US Realm Header - Definitions - Consolidated CDA (C-CDA) v4.0.0-ballot

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

Logical Model: USRealmHeader - Detailed Descriptions

Draft as of 2024-11-21

Definitions for the USRealmHeader logical model.

Differential Elements Table
Key Elements Table
Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here

0. ClinicalDocument
Logical Container	ClinicalDocument (CDA Class)
Validation	Instance of this type are validated by templateId
XML Format	In the XML format, this property has the namespace `urn:hl7-org:v3`.
Invariants	4537-6380: If setId is present versionNumber SHALL be present (CONF:4537-6380). (`setId.exists() implies versionNumber.exists()`) 4537-6387: If versionNumber is present setId SHALL be present (CONF:4537-6387). (`versionNumber.exists() implies setId.exists()`) should-legalAuthenticator: SHOULD contain legalAuthenticator (`legalAuthenticator.exists()`) should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant (`participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()`)
2. ClinicalDocument.realmCode
Comments	SHALL contain exactly one [1..1] realmCode="US" (CONF:4537-16791).
Control	1..1
4. ClinicalDocument.realmCode.code
Control	1..?
Pattern Value	`US`
6. ClinicalDocument.typeId
Comments	SHALL contain exactly one [1..1] typeId (CONF:4537-5361).
Control	1..?
8. ClinicalDocument.typeId.root
Comments	This typeId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.1.3" (CONF:4537-5250).
10. ClinicalDocument.typeId.extension
Comments	This typeId SHALL contain exactly one [1..1] @extension="POCD_HD000040" (CONF:4537-5251).
12. ClinicalDocument.templateId
Control	1..?
Slicing	This element introduces a set of slices on `ClinicalDocument.templateId`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root value @ extension
14. ClinicalDocument.templateId:us-realm
Slice Name	us-realm
Control	1..1
16. ClinicalDocument.templateId:us-realm.root
Control	1..?
Pattern Value	`2.16.840.1.113883.10.20.22.1.1`
18. ClinicalDocument.templateId:us-realm.extension
Control	1..?
Pattern Value	`2024-05-01`
20. ClinicalDocument.id
Short	SHALL be a globally unique identifier for the document (CONF:4537-9991).
Comments	SHALL contain exactly one [1..1] id (CONF:4537-5363).
22. ClinicalDocument.code
Short	SHALL specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992).
Comments	SHALL contain exactly one [1..1] code (CONF:4537-5253).
24. ClinicalDocument.code.nullFlavor
Control	0..0
26. ClinicalDocument.code.code
Control	1..?
28. ClinicalDocument.code.codeSystem
Control	1..?
Pattern Value	`2.16.840.1.113883.6.1`
30. ClinicalDocument.title
Short	The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
Comments	SHALL contain exactly one [1..1] title (CONF:4537-5254).
Control	1..?
32. ClinicalDocument.effectiveTime
Comments	SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5256).
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
34. ClinicalDocument.confidentialityCode
36. ClinicalDocument.confidentialityCode.nullFlavor
Control	0..0
38. ClinicalDocument.confidentialityCode.code
Control	1..?
Binding	The codes SHOULD be taken from HL7 BasicConfidentialityKind (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926`)
40. ClinicalDocument.languageCode
Comments	SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet AllLanguages https://www.hl7.org/fhir/valueset-all-languages.html (OID 2.16.840.1.113883.4.642.3.21) DYNAMIC.
Control	1..?
42. ClinicalDocument.setId
Comments	MAY contain zero or one [0..1] setId (CONF:4537-5261).
44. ClinicalDocument.versionNumber
Comments	MAY contain zero or one [0..1] versionNumber (CONF:4537-5264).
46. ClinicalDocument.recordTarget
Short	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
Comments	SHALL contain at least one [1..*] recordTarget (CONF:4537-5266).
48. ClinicalDocument.recordTarget.patientRole
Comments	Such recordTargets SHALL contain exactly one [1..1] patientRole (CONF:4537-5267).
50. ClinicalDocument.recordTarget.patientRole.id
Comments	This patientRole SHALL contain at least one [1..*] id (CONF:4537-5268).
52. ClinicalDocument.recordTarget.patientRole.addr
Short	𝗨𝗦𝗖𝗗𝗜: Address
Comments	This patientRole SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5271).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
54. ClinicalDocument.recordTarget.patientRole.telecom
Short	𝗨𝗦𝗖𝗗𝗜: Phone Number / Email
Control	1..?
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
56. ClinicalDocument.recordTarget.patientRole.telecom.use
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-5375).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
58. ClinicalDocument.recordTarget.patientRole.patient
Comments	This patientRole SHALL contain exactly one [1..1] patient (CONF:4537-5283).
Control	1..?
Invariants	4537-32993: 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()`) 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true (`sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')`) should-maritalStatusCode: SHOULD contain maritalStatusCode (`maritalStatusCode.exists()`) should-us-languageCommunication: SHOULD contain languageCommunication (`languageCommunication.exists()`)
60. ClinicalDocument.recordTarget.patientRole.patient.name
Comments	This patient SHALL contain at least one [1..*] US Realm Patient Name (PTN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1) (CONF:4537-5284).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Patient Name (PTN.US.FIELDED))
62. ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode
Comments	This patient SHALL contain exactly one [1..1] administrativeGenderCode, which SHALL be selected from ValueSet Administrative Gender (HL7 V3) urn:oid:2.16.840.1.113883.1.11.1 DYNAMIC (CONF:4537-6394).
Control	1..?
Binding	The codes SHALL be taken from Administrative Gender (HL7 V3) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1`)
64. ClinicalDocument.recordTarget.patientRole.patient.birthTime
Short	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)
Comments	This patient SHALL contain exactly one [1..1] birthTime (CONF:4537-5298).
Control	1..?
Invariants	ts-shall-year: SHALL be precise to at least the year (`nullFlavor.exists() or value.toString().length() >= 4`) ts-should-day: SHOULD be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`)
66. ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedInd
Short	sdtc:deceasedInd
Comments	This patient MAY contain zero or one [0..1] sdtc:deceasedInd (CONF:4537-32990).
68. ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime
Short	𝗨𝗦𝗖𝗗𝗜: Date of Death
Comments	This patient MAY contain zero or one [0..1] sdtc:deceasedTime (CONF:4537-32988).
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`deceasedTime`.
Invariants	should-value-att: SHOULD contain @value (`value.exists()`) ts-shall-year: SHALL be precise to at least the year (`nullFlavor.exists() or value.toString().length() >= 4`) ts-should-day: SHOULD be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`)
70. ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode
Comments	This patient SHOULD contain zero or one [0..1] maritalStatusCode, which SHALL be selected from ValueSet Marital Status urn:oid:2.16.840.1.113883.1.11.12212 DYNAMIC (CONF:4537-5303).
Binding	The codes SHALL be taken from Marital Status (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212`)
72. ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode
Comments	This patient MAY contain zero or one [0..1] religiousAffiliationCode, which SHALL be selected from ValueSet Religious Affiliation urn:oid:2.16.840.1.113883.1.11.19185 DYNAMIC (CONF:4537-5317).
Binding	The codes SHALL be taken from Religious Affiliation (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185`)
74. ClinicalDocument.recordTarget.patientRole.patient.raceCode
Short	𝗨𝗦𝗖𝗗𝗜: Race
Comments	This patient SHALL contain exactly one [1..1] raceCode, which SHALL be selected from ValueSet Race Category Excluding Nulls urn:oid:2.16.840.1.113883.3.2074.1.1.3 DYNAMIC (CONF:4537-5322).
Control	1..?
Binding	The codes SHALL be taken from Race Category Excluding Nulls (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3`)
76. ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode
Short	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.
Comments	This patient MAY contain zero or more [0..*] sdtc:raceCode, which SHALL be selected from ValueSet Race Value Set urn:oid:2.16.840.1.113883.1.11.14914 DYNAMIC (CONF:4537-7263).
Binding	The codes SHALL be taken from Race Value Set (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914`)
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`raceCode`.
78. ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode
Short	𝗨𝗦𝗖𝗗𝗜: Ethnicity
Comments	This patient SHALL contain exactly one [1..1] ethnicGroupCode, which SHALL be selected from ValueSet Ethnicity urn:oid:2.16.840.1.114222.4.11.837 DYNAMIC (CONF:4537-5323).
Control	1..?
Binding	The codes SHALL be taken from Ethnicity (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837`)
80. ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode
Short	𝗨𝗦𝗖𝗗𝗜: Ethnicity
Comments	This patient MAY contain zero or more [0..*] ethnicGroupCode, which SHALL be selected from ValueSet Detailed Ethnicity urn:oid:2.16.840.1.114222.4.11.877 DYNAMIC (CONF:4537-32901).
Binding	The codes SHALL be taken from Detailed Ethnicity (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877`)
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`ethnicGroupCode`.
82. ClinicalDocument.recordTarget.patientRole.patient.guardian
Comments	This patient MAY contain zero or more [0..*] guardian (CONF:4537-5325).
Invariants	should-us-code: SHOULD contain code (`code.exists()`) should-us-addr: SHOULD contain addr (`addr.exists()`) should-us-telecom: SHOULD contain telecom (`telecom.exists()`)
84. ClinicalDocument.recordTarget.patientRole.patient.guardian.code
Comments	The guardian, if present, SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:4537-5326).
Binding	The codes SHALL be taken from Personal And Legal Relationship Role Type (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1`)
86. ClinicalDocument.recordTarget.patientRole.patient.guardian.addr
Comments	The guardian, if present, SHOULD contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5359).
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
88. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom
Comments	The guardian, if present, SHOULD contain zero or more [0..*] telecom (CONF:4537-5382).
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
90. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use
Comments	The telecom, if present, SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7993).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
92. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
Comments	The guardian, if present, SHALL contain exactly one [1..1] guardianPerson (CONF:4537-5385).
Control	1..?
94. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name
Comments	This guardianPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5386).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
96. ClinicalDocument.recordTarget.patientRole.patient.birthplace
Comments	This patient MAY contain zero or one [0..1] birthplace (CONF:4537-5395).
98. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place
Comments	The birthplace, if present, SHALL contain exactly one [1..1] place (CONF:4537-5396).
100. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr
Comments	This place SHALL contain exactly one [1..1] addr (CONF:4537-5397).
Control	1..?
Invariants	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). (`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: 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})?'))`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`)
102. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item
104. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country
Binding	The codes SHALL be taken from Country2 (required to `http://terminology.hl7.org/ValueSet/v3-Country2`)
106. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication
Short	𝗨𝗦𝗖𝗗𝗜: Preferred Language
Invariants	should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode (`proficiencyLevelCode.exists()`) should-preferenceInd: SHOULD contain preferenceInd (`preferenceInd.exists()`)
108. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode
Control	1..?
Binding	The codes SHALL be taken from Language codes with language and optionally a region modifier (required to `http://hl7.org/fhir/us/core/ValueSet/simple-language`)
110. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode
Comments	The languageCommunication, if present, MAY contain zero or one [0..1] modeCode, which SHALL be selected from ValueSet LanguageAbilityMode urn:oid:2.16.840.1.113883.1.11.12249 DYNAMIC (CONF:4537-5409).
Binding	The codes SHALL be taken from LanguageAbilityMode (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249`)
112. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode
Comments	The languageCommunication, if present, SHOULD contain zero or one [0..1] proficiencyLevelCode, which SHALL be selected from ValueSet LanguageAbilityProficiency urn:oid:2.16.840.1.113883.1.11.12199 DYNAMIC (CONF:4537-9965).
Binding	The codes SHALL be taken from LanguageAbilityProficiency (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199`)
114. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd
Comments	The languageCommunication, if present, SHOULD contain zero or one [0..1] preferenceInd (CONF:4537-5414).
116. ClinicalDocument.recordTarget.patientRole.providerOrganization
Comments	This patientRole MAY contain zero or one [0..1] providerOrganization (CONF:4537-5416).
118. ClinicalDocument.recordTarget.patientRole.providerOrganization.id
Comments	The providerOrganization, if present, SHALL contain at least one [1..*] id (CONF:4537-5417).
Control	1..?
120. ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16820).
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
122. ClinicalDocument.recordTarget.patientRole.providerOrganization.name
Comments	The providerOrganization, if present, SHALL contain at least one [1..*] name (CONF:4537-5419).
Control	1..?
124. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom
Comments	The providerOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:4537-5420).
Control	1..?
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
126. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7994).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
128. ClinicalDocument.recordTarget.patientRole.providerOrganization.addr
Comments	The providerOrganization, if present, SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5422).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
130. ClinicalDocument.author
Short	The author element represents the creator of the clinical document. The author may be a device or a person.
Comments	SHALL contain at least one [1..*] author (CONF:4537-5444).
132. ClinicalDocument.author.time
Comments	Such authors SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5445).
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
134. ClinicalDocument.author.assignedAuthor
Comments	Such authors SHALL contain exactly one [1..1] assignedAuthor (CONF:4537-5448).
Invariants	4537-16790: There SHALL be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). (`(assignedPerson \| assignedAuthoringDevice).count() = 1`) should-id-npi: 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-us-code: SHOULD contain code (`code.exists()`)
136. ClinicalDocument.author.assignedAuthor.id
Comments	This assignedAuthor SHOULD contain zero or one [0..1] id (CONF:4537-32882) such that it, This assignedAuthor SHALL contain at least one [1..*] id (CONF:4537-5449).
Slicing	This element introduces a set of slices on `ClinicalDocument.author.assignedAuthor.id`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root
138. ClinicalDocument.author.assignedAuthor.id:npi
Slice Name	npi
Control	0..1
Invariants	should-extension: SHOULD contain extension (`extension.exists()`)
140. ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor
Short	If NPI is unknown, set @nullFlavor to UNK
142. ClinicalDocument.author.assignedAuthor.id:npi.root
Comments	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-32884).
Control	1..?
Pattern Value	`2.16.840.1.113883.4.6`
144. ClinicalDocument.author.assignedAuthor.id:npi.extension
Comments	SHOULD contain zero or one [0..1] @extension (CONF:4537-32885).
146. ClinicalDocument.author.assignedAuthor.code
Short	Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code.
Comments	This assignedAuthor SHOULD contain zero or one [0..1] code (CONF:4537-16787).
148. ClinicalDocument.author.assignedAuthor.code.nullFlavor
Control	0..0
150. ClinicalDocument.author.assignedAuthor.code.code
Control	1..?
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
152. ClinicalDocument.author.assignedAuthor.addr
Comments	This assignedAuthor SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5452).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
154. ClinicalDocument.author.assignedAuthor.telecom
Comments	This assignedAuthor SHALL contain at least one [1..*] telecom (CONF:4537-5428).
Control	1..?
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
156. ClinicalDocument.author.assignedAuthor.telecom.use
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7995).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
158. ClinicalDocument.author.assignedAuthor.assignedPerson
Comments	MAY contain assignedPerson
160. ClinicalDocument.author.assignedAuthor.assignedPerson.name
Comments	The assignedPerson, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-16789).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
162. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice
Comments	MAY contain assignedAuthoringDevice
164. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName
Comments	The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] manufacturerModelName (CONF:4537-16784).
Control	1..?
166. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName
Comments	The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] softwareName (CONF:4537-16785).
Control	1..?
168. ClinicalDocument.dataEnterer
Short	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.
Comments	MAY contain zero or one [0..1] dataEnterer (CONF:4537-5441).
170. ClinicalDocument.dataEnterer.time
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
172. ClinicalDocument.dataEnterer.assignedEntity
Comments	The dataEnterer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:4537-5442).
174. ClinicalDocument.dataEnterer.assignedEntity.id
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5443).
176. ClinicalDocument.dataEnterer.assignedEntity.id.root
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16821).
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
178. ClinicalDocument.dataEnterer.assignedEntity.code
Comments	This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-32173).
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
180. ClinicalDocument.dataEnterer.assignedEntity.addr
Comments	This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5460).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
182. ClinicalDocument.dataEnterer.assignedEntity.telecom
Comments	This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5466).
Control	1..?
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
184. ClinicalDocument.dataEnterer.assignedEntity.telecom.use
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7996).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
186. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson
Comments	This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5469).
Control	1..?
188. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name
Comments	This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5470).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
190. ClinicalDocument.informant
Comments	MAY contain zero or more [0..*] informant (CONF:4537-31355) such that it
Slicing	This element introduces a set of slices on `ClinicalDocument.informant`. The slices areUnordered and Open, and can be differentiated using the following discriminators: exists @ relatedEntity exists @ assignedEntity
192. ClinicalDocument.informant:provider
Slice Name	provider
Short	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.
Comments	MAY contain zero or more [0..*] informant (CONF:4537-8001) such that it
Control	0..*
194. ClinicalDocument.informant:provider.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8002).
Control	1..?
196. ClinicalDocument.informant:provider.assignedEntity.id
Short	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).
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-9945).
198. ClinicalDocument.informant:provider.assignedEntity.code
Comments	This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-32174).
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
200. ClinicalDocument.informant:provider.assignedEntity.addr
Comments	This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8220).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
202. ClinicalDocument.informant:provider.assignedEntity.assignedPerson
Comments	This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-8221).
Control	1..?
204. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name
Comments	This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-8222).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
206. ClinicalDocument.informant:provider.relatedEntity
Control	0..0
208. ClinicalDocument.informant:non-provider
Slice Name	non-provider
Short	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.
Control	0..*
210. ClinicalDocument.informant:non-provider.assignedEntity
Control	0..0
212. ClinicalDocument.informant:non-provider.relatedEntity
Comments	SHALL contain exactly one [1..1] relatedEntity (CONF:4537-31356).
Control	1..?
214. ClinicalDocument.custodian
Short	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.
Comments	SHALL contain exactly one [1..1] custodian (CONF:4537-5519).
216. ClinicalDocument.custodian.assignedCustodian
Comments	This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:4537-5520).
218. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization
Comments	This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:4537-5521).
220. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id
Comments	This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:4537-5522).
222. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16822).
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
224. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.name
Comments	This representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:4537-5524).
Control	1..?
226. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom
Comments	This representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:4537-5525).
Control	1..?
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
228. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use
Comments	This telecom SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7998).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
230. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.sdtcTelecom
Short	The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization.
232. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr
Comments	This representedCustodianOrganization SHALL contain exactly one [1..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5559).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
234. ClinicalDocument.informationRecipient
Short	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.
Comments	MAY contain zero or more [0..*] informationRecipient (CONF:4537-5565).
236. ClinicalDocument.informationRecipient.intendedRecipient
Comments	The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:4537-5566).
238. ClinicalDocument.informationRecipient.intendedRecipient.id
Comments	This intendedRecipient MAY contain zero or more [0..*] id (CONF:4537-32399).
240. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient
Comments	This intendedRecipient MAY contain zero or one [0..1] informationRecipient (CONF:4537-5567).
242. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name
Comments	The informationRecipient, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5568).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
244. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization
Comments	This intendedRecipient MAY contain zero or one [0..1] receivedOrganization (CONF:4537-5577).
246. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.name
Comments	The receivedOrganization, if present, SHALL contain exactly one [1..1] name (CONF:4537-5578).
Control	1..1
248. ClinicalDocument.legalAuthenticator
Short	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.
Comments	SHOULD contain zero or one [0..1] legalAuthenticator (CONF:4537-5579).
250. ClinicalDocument.legalAuthenticator.time
Comments	The legalAuthenticator, if present, SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5580).
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
252. ClinicalDocument.legalAuthenticator.signatureCode
Comments	The legalAuthenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:4537-5583).
254. ClinicalDocument.legalAuthenticator.signatureCode.code
Comments	This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:4537-5584).
Control	1..?
Pattern Value	`S`
256. ClinicalDocument.legalAuthenticator.sdtcSignatureText
Short	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.
Comments	The legalAuthenticator, if present, MAY contain zero or one [0..1] sdtc:signatureText (CONF:4537-30810).
