.nih.gov
ClinicalDocument.sdtcStatusCode	required	ActStatus http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.recordTarget.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.typeCode	required	Fixed Value: RCT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.recordTarget.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.recordTarget.patientRole.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.classCode	required	Fixed Value: PAT http://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.recordTarget.patientRole.patient.determinerCode	required	Fixed Value: INSTANCE http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode	required	MaritalStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode	required	ReligiousAffiliation http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.raceCode	required	RaceCategoryExcludingNulls http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode	required	RaceValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode	required	Ethnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode	required	DetailedEthnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode	required	Fixed Value: GUARD http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode	required	Fixed Value: BIRTHPL http://terminology.hl7.org/ValueSet/v3-RoleClassPassive
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode	required	Fixed Value: PLC http://terminology.hl7.org/ValueSet/v3-EntityClassPlace
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use	required	CDAPostalAddressUse http://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode	required	LanguageCodesWithLanguageAndOptionallyARegionModifier http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode	required	LanguageAbilityProficiency http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
ClinicalDocument.author.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.typeCode	required	Fixed Value: AUT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.author.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.author.assignedAuthor.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.code	example	CDARoleCode http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode	required	Fixed Value: DEV http://terminology.hl7.org/ValueSet/v3-EntityClassDevice
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code	example	CDAEntityCode http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName	example	ManufacturerModelNameExample http://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName	example	SoftwareNameExample http://terminology.hl7.org/ValueSet/v3-SoftwareNameExample
ClinicalDocument.dataEnterer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.typeCode	required	Fixed Value: ENT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.dataEnterer.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.typeCode	required	Fixed Value: INF http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.informant:provider.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.informant:provider.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.typeCode	required	Fixed Value: INF http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.informant:non-provider.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.custodian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.typeCode	required	Fixed Value: CST http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.custodian.assignedCustodian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.informationRecipient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.typeCode	required	XInformationRecipient http://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.classCode	required	CDAInformationRecipientRole http://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
ClinicalDocument.legalAuthenticator.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.typeCode	required	Fixed Value: LA http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.legalAuthenticator.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.legalAuthenticator.signatureCode	required	CDASignatureCode http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.typeCode	required	Fixed Value: AUTHEN http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.authenticator.signatureCode	required	CDASignatureCode http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
ClinicalDocument.authenticator.signatureCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.code	example	CDARoleCode http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.typeCode	required	CDAParticipationType http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.participant.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.inFulfillmentOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.typeCode	required	Fixed Value: FLFS http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0
ClinicalDocument.inFulfillmentOf.order.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.order.classCode	required	CDAActClass http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.inFulfillmentOf.order.moodCode	required	Fixed Value: RQO http://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent
ClinicalDocument.inFulfillmentOf.order.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
ClinicalDocument.inFulfillmentOf.order.priorityCode	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
ClinicalDocument.documentationOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.typeCode	required	Fixed Value: DOC http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
ClinicalDocument.documentationOf.serviceEvent.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.classCode	required	CDAActClass http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.documentationOf.serviceEvent.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.documentationOf.serviceEvent.code	required
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator	required	CDASetOperator http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor	required	CDANullFlavor http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:primary.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:primary.typeCode	required	Fixed Value: PPRF http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode.code	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.code	required	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 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.typeCode	required	Fixed Value: SPRF http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.functionCode	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.functionCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.functionCode.code	preferred	CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.code	required	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 from https://vsac.nlm.nih.gov
ClinicalDocument.authorization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.typeCode	required	Fixed Value: AUTH http://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy
ClinicalDocument.authorization.consent.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.consent.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.consent.classCode	required	Fixed Value: CONS http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.authorization.consent.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.authorization.consent.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
ClinicalDocument.authorization.consent.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
ClinicalDocument.authorization.consent.statusCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.classCode	required	Fixed Value: ENC http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.componentOf.encompassingEncounter.moodCode	required	Fixed Value: EVN http://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 from https://vsac.nlm.nih.gov
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode	example	USEncounterDischargeDisposition http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode	required	Fixed Value: RESP http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode	required	Fixed Value: LOC http://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation
ClinicalDocument.component.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
ClinicalDocument.component.structuredBody.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.classCode	required	Fixed Value: DOCBODY http://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer
ClinicalDocument.component.structuredBody.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.component.structuredBody.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.component.structuredBody.component.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:anesthesia.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:anesthesia.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:complications.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:complications.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:preopDx.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:preopDx.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:estBloodLoss.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:estBloodLoss.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:findings.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:findings.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:specimensTaken.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:specimensTaken.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:procedureDescription.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:procedureDescription.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:postopDx.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:postopDx.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:implants.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:implants.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:fluids.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:fluids.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:surgicalProcedures.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:surgicalProcedures.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:planOfTreatment.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:plannedProcedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:plannedProcedure.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:disposition.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:disposition.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:indications.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:indications.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:surgicalDrains.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:surgicalDrains.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:advDirectives.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.component.structuredBody.component:advDirectives.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-8487	error	ClinicalDocument.documentationOf.serviceEvent.code	The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8487). : codeSystem = '2.16.840.1.113883.6.104' or codeSystem = '2.16.840.1.113883.6.4' or codeSystem = '2.16.840.1.113883.6.12' or (codeSystem = '2.16.840.1.113883.6.96' and code.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.28'))
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
category-11504-8	error	ClinicalDocument	If category is present, then there shall be a category with LOINC code '11504-8'. : sdtcCategory.empty() or sdtcCategory.exists(code = '11504-8' and codeSystem = '2.16.840.1.113883.6.1')
ivl-ts-center	error	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.documentationOf.serviceEvent.performer:primary.time, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.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.documentationOf.serviceEvent.performer:primary.time, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.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.documentationOf.serviceEvent.performer:primary.time, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.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
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-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-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-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-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)
should-code	warning	ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity	SHOULD contain code : code.exists()
should-code-attr	warning	ClinicalDocument.documentationOf.serviceEvent.performer.functionCode, ClinicalDocument.documentationOf.serviceEvent.performer:primary.functionCode, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.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-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, ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.assignedEntity.id.root	SHOULD be NPI : $this = '2.16.840.1.113883.4.6'
should-preferenceInd	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain preferenceInd : preferenceInd.exists()
should-preop-dx	warning	ClinicalDocument.component.structuredBody.component:preopDx.section	SHOULD contain Preoperative Diagnosis : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosis'))
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-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, ClinicalDocument.documentationOf.serviceEvent.performer:primary.assignedEntity, ClinicalDocument.documentationOf.serviceEvent.performer:secondary.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	**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	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10
width-or-high	error	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	Width and high are mutually exclusive. If width is known, high **SHALL NOT** be present. If with is not present, **SHALL** include high. : (width | high).count() = 1