258. ClinicalDocument.legalAuthenticator.assignedEntity
Comments	The legalAuthenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:4537-5585).
260. ClinicalDocument.legalAuthenticator.assignedEntity.id
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5586).
262. ClinicalDocument.legalAuthenticator.assignedEntity.id.root
Short	MAY contain '2.16.840.1.113883.4.6' (NPI)
Comments	Such ids MAY contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16823).
264. ClinicalDocument.legalAuthenticator.assignedEntity.code
Comments	This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-17000).
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
266. ClinicalDocument.legalAuthenticator.assignedEntity.addr
Comments	This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5589).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
268. ClinicalDocument.legalAuthenticator.assignedEntity.telecom
Comments	This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5595).
Control	1..?
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
270. ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7999).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
272. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson
Comments	This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5597).
Control	1..?
274. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name
Comments	This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5598).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
276. ClinicalDocument.authenticator
Short	The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
278. ClinicalDocument.authenticator.time
Comments	SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5608).
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
280. ClinicalDocument.authenticator.signatureCode
Comments	SHALL contain exactly one [1..1] signatureCode (CONF:4537-5610).
282. ClinicalDocument.authenticator.signatureCode.code
Comments	This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:4537-5611).
Control	1..?
Pattern Value	`S`
284. ClinicalDocument.authenticator.sdtcSignatureText
Short	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.
Comments	MAY contain zero or one [0..1] sdtc:signatureText (CONF:4537-30811).
286. ClinicalDocument.authenticator.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4537-5612).
288. ClinicalDocument.authenticator.assignedEntity.id
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5613).
290. ClinicalDocument.authenticator.assignedEntity.id.root
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16824).
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
292. ClinicalDocument.authenticator.assignedEntity.code
Comments	This assignedEntity MAY contain zero or one [0..1] code (CONF:4537-16825).
294. ClinicalDocument.authenticator.assignedEntity.code.code
Comments	The code, if present, MAY contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-16826).
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
296. ClinicalDocument.authenticator.assignedEntity.addr
Comments	This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5616).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
298. ClinicalDocument.authenticator.assignedEntity.telecom
Comments	This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5622).
Control	1..?
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
300. ClinicalDocument.authenticator.assignedEntity.telecom.use
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-8000).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
302. ClinicalDocument.authenticator.assignedEntity.assignedPerson
Comments	This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5624).
Control	1..?
304. ClinicalDocument.authenticator.assignedEntity.assignedPerson.name
Comments	This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5625).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
306. ClinicalDocument.participant
Short	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).
Comments	SHOULD contain zero or more [0..*] RelatedPerson participant
Invariants	4537-10006: SHALL contain associatedEntity/associatedPerson AND/OR associatedEntity/scopingOrganization (CONF:4537-10006). (`associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()`) 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). (`typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')`)
308. ClinicalDocument.participant.time
Comments	MAY contain zero or one [0..1] time (CONF:4537-10004).
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
310. ClinicalDocument.inFulfillmentOf
Short	The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
Comments	MAY contain zero or more [0..*] inFulfillmentOf (CONF:4537-9952).
312. ClinicalDocument.inFulfillmentOf.order
Comments	The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:4537-9953).
314. ClinicalDocument.inFulfillmentOf.order.id
Comments	This order SHALL contain at least one [1..*] id (CONF:4537-9954).
316. ClinicalDocument.documentationOf
Comments	MAY contain zero or more [0..*] documentationOf (CONF:4537-14835).
318. ClinicalDocument.documentationOf.serviceEvent
Short	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.
Comments	The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:4537-14836).
Invariants	should-us-performer: SHOULD contain performer (`performer.exists()`)
320. ClinicalDocument.documentationOf.serviceEvent.effectiveTime
Comments	This serviceEvent SHALL contain exactly one [1..1] US Realm Date and Time (Interval) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:4537-14837).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
322. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low
Comments	This effectiveTime SHALL contain exactly one [1..1] low (CONF:4537-14838).
Control	1..?
324. ClinicalDocument.documentationOf.serviceEvent.performer
Short	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.
Comments	This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:4537-14839).
326. ClinicalDocument.documentationOf.serviceEvent.performer.typeCode
Comments	The performer, if present, SHALL contain exactly one [1..1] @typeCode, which SHALL be selected from ValueSet x_ServiceEventPerformer urn:oid:2.16.840.1.113883.1.11.19601 STATIC (CONF:4537-14840).
Binding	The codes SHALL be taken from x_ServiceEventPerformer (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601`)
328. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode
Comments	The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:4537-16818).
Invariants	should-code-attr: SHOULD contain @code (`code.exists()`)
330. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code
Comments	The functionCode, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4537-32889).
Binding	The codes SHOULD be taken from Care Team Member Function (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30`)
332. ClinicalDocument.documentationOf.serviceEvent.performer.time
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
334. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity
Comments	The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:4537-14841).
Invariants	should-us-code: SHOULD contain code (`code.exists()`)
336. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-14846).
338. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-14847).
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
340. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code
Comments	This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-14842).
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
342. ClinicalDocument.authorization
Short	The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document.
Comments	MAY contain zero or more [0..*] authorization (CONF:4537-16792) such that it
344. ClinicalDocument.authorization.consent
Comments	SHALL contain exactly one [1..1] consent (CONF:4537-16793).
346. ClinicalDocument.authorization.consent.id
Comments	This consent MAY contain zero or more [0..*] id (CONF:4537-16794).
348. ClinicalDocument.authorization.consent.code
Short	The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code.
Comments	This consent MAY contain zero or one [0..1] code (CONF:4537-16795).
350. ClinicalDocument.authorization.consent.statusCode
Comments	This consent SHALL contain exactly one [1..1] statusCode (CONF:4537-16797).
352. ClinicalDocument.authorization.consent.statusCode.code
Comments	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:4537-16798).
354. ClinicalDocument.componentOf
Short	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.
Comments	MAY contain zero or one [0..1] componentOf (CONF:4537-9955).
356. ClinicalDocument.componentOf.encompassingEncounter
Comments	The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:4537-9956).
Invariants	should-responsibleParty: SHOULD contain responsibleParty (`responsibleParty.exists()`)
358. ClinicalDocument.componentOf.encompassingEncounter.id
Comments	This encompassingEncounter SHALL contain at least one [1..*] id (CONF:4537-9959).
Control	1..?
360. ClinicalDocument.componentOf.encompassingEncounter.code
Comments	This encompassingEncounter MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Act Encounter Codes urn:oid:2.16.840.1.113762.1.4.1240.5 (CONF:1198-30873).
Binding	The codes SHOULD be taken from Act Encounter Codes (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5`)
362. ClinicalDocument.componentOf.encompassingEncounter.effectiveTime
Comments	This encompassingEncounter SHALL contain exactly one [1..1] US Realm Date and Time (Interval) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:4537-9958).
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
364. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty
Comments	This encompassingEncounter SHOULD contain zero or one [0..1] responsibleParty (CONF:1198-8391).
366. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity
Comments	The responsibleParty, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-32904).
Invariants	1198-32905: This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). (`assignedPerson.exists() or representedOrganization.exists()`)

Guidance on how to interpret the contents of this table can be found here

0. ClinicalDocument
Definition	Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. Base definition for all types defined in FHIR type system.
Short	Base for all types and resources
Control	10..1*
Is Modifier	false
Logical Container	ClinicalDocument (CDA Class)
Validation	Instance of this type are validated by templateId
XML Format	In the XML format, this property has the namespace `urn:hl7-org:v3`.
Invariants	4537-6380: If setId is present versionNumber SHALL be present (CONF:4537-6380). (`setId.exists() implies versionNumber.exists()`) 4537-6387: If versionNumber is present setId SHALL be present (CONF:4537-6387). (`versionNumber.exists() implies setId.exists()`) should-legalAuthenticator: SHOULD contain legalAuthenticator (`legalAuthenticator.exists()`) should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant (`participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()`)
2. ClinicalDocument.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Comments	SHALL contain exactly one [1..1] realmCode="US" (CONF:4537-16791).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
4. ClinicalDocument.realmCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Pattern Value	`US`
6. ClinicalDocument.realmCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
8. ClinicalDocument.realmCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
10. ClinicalDocument.realmCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
12. ClinicalDocument.realmCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
14. ClinicalDocument.realmCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
16. ClinicalDocument.realmCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
18. ClinicalDocument.realmCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
20. ClinicalDocument.typeId
Definition	ClinicalDocument.typeId is a technology-neutral explicit reference to this CDA, Release Two specification, and must be valued as follows: ClinicalDocument.typeId.root = "2.16.840.1.113883.1.3" (which is the OID for HL7 Registered models); ClinicalDocument.typeId.extension = "POCD_HD000040" (which is the unique identifier for the CDA, Release Two Hierarchical Description).
Comments	SHALL contain exactly one [1..1] typeId (CONF:4537-5361).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
22. ClinicalDocument.typeId.root
Definition	Identifies the type as an HL7 Registered model
Comments	This typeId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.1.3" (CONF:4537-5250).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
24. ClinicalDocument.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Comments	This typeId SHALL contain exactly one [1..1] @extension="POCD_HD000040" (CONF:4537-5251).
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
Fixed Value	`POCD_HD000040`
26. ClinicalDocument.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Slicing	This element introduces a set of slices on `ClinicalDocument.templateId`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root value @ extension
28. ClinicalDocument.templateId:us-realm
Slice Name	us-realm
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
30. ClinicalDocument.templateId:us-realm.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.1.1`
32. ClinicalDocument.templateId:us-realm.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
Pattern Value	`2024-05-01`
34. ClinicalDocument.id
Short	SHALL be a globally unique identifier for the document (CONF:4537-9991).
Comments	SHALL contain exactly one [1..1] id (CONF:4537-5363).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
36. ClinicalDocument.code
Short	SHALL specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992).
Comments	SHALL contain exactly one [1..1] code (CONF:4537-5253).
Control	1..1
Binding	For example codes, see FHIRDocumentTypeCodes (example to `http://hl7.org/fhir/ValueSet/doc-typecodes`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
38. ClinicalDocument.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..0
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
40. ClinicalDocument.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
42. ClinicalDocument.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
Pattern Value	`2.16.840.1.113883.6.1`
44. ClinicalDocument.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
46. ClinicalDocument.title
Short	The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
Comments	SHALL contain exactly one [1..1] title (CONF:4537-5254).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ST
48. ClinicalDocument.effectiveTime
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5256).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
Is Modifier	false
Invariants	ts-shall-day: SHALL be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`) ts-should-minute: SHOULD be precise to at least the minute (`nullFlavor.exists() or value.toString().length() > 10`)
50. ClinicalDocument.confidentialityCode
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
52. ClinicalDocument.confidentialityCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..0
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
54. ClinicalDocument.confidentialityCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Binding	The codes SHOULD be taken from HL7 BasicConfidentialityKind (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
56. ClinicalDocument.confidentialityCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
58. ClinicalDocument.languageCode
Comments	SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet AllLanguages https://www.hl7.org/fhir/valueset-all-languages.html (OID 2.16.840.1.113883.4.642.3.21) DYNAMIC.
Control	1..1
Binding	The codes SHALL be taken from AllLanguages (required to `http://hl7.org/fhir/ValueSet/all-languages`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
60. ClinicalDocument.setId
Comments	MAY contain zero or one [0..1] setId (CONF:4537-5261).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
62. ClinicalDocument.versionNumber
Comments	MAY contain zero or one [0..1] versionNumber (CONF:4537-5264).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
64. ClinicalDocument.recordTarget
Short	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
Comments	SHALL contain at least one [1..*] recordTarget (CONF:4537-5266).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/RecordTarget
66. ClinicalDocument.recordTarget.patientRole
Comments	Such recordTargets SHALL contain exactly one [1..1] patientRole (CONF:4537-5267).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PatientRole
68. ClinicalDocument.recordTarget.patientRole.id
Comments	This patientRole SHALL contain at least one [1..*] id (CONF:4537-5268).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
70. ClinicalDocument.recordTarget.patientRole.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	𝗨𝗦𝗖𝗗𝗜: Address
Comments	This patientRole SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5271).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
72. ClinicalDocument.recordTarget.patientRole.telecom
Short	𝗨𝗦𝗖𝗗𝗜: Phone Number / Email
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
74. ClinicalDocument.recordTarget.patientRole.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-5375).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
76. ClinicalDocument.recordTarget.patientRole.patient
Comments	This patientRole SHALL contain exactly one [1..1] patient (CONF:4537-5283).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Patient
Invariants	4537-32993: 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()`) 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true (`sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')`) should-maritalStatusCode: SHOULD contain maritalStatusCode (`maritalStatusCode.exists()`) should-us-languageCommunication: SHOULD contain languageCommunication (`languageCommunication.exists()`)
78. ClinicalDocument.recordTarget.patientRole.patient.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the individual.
Short	Base for all types and resourcesA name associated with the patient
Comments	This patient SHALL contain at least one [1..*] US Realm Patient Name (PTN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1) (CONF:4537-5284). A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns. Animal names may be communicated as given names, and optionally may include a family name.
Control	10..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Patient Name (PTN.US.FIELDED))
Is Modifier	false
Requirements	Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants	pn-no-ls: 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-family: SHALL contain exactly one [1..1] family (CONF:81-7159). (`nullFlavor.exists() or item.family.count() = 1`) shall-given: SHALL contain at least one [1..] given (CONF:81-7157). (`nullFlavor.exists() or item.given.exists()`) shall-max-suffix: There may be at most one suffix (`(item.suffix.empty() or item.suffix.count() = 1)`) 81-7278: SHALL NOT* have mixed content except for white space (CONF:81-7278). (`item.xmlText.empty()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode
Comments	This patient SHALL contain exactly one [1..1] administrativeGenderCode, which SHALL be selected from ValueSet Administrative Gender (HL7 V3) urn:oid:2.16.840.1.113883.1.11.1 DYNAMIC (CONF:4537-6394).
Control	1..1
Binding	The codes SHALL be taken from Administrative Gender (HL7 V3) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
82. ClinicalDocument.recordTarget.patientRole.patient.birthTime
Short	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)
Comments	This patient SHALL contain exactly one [1..1] birthTime (CONF:4537-5298).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS
Invariants	ts-shall-year: SHALL be precise to at least the year (`nullFlavor.exists() or value.toString().length() >= 4`) ts-should-day: SHOULD be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`)
84. ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedInd
Short	sdtc:deceasedInd
Comments	This patient MAY contain zero or one [0..1] sdtc:deceasedInd (CONF:4537-32990).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`deceasedInd`.
86. ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime
Short	𝗨𝗦𝗖𝗗𝗜: Date of Death
Comments	This patient MAY contain zero or one [0..1] sdtc:deceasedTime (CONF:4537-32988).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`deceasedTime`.
Invariants	should-value-att: SHOULD contain @value (`value.exists()`) ts-shall-year: SHALL be precise to at least the year (`nullFlavor.exists() or value.toString().length() >= 4`) ts-should-day: SHOULD be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`)
88. ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode
Comments	This patient SHOULD contain zero or one [0..1] maritalStatusCode, which SHALL be selected from ValueSet Marital Status urn:oid:2.16.840.1.113883.1.11.12212 DYNAMIC (CONF:4537-5303).
Control	0..1
Binding	The codes SHALL be taken from Marital Status (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
90. ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode
Comments	This patient MAY contain zero or one [0..1] religiousAffiliationCode, which SHALL be selected from ValueSet Religious Affiliation urn:oid:2.16.840.1.113883.1.11.19185 DYNAMIC (CONF:4537-5317).
Control	0..1
Binding	The codes SHALL be taken from Religious Affiliation (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
92. ClinicalDocument.recordTarget.patientRole.patient.raceCode
Short	𝗨𝗦𝗖𝗗𝗜: Race
Comments	This patient SHALL contain exactly one [1..1] raceCode, which SHALL be selected from ValueSet Race Category Excluding Nulls urn:oid:2.16.840.1.113883.3.2074.1.1.3 DYNAMIC (CONF:4537-5322).
Control	1..1
Binding	The codes SHALL be taken from Race Category Excluding Nulls (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
94. ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode
Short	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.
Comments	This patient MAY contain zero or more [0..*] sdtc:raceCode, which SHALL be selected from ValueSet Race Value Set urn:oid:2.16.840.1.113883.1.11.14914 DYNAMIC (CONF:4537-7263).
Control	0..*
Binding	The codes SHALL be taken from Race Value Set (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`raceCode`.
96. ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode
Short	𝗨𝗦𝗖𝗗𝗜: Ethnicity
Comments	This patient SHALL contain exactly one [1..1] ethnicGroupCode, which SHALL be selected from ValueSet Ethnicity urn:oid:2.16.840.1.114222.4.11.837 DYNAMIC (CONF:4537-5323).
Control	1..1
Binding	The codes SHALL be taken from Ethnicity (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
98. ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode
Short	𝗨𝗦𝗖𝗗𝗜: Ethnicity
Comments	This patient MAY contain zero or more [0..*] ethnicGroupCode, which SHALL be selected from ValueSet Detailed Ethnicity urn:oid:2.16.840.1.114222.4.11.877 DYNAMIC (CONF:4537-32901).
Control	0..*
Binding	The codes SHALL be taken from Detailed Ethnicity (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`ethnicGroupCode`.
100. ClinicalDocument.recordTarget.patientRole.patient.guardian
Comments	This patient MAY contain zero or more [0..*] guardian (CONF:4537-5325).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Guardian
Invariants	should-us-code: SHOULD contain code (`code.exists()`) should-us-addr: SHOULD contain addr (`addr.exists()`) should-us-telecom: SHOULD contain telecom (`telecom.exists()`)
102. ClinicalDocument.recordTarget.patientRole.patient.guardian.code
Comments	The guardian, if present, SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:4537-5326).
Control	0..1
Binding	The codes SHALL be taken from Personal And Legal Relationship Role Type (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
104. ClinicalDocument.recordTarget.patientRole.patient.guardian.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	The guardian, if present, SHOULD contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5359).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
106. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom
Comments	The guardian, if present, SHOULD contain zero or more [0..*] telecom (CONF:4537-5382).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
108. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	The telecom, if present, SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7993).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
110. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
Comments	The guardian, if present, SHALL contain exactly one [1..1] guardianPerson (CONF:4537-5385).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
112. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the person.
Short	Base for all types and resourcesA name associated with the person
Comments	This guardianPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5386). Person may have multiple names with different uses or applicable periods.
Control	10..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Requirements	Need to be able to track the person by multiple names. Examples are your official name and a partner name.
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. ClinicalDocument.recordTarget.patientRole.patient.birthplace
Comments	This patient MAY contain zero or one [0..1] birthplace (CONF:4537-5395).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Birthplace
116. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place
Comments	The birthplace, if present, SHALL contain exactly one [1..1] place (CONF:4537-5396).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Place
118. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr
Comments	This place SHALL contain exactly one [1..1] addr (CONF:4537-5397).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD
Invariants	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). (`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: 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})?'))`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`)
120. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication
Short	𝗨𝗦𝗖𝗗𝗜: Preferred Language
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/LanguageCommunication
Invariants	should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode (`proficiencyLevelCode.exists()`) should-preferenceInd: SHOULD contain preferenceInd (`preferenceInd.exists()`)
122. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode
Control	1..1
Binding	The codes SHALL be taken from Language codes with language and optionally a region modifier (required to `http://hl7.org/fhir/us/core/ValueSet/simple-language`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
124. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode
Comments	The languageCommunication, if present, MAY contain zero or one [0..1] modeCode, which SHALL be selected from ValueSet LanguageAbilityMode urn:oid:2.16.840.1.113883.1.11.12249 DYNAMIC (CONF:4537-5409).