This structure is derived from USRealmHeader

Summary

Mandatory: 16 elements(3 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Anesthesia Section (http://hl7.org/cda/us/ccda/StructureDefinition/AnesthesiaSection)
• Complications Section (http://hl7.org/cda/us/ccda/StructureDefinition/ComplicationsSection)
• Preoperative Diagnosis Section (http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosisSection)
• Procedure Estimated Blood Loss Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureEstimatedBloodLossSection)
• Procedure Findings Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureFindingsSection)
• Procedure Specimens Taken Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureSpecimensTakenSection)
• Procedure Description Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureDescriptionSection)
• Postoperative Diagnosis Section (http://hl7.org/cda/us/ccda/StructureDefinition/PostoperativeDiagnosisSection)
• Procedure Implants Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureImplantsSection)
• Operative Note Fluids Section (http://hl7.org/cda/us/ccda/StructureDefinition/OperativeNoteFluidsSection)
• Operative Note Surgical Procedure Section (http://hl7.org/cda/us/ccda/StructureDefinition/OperativeNoteSurgicalProcedureSection)
• Plan of Treatment Section (http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection)
• Planned Procedure Section (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedProcedureSection)
• Procedure Disposition Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureDispositionSection)
• Procedure Indications Section (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureIndicationsSection)
• Surgical Drains Section (http://hl7.org/cda/us/ccda/StructureDefinition/SurgicalDrainsSection)
• Advance Directives Section (http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectivesSection)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ClinicalDocument.documentationOf.serviceEvent.performer
• The element 1 is sliced based on the value of ClinicalDocument.component.structuredBody.component