Control	0..1
Binding	The codes SHALL be taken from LanguageAbilityMode (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
126. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode
Comments	The languageCommunication, if present, SHOULD contain zero or one [0..1] proficiencyLevelCode, which SHALL be selected from ValueSet LanguageAbilityProficiency urn:oid:2.16.840.1.113883.1.11.12199 DYNAMIC (CONF:4537-9965).
Control	0..1
Binding	The codes SHALL be taken from LanguageAbilityProficiency (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
128. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd
Comments	The languageCommunication, if present, SHOULD contain zero or one [0..1] preferenceInd (CONF:4537-5414).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
130. ClinicalDocument.recordTarget.patientRole.providerOrganization
Comments	This patientRole MAY contain zero or one [0..1] providerOrganization (CONF:4537-5416).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
132. ClinicalDocument.recordTarget.patientRole.providerOrganization.id
Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short	Logical id of this artifact
Comments	The providerOrganization, if present, SHALL contain at least one [1..*] id (CONF:4537-5417). Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
Control	10..*1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IIid
Is Modifier	false
134. ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16820).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
136. ClinicalDocument.recordTarget.patientRole.providerOrganization.name
Definition	A name associated with the organization.
Short	Name used for the organization
Comments	The providerOrganization, if present, SHALL contain at least one [1..*] name (CONF:4537-5419). If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.
Control	10..*1 This element is affected by the following invariants: org-1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ONstring
Is Modifier	false
Requirements	Need to use the name as the label of the organization.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
138. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom
Comments	The providerOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:4537-5420).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
140. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7994).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
142. ClinicalDocument.recordTarget.patientRole.providerOrganization.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	The providerOrganization, if present, SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5422).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
144. ClinicalDocument.author
Short	The author element represents the creator of the clinical document. The author may be a device or a person.
Comments	SHALL contain at least one [1..*] author (CONF:4537-5444).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author
146. ClinicalDocument.author.time
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	Such authors SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5445).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
Is Modifier	false
Invariants	ts-shall-day: SHALL be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`) ts-should-minute: SHOULD be precise to at least the minute (`nullFlavor.exists() or value.toString().length() > 10`)
148. ClinicalDocument.author.assignedAuthor
Comments	Such authors SHALL contain exactly one [1..1] assignedAuthor (CONF:4537-5448).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedAuthor
Invariants	4537-16790: There SHALL be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). (`(assignedPerson \| assignedAuthoringDevice).count() = 1`) should-id-npi: 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-us-code: SHOULD contain code (`code.exists()`)
150. ClinicalDocument.author.assignedAuthor.id
Comments	This assignedAuthor SHOULD contain zero or one [0..1] id (CONF:4537-32882) such that it, This assignedAuthor SHALL contain at least one [1..*] id (CONF:4537-5449).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Slicing	This element introduces a set of slices on `ClinicalDocument.author.assignedAuthor.id`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root
152. ClinicalDocument.author.assignedAuthor.id:npi
Slice Name	npi
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	should-extension: SHOULD contain extension (`extension.exists()`)
154. ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Short	If NPI is unknown, set @nullFlavor to UNK
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
156. ClinicalDocument.author.assignedAuthor.id:npi.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-32884).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.4.6`
158. ClinicalDocument.author.assignedAuthor.id:npi.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Comments	SHOULD contain zero or one [0..1] @extension (CONF:4537-32885).
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
160. ClinicalDocument.author.assignedAuthor.code
Short	Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code.
Comments	This assignedAuthor SHOULD contain zero or one [0..1] code (CONF:4537-16787).
Control	0..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
162. ClinicalDocument.author.assignedAuthor.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..0
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
164. ClinicalDocument.author.assignedAuthor.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
166. ClinicalDocument.author.assignedAuthor.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
168. ClinicalDocument.author.assignedAuthor.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedAuthor SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5452).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
170. ClinicalDocument.author.assignedAuthor.telecom
Comments	This assignedAuthor SHALL contain at least one [1..*] telecom (CONF:4537-5428).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
172. ClinicalDocument.author.assignedAuthor.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7995).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
174. ClinicalDocument.author.assignedAuthor.assignedPerson
Comments	MAY contain assignedPerson
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
176. ClinicalDocument.author.assignedAuthor.assignedPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the person.
Short	Base for all types and resourcesA name associated with the person
Comments	The assignedPerson, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-16789). Person may have multiple names with different uses or applicable periods.
Control	10..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Requirements	Need to be able to track the person by multiple names. Examples are your official name and a partner name.
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
178. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice
Comments	MAY contain assignedAuthoringDevice
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AuthoringDevice
180. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName
Comments	The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] manufacturerModelName (CONF:4537-16784).
Control	1..1
Binding	For example codes, see Manufacturer Model Name Example (example to `http://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/SC
182. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName
Comments	The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] softwareName (CONF:4537-16785).
Control	1..1
Binding	For example codes, see Software Name Example (example to `http://terminology.hl7.org/ValueSet/v3-SoftwareNameExample`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/SC
184. ClinicalDocument.dataEnterer
Short	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.
Comments	MAY contain zero or one [0..1] dataEnterer (CONF:4537-5441).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/DataEnterer
186. ClinicalDocument.dataEnterer.time
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
Is Modifier	false
Invariants	ts-shall-day: SHALL be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`) ts-should-minute: SHOULD be precise to at least the minute (`nullFlavor.exists() or value.toString().length() > 10`)
188. ClinicalDocument.dataEnterer.assignedEntity
Comments	The dataEnterer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:4537-5442).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
190. ClinicalDocument.dataEnterer.assignedEntity.id
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5443).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
192. ClinicalDocument.dataEnterer.assignedEntity.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16821).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
194. ClinicalDocument.dataEnterer.assignedEntity.code
Comments	This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-32173).
Control	0..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
196. ClinicalDocument.dataEnterer.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5460).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
198. ClinicalDocument.dataEnterer.assignedEntity.telecom
Comments	This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5466).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
200. ClinicalDocument.dataEnterer.assignedEntity.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7996).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
202. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson
Comments	This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5469).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
204. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the person.
Short	Base for all types and resourcesA name associated with the person
Comments	This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5470). Person may have multiple names with different uses or applicable periods.
Control	10..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Requirements	Need to be able to track the person by multiple names. Examples are your official name and a partner name.
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
206. ClinicalDocument.informant
Comments	MAY contain zero or more [0..*] informant (CONF:4537-31355) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
Slicing	This element introduces a set of slices on `ClinicalDocument.informant`. The slices areUnordered and Open, and can be differentiated using the following discriminators: exists @ relatedEntity exists @ assignedEntity
208. ClinicalDocument.informant:provider
Slice Name	provider
Short	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.
Comments	MAY contain zero or more [0..*] informant (CONF:4537-8001) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
210. ClinicalDocument.informant:provider.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8002).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
212. ClinicalDocument.informant:provider.assignedEntity.id
Short	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).
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-9945).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
214. ClinicalDocument.informant:provider.assignedEntity.code
Comments	This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-32174).
Control	0..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
216. ClinicalDocument.informant:provider.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8220).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
218. ClinicalDocument.informant:provider.assignedEntity.assignedPerson
Comments	This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-8221).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
220. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the person.
Short	Base for all types and resourcesA name associated with the person
Comments	This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-8222). Person may have multiple names with different uses or applicable periods.
Control	10..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Requirements	Need to be able to track the person by multiple names. Examples are your official name and a partner name.
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
222. ClinicalDocument.informant:provider.relatedEntity
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/RelatedEntity
224. ClinicalDocument.informant:non-provider
Slice Name	non-provider
Short	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.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
226. ClinicalDocument.informant:non-provider.assignedEntity
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
228. ClinicalDocument.informant:non-provider.relatedEntity
Comments	SHALL contain exactly one [1..1] relatedEntity (CONF:4537-31356).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RelatedEntity
230. ClinicalDocument.custodian
Short	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.
Comments	SHALL contain exactly one [1..1] custodian (CONF:4537-5519).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Custodian
232. ClinicalDocument.custodian.assignedCustodian
Comments	This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:4537-5520).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedCustodian
234. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization
Comments	This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:4537-5521).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CustodianOrganization
236. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id
Comments	This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:4537-5522).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
238. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16822).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
240. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.name
Comments	This representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:4537-5524).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ON
242. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom
Comments	This representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:4537-5525).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
244. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	This telecom SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7998).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
246. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.sdtcTelecom
Short	The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`telecom`.
248. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This representedCustodianOrganization SHALL contain exactly one [1..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5559).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
250. ClinicalDocument.informationRecipient
Short	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.
Comments	MAY contain zero or more [0..*] informationRecipient (CONF:4537-5565).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InformationRecipient
252. ClinicalDocument.informationRecipient.intendedRecipient
Comments	The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:4537-5566).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IntendedRecipient
254. ClinicalDocument.informationRecipient.intendedRecipient.id
Comments	This intendedRecipient MAY contain zero or more [0..*] id (CONF:4537-32399).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
256. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient
Comments	This intendedRecipient MAY contain zero or one [0..1] informationRecipient (CONF:4537-5567).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
258. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the person.
Short	Base for all types and resourcesA name associated with the person
Comments	The informationRecipient, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5568). Person may have multiple names with different uses or applicable periods.
Control	10..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Requirements	Need to be able to track the person by multiple names. Examples are your official name and a partner name.
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
260. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization
Comments	This intendedRecipient MAY contain zero or one [0..1] receivedOrganization (CONF:4537-5577).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
262. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.name
Definition	A name associated with the organization.
Short	Name used for the organization
Comments	The receivedOrganization, if present, SHALL contain exactly one [1..1] name (CONF:4537-5578). If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.
Control	10..1 This element is affected by the following invariants: org-1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ONstring
Is Modifier	false
Requirements	Need to use the name as the label of the organization.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
264. ClinicalDocument.legalAuthenticator
Short	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.
Comments	SHOULD contain zero or one [0..1] legalAuthenticator (CONF:4537-5579).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/LegalAuthenticator
266. ClinicalDocument.legalAuthenticator.time
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	The legalAuthenticator, if present, SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5580).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
Is Modifier	false
Invariants	ts-shall-day: SHALL be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`) ts-should-minute: SHOULD be precise to at least the minute (`nullFlavor.exists() or value.toString().length() > 10`)
268. ClinicalDocument.legalAuthenticator.signatureCode
Comments	The legalAuthenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:4537-5583).
Control	1..1
Binding	The codes SHALL be taken from CDASignatureCode (required to `http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
Invariants	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'. (`code.exists() implies code != 'X'`)
270. ClinicalDocument.legalAuthenticator.signatureCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:4537-5584).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Pattern Value	`S`
272. ClinicalDocument.legalAuthenticator.signatureCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
274. ClinicalDocument.legalAuthenticator.signatureCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
276. ClinicalDocument.legalAuthenticator.signatureCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
278. ClinicalDocument.legalAuthenticator.signatureCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
280. ClinicalDocument.legalAuthenticator.signatureCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
282. ClinicalDocument.legalAuthenticator.signatureCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
284. ClinicalDocument.legalAuthenticator.signatureCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
286. ClinicalDocument.legalAuthenticator.sdtcSignatureText
Definition	A textual or multimedia depiction of the signature by which the participant endorses his or her participation in the Act as specified in the Participation.typeCode and that he or she agrees to assume the associated accountability.
Short	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.
Comments	The legalAuthenticator, if present, MAY contain zero or one [0..1] sdtc:signatureText (CONF:4537-30810).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`signatureText`.
288. ClinicalDocument.legalAuthenticator.assignedEntity
Comments	The legalAuthenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:4537-5585).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
290. ClinicalDocument.legalAuthenticator.assignedEntity.id
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5586).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
292. ClinicalDocument.legalAuthenticator.assignedEntity.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Short	MAY contain '2.16.840.1.113883.4.6' (NPI)
Comments	Such ids MAY contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16823).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
294. ClinicalDocument.legalAuthenticator.assignedEntity.code
Comments	This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-17000).
Control	0..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
296. ClinicalDocument.legalAuthenticator.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5589).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
298. ClinicalDocument.legalAuthenticator.assignedEntity.telecom
Comments	This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5595).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
300. ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7999).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
302. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson
Comments	This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5597).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
304. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the person.
Short	Base for all types and resourcesA name associated with the person
Comments	This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5598). Person may have multiple names with different uses or applicable periods.
Control	10..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Requirements	Need to be able to track the person by multiple names. Examples are your official name and a partner name.
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
306. ClinicalDocument.authenticator
Short	The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Authenticator
308. ClinicalDocument.authenticator.time
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5608).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
Is Modifier	false
Invariants	ts-shall-day: SHALL be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`) ts-should-minute: SHOULD be precise to at least the minute (`nullFlavor.exists() or value.toString().length() > 10`)
310. ClinicalDocument.authenticator.signatureCode
Comments	SHALL contain exactly one [1..1] signatureCode (CONF:4537-5610).
Control	1..1
Binding	The codes SHALL be taken from CDASignatureCode (required to `http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
Invariants	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'. (`code.exists() implies code != 'X'`)
312. ClinicalDocument.authenticator.signatureCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:4537-5611).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Pattern Value	`S`
314. ClinicalDocument.authenticator.signatureCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
316. ClinicalDocument.authenticator.signatureCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
318. ClinicalDocument.authenticator.signatureCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
320. ClinicalDocument.authenticator.signatureCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
322. ClinicalDocument.authenticator.signatureCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
324. ClinicalDocument.authenticator.signatureCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
326. ClinicalDocument.authenticator.signatureCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
328. ClinicalDocument.authenticator.sdtcSignatureText
Definition	A textual or multimedia depiction of the signature by which the participant endorses his or her participation in the Act as specified in the Participation.typeCode and that he or she agrees to assume the associated accountability.
Short	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.
Comments	MAY contain zero or one [0..1] sdtc:signatureText (CONF:4537-30811).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`signatureText`.
330. ClinicalDocument.authenticator.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4537-5612).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
332. ClinicalDocument.authenticator.assignedEntity.id
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5613).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
334. ClinicalDocument.authenticator.assignedEntity.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16824).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
336. ClinicalDocument.authenticator.assignedEntity.code
Comments	This assignedEntity MAY contain zero or one [0..1] code (CONF:4537-16825).
Control	0..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
338. ClinicalDocument.authenticator.assignedEntity.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	The code, if present, MAY contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-16826).
Control	0..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
340. ClinicalDocument.authenticator.assignedEntity.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
342. ClinicalDocument.authenticator.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5616).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
344. ClinicalDocument.authenticator.assignedEntity.telecom
Comments	This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5622).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
346. ClinicalDocument.authenticator.assignedEntity.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-8000).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
348. ClinicalDocument.authenticator.assignedEntity.assignedPerson
Comments	This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5624).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
350. ClinicalDocument.authenticator.assignedEntity.assignedPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the person.
Short	Base for all types and resourcesA name associated with the person
Comments	This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5625). Person may have multiple names with different uses or applicable periods.
Control	10..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Requirements	Need to be able to track the person by multiple names. Examples are your official name and a partner name.
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
352. ClinicalDocument.participant
Short	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).
Comments	SHOULD contain zero or more [0..*] RelatedPerson participant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant1
Invariants	4537-10006: SHALL contain associatedEntity/associatedPerson AND/OR associatedEntity/scopingOrganization (CONF:4537-10006). (`associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()`) 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). (`typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')`)
354. ClinicalDocument.participant.typeCode
Control	1..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
356. ClinicalDocument.participant.time
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	MAY contain zero or one [0..1] time (CONF:4537-10004).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
Is Modifier	false
Invariants	ivl-ts-center: Center cannot co-exist with low or high (`center.empty() or (low.empty() and high.empty())`) ivl-value-shall: 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: If a time interval contains @value, then it SHOULD contain a time component. (`value.exists() implies value.toString().length() > 10`)
358. ClinicalDocument.participant.associatedEntity
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssociatedEntity
360. ClinicalDocument.inFulfillmentOf
Short	The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
Comments	MAY contain zero or more [0..*] inFulfillmentOf (CONF:4537-9952).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf
362. ClinicalDocument.inFulfillmentOf.order
Comments	The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:4537-9953).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Order
364. ClinicalDocument.inFulfillmentOf.order.id
Comments	This order SHALL contain at least one [1..*] id (CONF:4537-9954).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
366. ClinicalDocument.documentationOf
Comments	MAY contain zero or more [0..*] documentationOf (CONF:4537-14835).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/DocumentationOf
368. ClinicalDocument.documentationOf.serviceEvent
Short	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.
Comments	The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:4537-14836).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ServiceEvent
Invariants	should-us-performer: SHOULD contain performer (`performer.exists()`)
370. ClinicalDocument.documentationOf.serviceEvent.effectiveTime
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	This serviceEvent SHALL contain exactly one [1..1] US Realm Date and Time (Interval) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:4537-14837).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
Is Modifier	false
Invariants	ivl-ts-center: Center cannot co-exist with low or high (`center.empty() or (low.empty() and high.empty())`) ivl-value-shall: 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: If a time interval contains @value, then it SHOULD contain a time component. (`value.exists() implies value.toString().length() > 10`)
372. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low
Definition	This is the low limit of the interval.
Short	MAY be precise to at least the second
Comments	This effectiveTime SHALL contain exactly one [1..1] low (CONF:4537-14838).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label	Low Boundary
Invariants	ts-shall-day: SHALL be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`) ts-should-minute: SHOULD be precise to at least the minute (`nullFlavor.exists() or value.toString().length() > 10`)
374. ClinicalDocument.documentationOf.serviceEvent.performer
Short	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.
Comments	This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:4537-14839).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer1
376. ClinicalDocument.documentationOf.serviceEvent.performer.typeCode
Comments	The performer, if present, SHALL contain exactly one [1..1] @typeCode, which SHALL be selected from ValueSet x_ServiceEventPerformer urn:oid:2.16.840.1.113883.1.11.19601 STATIC (CONF:4537-14840).
Control	1..1
Binding	The codes SHALL be taken from x_ServiceEventPerformer (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
378. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode
Comments	The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:4537-16818).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
Invariants	should-code-attr: SHOULD contain @code (`code.exists()`)
380. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	The functionCode, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4537-32889).
Control	0..1
Binding	The codes SHOULD be taken from Care Team Member Function (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
382. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
384. ClinicalDocument.documentationOf.serviceEvent.performer.time
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
Is Modifier	false
Invariants	ivl-ts-center: Center cannot co-exist with low or high (`center.empty() or (low.empty() and high.empty())`) ivl-value-shall: 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: If a time interval contains @value, then it SHOULD contain a time component. (`value.exists() implies value.toString().length() > 10`)
386. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity
Comments	The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:4537-14841).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants	should-us-code: SHOULD contain code (`code.exists()`)
388. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-14846).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
390. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-14847).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
392. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code
Comments	This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-14842).
Control	0..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
394. ClinicalDocument.authorization
Short	The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document.
Comments	MAY contain zero or more [0..*] authorization (CONF:4537-16792) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Authorization
396. ClinicalDocument.authorization.consent
Comments	SHALL contain exactly one [1..1] consent (CONF:4537-16793).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Consent
398. ClinicalDocument.authorization.consent.id
Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short	Logical id of this artifact
Comments	This consent MAY contain zero or more [0..*] id (CONF:4537-16794). Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
Control	0..*1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IIid
Is Modifier	false
400. ClinicalDocument.authorization.consent.code
Short	The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code.
Comments	This consent MAY contain zero or one [0..1] code (CONF:4537-16795).
Control	0..1
Binding	For example codes, see v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
402. ClinicalDocument.authorization.consent.statusCode
Comments	This consent SHALL contain exactly one [1..1] statusCode (CONF:4537-16797).
Control	1..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
404. ClinicalDocument.authorization.consent.statusCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:4537-16798).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Fixed Value	`completed`
406. ClinicalDocument.authorization.consent.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
408. ClinicalDocument.authorization.consent.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
410. ClinicalDocument.authorization.consent.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
412. ClinicalDocument.authorization.consent.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
414. ClinicalDocument.authorization.consent.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
416. ClinicalDocument.authorization.consent.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
418. ClinicalDocument.authorization.consent.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
420. ClinicalDocument.componentOf
Short	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.
Comments	MAY contain zero or one [0..1] componentOf (CONF:4537-9955).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ComponentOf
422. ClinicalDocument.componentOf.encompassingEncounter
Comments	The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:4537-9956).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/EncompassingEncounter
Invariants	should-responsibleParty: SHOULD contain responsibleParty (`responsibleParty.exists()`)
424. ClinicalDocument.componentOf.encompassingEncounter.id
Comments	This encompassingEncounter SHALL contain at least one [1..*] id (CONF:4537-9959).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
426. ClinicalDocument.componentOf.encompassingEncounter.code
Comments	This encompassingEncounter MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Act Encounter Codes urn:oid:2.16.840.1.113762.1.4.1240.5 (CONF:1198-30873).
Control	0..1
Binding	The codes SHOULD be taken from Act Encounter Codes (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
428. ClinicalDocument.componentOf.encompassingEncounter.effectiveTime
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	This encompassingEncounter SHALL contain exactly one [1..1] US Realm Date and Time (Interval) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:4537-9958).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
Is Modifier	false
Invariants	ivl-ts-center: Center cannot co-exist with low or high (`center.empty() or (low.empty() and high.empty())`) ivl-value-shall: 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: If a time interval contains @value, then it SHOULD contain a time component. (`value.exists() implies value.toString().length() > 10`)
430. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty
Definition	The responsibleParty participant represents the participant having primary legal responsibility for the encounter. This differs from the legalAuthenticator participant in that the legalAuthenticator may or may not be the responsible party, and is serving a medical records function by signing off on the document, moving it into a completed state.
Comments	This encompassingEncounter SHOULD contain zero or one [0..1] responsibleParty (CONF:1198-8391).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
432. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity
Comments	The responsibleParty, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-32904).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants	1198-32905: This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). (`assignedPerson.exists() or representedOrganization.exists()`)
434. ClinicalDocument.component
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Component

Guidance on how to interpret the contents of this table can be found here

0. ClinicalDocument
Definition	Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
Short	Base for all types and resources
Control	1..1
Is Modifier	false
Logical Container	ClinicalDocument (CDA Class)
Validation	Instance of this type are validated by templateId
XML Format	In the XML format, this property has the namespace `urn:hl7-org:v3`.
Invariants	4537-6380: If setId is present versionNumber SHALL be present (CONF:4537-6380). (`setId.exists() implies versionNumber.exists()`) 4537-6387: If versionNumber is present setId SHALL be present (CONF:4537-6387). (`versionNumber.exists() implies setId.exists()`) should-legalAuthenticator: SHOULD contain legalAuthenticator (`legalAuthenticator.exists()`) should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant (`participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()`)
2. ClinicalDocument.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
4. ClinicalDocument.classCode
Control	0..1
Binding	For example codes, see CDAActClass (example to `http://hl7.org/cda/stds/core/ValueSet/CDAActClass`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`DOCCLIN`
6. ClinicalDocument.moodCode
Control	0..1
Binding	The codes SHALL be taken from CDAActMood (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActMood`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`EVN`
8. ClinicalDocument.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Comments	SHALL contain exactly one [1..1] realmCode="US" (CONF:4537-16791).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
10. ClinicalDocument.realmCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
12. ClinicalDocument.realmCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Pattern Value	`US`
14. ClinicalDocument.realmCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
16. ClinicalDocument.realmCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
18. ClinicalDocument.realmCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
20. ClinicalDocument.realmCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
22. ClinicalDocument.realmCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
24. ClinicalDocument.realmCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
26. ClinicalDocument.realmCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
28. ClinicalDocument.realmCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
30. ClinicalDocument.realmCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
32. ClinicalDocument.typeId
Definition	ClinicalDocument.typeId is a technology-neutral explicit reference to this CDA, Release Two specification, and must be valued as follows: ClinicalDocument.typeId.root = "2.16.840.1.113883.1.3" (which is the OID for HL7 Registered models); ClinicalDocument.typeId.extension = "POCD_HD000040" (which is the unique identifier for the CDA, Release Two Hierarchical Description).
Comments	SHALL contain exactly one [1..1] typeId (CONF:4537-5361).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
34. ClinicalDocument.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
36. ClinicalDocument.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
38. ClinicalDocument.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
40. ClinicalDocument.typeId.root
Definition	Identifies the type as an HL7 Registered model
Comments	This typeId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.1.3" (CONF:4537-5250).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
42. ClinicalDocument.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Comments	This typeId SHALL contain exactly one [1..1] @extension="POCD_HD000040" (CONF:4537-5251).
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
Fixed Value	`POCD_HD000040`
44. ClinicalDocument.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Slicing	This element introduces a set of slices on `ClinicalDocument.templateId`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root value @ extension
46. ClinicalDocument.templateId:us-realm
Slice Name	us-realm
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
48. ClinicalDocument.templateId:us-realm.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
50. ClinicalDocument.templateId:us-realm.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
52. ClinicalDocument.templateId:us-realm.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
54. ClinicalDocument.templateId:us-realm.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.1.1`
56. ClinicalDocument.templateId:us-realm.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
Pattern Value	`2024-05-01`
58. ClinicalDocument.id
Short	SHALL be a globally unique identifier for the document (CONF:4537-9991).
Comments	SHALL contain exactly one [1..1] id (CONF:4537-5363).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
60. ClinicalDocument.sdtcCategory
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`category`.
62. ClinicalDocument.code
Short	SHALL specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992).
Comments	SHALL contain exactly one [1..1] code (CONF:4537-5253).
Control	1..1
Binding	For example codes, see FHIRDocumentTypeCodes (example to `http://hl7.org/fhir/ValueSet/doc-typecodes`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
64. ClinicalDocument.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..0
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
66. ClinicalDocument.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
68. ClinicalDocument.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
Pattern Value	`2.16.840.1.113883.6.1`
70. ClinicalDocument.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
72. ClinicalDocument.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
74. ClinicalDocument.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
76. ClinicalDocument.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
78. ClinicalDocument.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
80. ClinicalDocument.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
82. ClinicalDocument.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
84. ClinicalDocument.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
86. ClinicalDocument.title
Short	The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
Comments	SHALL contain exactly one [1..1] title (CONF:4537-5254).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ST
88. ClinicalDocument.sdtcStatusCode
Definition	The statusCode extension attribute allows the implementer to identify a ClinicalDocument that is in other than the completed state. It was created to support the Structured Form Definition IG to identify that the document itself is an unfinished product currently being completed for a patient.
Control	0..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`statusCode`.
90. ClinicalDocument.effectiveTime
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5256).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
Is Modifier	false
Invariants	ts-shall-day: SHALL be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`) ts-should-minute: SHOULD be precise to at least the minute (`nullFlavor.exists() or value.toString().length() > 10`)
92. ClinicalDocument.confidentialityCode
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
94. ClinicalDocument.confidentialityCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..0
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
96. ClinicalDocument.confidentialityCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Binding	The codes SHOULD be taken from HL7 BasicConfidentialityKind (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
98. ClinicalDocument.confidentialityCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
100. ClinicalDocument.confidentialityCode.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
102. ClinicalDocument.confidentialityCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
104. ClinicalDocument.confidentialityCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
106. ClinicalDocument.confidentialityCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
108. ClinicalDocument.confidentialityCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
110. ClinicalDocument.confidentialityCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
112. ClinicalDocument.confidentialityCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
114. ClinicalDocument.confidentialityCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
116. ClinicalDocument.languageCode
Comments	SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet AllLanguages https://www.hl7.org/fhir/valueset-all-languages.html (OID 2.16.840.1.113883.4.642.3.21) DYNAMIC.
Control	1..1
Binding	The codes SHALL be taken from AllLanguages (required to `http://hl7.org/fhir/ValueSet/all-languages`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
118. ClinicalDocument.setId
Comments	MAY contain zero or one [0..1] setId (CONF:4537-5261).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
120. ClinicalDocument.versionNumber
Comments	MAY contain zero or one [0..1] versionNumber (CONF:4537-5264).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
122. ClinicalDocument.copyTime
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS
124. ClinicalDocument.recordTarget
Short	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
Comments	SHALL contain at least one [1..*] recordTarget (CONF:4537-5266).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/RecordTarget
126. ClinicalDocument.recordTarget.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
128. ClinicalDocument.recordTarget.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
130. ClinicalDocument.recordTarget.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
132. ClinicalDocument.recordTarget.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
134. ClinicalDocument.recordTarget.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
136. ClinicalDocument.recordTarget.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
138. ClinicalDocument.recordTarget.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
140. ClinicalDocument.recordTarget.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
142. ClinicalDocument.recordTarget.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
144. ClinicalDocument.recordTarget.typeCode
Control	0..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`RCT`
146. ClinicalDocument.recordTarget.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
148. ClinicalDocument.recordTarget.patientRole
Comments	Such recordTargets SHALL contain exactly one [1..1] patientRole (CONF:4537-5267).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PatientRole
150. ClinicalDocument.recordTarget.patientRole.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
152. ClinicalDocument.recordTarget.patientRole.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
154. ClinicalDocument.recordTarget.patientRole.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
156. ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
158. ClinicalDocument.recordTarget.patientRole.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
160. ClinicalDocument.recordTarget.patientRole.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
162. ClinicalDocument.recordTarget.patientRole.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
164. ClinicalDocument.recordTarget.patientRole.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
166. ClinicalDocument.recordTarget.patientRole.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
168. ClinicalDocument.recordTarget.patientRole.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassRelationshipFormal (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PAT`
170. ClinicalDocument.recordTarget.patientRole.id
Comments	This patientRole SHALL contain at least one [1..*] id (CONF:4537-5268).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
172. ClinicalDocument.recordTarget.patientRole.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
174. ClinicalDocument.recordTarget.patientRole.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	𝗨𝗦𝗖𝗗𝗜: Address
Comments	This patientRole SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5271).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
176. ClinicalDocument.recordTarget.patientRole.telecom
Short	𝗨𝗦𝗖𝗗𝗜: Phone Number / Email
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
178. ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
180. ClinicalDocument.recordTarget.patientRole.telecom.value
Control	0..1
Type	url(url: Universal Resource Locator)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
182. ClinicalDocument.recordTarget.patientRole.telecom.useablePeriod
Definition	Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.
Control	0..*
Type	Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Type	http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Useable Period
184. ClinicalDocument.recordTarget.patientRole.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-5375).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
186. ClinicalDocument.recordTarget.patientRole.patient
Comments	This patientRole SHALL contain exactly one [1..1] patient (CONF:4537-5283).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Patient
Invariants	4537-32993: 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()`) 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true (`sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')`) should-maritalStatusCode: SHOULD contain maritalStatusCode (`maritalStatusCode.exists()`) should-us-languageCommunication: SHOULD contain languageCommunication (`languageCommunication.exists()`)
188. ClinicalDocument.recordTarget.patientRole.patient.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
190. ClinicalDocument.recordTarget.patientRole.patient.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
192. ClinicalDocument.recordTarget.patientRole.patient.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
194. ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
196. ClinicalDocument.recordTarget.patientRole.patient.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
198. ClinicalDocument.recordTarget.patientRole.patient.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
200. ClinicalDocument.recordTarget.patientRole.patient.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
202. ClinicalDocument.recordTarget.patientRole.patient.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
204. ClinicalDocument.recordTarget.patientRole.patient.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
206. ClinicalDocument.recordTarget.patientRole.patient.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassLivingSubject (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PSN`
208. ClinicalDocument.recordTarget.patientRole.patient.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
210. ClinicalDocument.recordTarget.patientRole.patient.id
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
212. ClinicalDocument.recordTarget.patientRole.patient.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).
Short	Base for all types and resources
Comments	This patient SHALL contain at least one [1..*] US Realm Patient Name (PTN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1) (CONF:4537-5284).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Patient Name (PTN.US.FIELDED))
Is Modifier	false
Invariants	pn-no-ls: 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-family: SHALL contain exactly one [1..1] family (CONF:81-7159). (`nullFlavor.exists() or item.family.count() = 1`) shall-given: SHALL contain at least one [1..] given (CONF:81-7157). (`nullFlavor.exists() or item.given.exists()`) shall-max-suffix: There may be at most one suffix (`(item.suffix.empty() or item.suffix.count() = 1)`) 81-7278: SHALL NOT* have mixed content except for white space (CONF:81-7278). (`item.xmlText.empty()`)
214. ClinicalDocument.recordTarget.patientRole.patient.sdtcDesc
Definition	The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`desc`.
216. ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode
Comments	This patient SHALL contain exactly one [1..1] administrativeGenderCode, which SHALL be selected from ValueSet Administrative Gender (HL7 V3) urn:oid:2.16.840.1.113883.1.11.1 DYNAMIC (CONF:4537-6394).
Control	1..1
Binding	The codes SHALL be taken from Administrative Gender (HL7 V3) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
218. ClinicalDocument.recordTarget.patientRole.patient.birthTime
Short	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)
Comments	This patient SHALL contain exactly one [1..1] birthTime (CONF:4537-5298).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS
Invariants	ts-shall-year: SHALL be precise to at least the year (`nullFlavor.exists() or value.toString().length() >= 4`) ts-should-day: SHOULD be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`)
220. ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedInd
Short	sdtc:deceasedInd
Comments	This patient MAY contain zero or one [0..1] sdtc:deceasedInd (CONF:4537-32990).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`deceasedInd`.
222. ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime
Short	𝗨𝗦𝗖𝗗𝗜: Date of Death
Comments	This patient MAY contain zero or one [0..1] sdtc:deceasedTime (CONF:4537-32988).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`deceasedTime`.
Invariants	should-value-att: SHOULD contain @value (`value.exists()`) ts-shall-year: SHALL be precise to at least the year (`nullFlavor.exists() or value.toString().length() >= 4`) ts-should-day: SHOULD be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`)
224. ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`multipleBirthInd`.
226. ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthOrderNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT-POS
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`multipleBirthOrderNumber`.
228. ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode
Comments	This patient SHOULD contain zero or one [0..1] maritalStatusCode, which SHALL be selected from ValueSet Marital Status urn:oid:2.16.840.1.113883.1.11.12212 DYNAMIC (CONF:4537-5303).
Control	0..1
Binding	The codes SHALL be taken from Marital Status (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
230. ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode
Comments	This patient MAY contain zero or one [0..1] religiousAffiliationCode, which SHALL be selected from ValueSet Religious Affiliation urn:oid:2.16.840.1.113883.1.11.19185 DYNAMIC (CONF:4537-5317).
Control	0..1
Binding	The codes SHALL be taken from Religious Affiliation (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
232. ClinicalDocument.recordTarget.patientRole.patient.raceCode
Short	𝗨𝗦𝗖𝗗𝗜: Race
Comments	This patient SHALL contain exactly one [1..1] raceCode, which SHALL be selected from ValueSet Race Category Excluding Nulls urn:oid:2.16.840.1.113883.3.2074.1.1.3 DYNAMIC (CONF:4537-5322).
Control	1..1
Binding	The codes SHALL be taken from Race Category Excluding Nulls (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
234. ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode
Short	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.
Comments	This patient MAY contain zero or more [0..*] sdtc:raceCode, which SHALL be selected from ValueSet Race Value Set urn:oid:2.16.840.1.113883.1.11.14914 DYNAMIC (CONF:4537-7263).
Control	0..*
Binding	The codes SHALL be taken from Race Value Set (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`raceCode`.
236. ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode
Short	𝗨𝗦𝗖𝗗𝗜: Ethnicity
Comments	This patient SHALL contain exactly one [1..1] ethnicGroupCode, which SHALL be selected from ValueSet Ethnicity urn:oid:2.16.840.1.114222.4.11.837 DYNAMIC (CONF:4537-5323).
Control	1..1
Binding	The codes SHALL be taken from Ethnicity (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
238. ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode
Short	𝗨𝗦𝗖𝗗𝗜: Ethnicity
Comments	This patient MAY contain zero or more [0..*] ethnicGroupCode, which SHALL be selected from ValueSet Detailed Ethnicity urn:oid:2.16.840.1.114222.4.11.877 DYNAMIC (CONF:4537-32901).
Control	0..*
Binding	The codes SHALL be taken from Detailed Ethnicity (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`ethnicGroupCode`.
240. ClinicalDocument.recordTarget.patientRole.patient.guardian
Comments	This patient MAY contain zero or more [0..*] guardian (CONF:4537-5325).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Guardian
Invariants	should-us-code: SHOULD contain code (`code.exists()`) should-us-addr: SHOULD contain addr (`addr.exists()`) should-us-telecom: SHOULD contain telecom (`telecom.exists()`)
242. ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
244. ClinicalDocument.recordTarget.patientRole.patient.guardian.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
246. ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
248. ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
250. ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
252. ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
254. ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
256. ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
258. ClinicalDocument.recordTarget.patientRole.patient.guardian.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
260. ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAgent (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAgent`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`GUARD`
262. ClinicalDocument.recordTarget.patientRole.patient.guardian.id
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
264. ClinicalDocument.recordTarget.patientRole.patient.guardian.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
266. ClinicalDocument.recordTarget.patientRole.patient.guardian.code
Comments	The guardian, if present, SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:4537-5326).
Control	0..1
Binding	The codes SHALL be taken from Personal And Legal Relationship Role Type (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
268. ClinicalDocument.recordTarget.patientRole.patient.guardian.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	The guardian, if present, SHOULD contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5359).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
270. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom
Comments	The guardian, if present, SHOULD contain zero or more [0..*] telecom (CONF:4537-5382).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
272. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
274. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.value
Control	0..1
Type	url(url: Universal Resource Locator)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
276. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.useablePeriod
Definition	Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.
Control	0..*
Type	Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Type	http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Useable Period
278. ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	The telecom, if present, SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7993).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
280. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
Comments	The guardian, if present, SHALL contain exactly one [1..1] guardianPerson (CONF:4537-5385).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
282. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
284. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
286. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
288. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
290. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
292. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
294. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
296. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
298. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
300. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassLivingSubject (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PSN`
302. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
304. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).
Short	Base for all types and resources
Comments	This guardianPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5386).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`)
306. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcDesc
Definition	The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`desc`.
308. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship
Definition	Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`asPatientRelationship`.
310. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
312. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
314. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
316. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
318. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
320. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
322. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
324. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
326. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
328. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.classCode
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRS`
330. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.determinerCode
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
332. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.code
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
334. ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
336. ClinicalDocument.recordTarget.patientRole.patient.birthplace
Comments	This patient MAY contain zero or one [0..1] birthplace (CONF:4537-5395).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Birthplace
338. ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
340. ClinicalDocument.recordTarget.patientRole.patient.birthplace.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
342. ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
344. ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
346. ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
348. ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
350. ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
352. ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
354. ClinicalDocument.recordTarget.patientRole.patient.birthplace.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
356. ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassPassive (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassPassive`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`BIRTHPL`
358. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place
Comments	The birthplace, if present, SHALL contain exactly one [1..1] place (CONF:4537-5396).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Place
360. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
362. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
364. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
366. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
368. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
370. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
372. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
374. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
376. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
378. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassPlace (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassPlace`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PLC`
380. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
382. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.name
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/EN
384. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr
Comments	This place SHALL contain exactly one [1..1] addr (CONF:4537-5397).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD
Invariants	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). (`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: 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})?'))`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`)
386. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
388. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.isNotOrdered
Definition	A boolean value specifying whether the order of the address parts is known or not. While the address parts are always a Sequence, the order in which they are presented may or may not be known. Where this matters, the isNotOrdered property can be used to convey this information.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Is Not Ordered
390. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use
Definition	A set of codes advising a system or user which address in a set of like addresses to select for a given purpose.
Control	0..*
Binding	The codes SHALL be taken from CDAPostalAddressUse (required to `http://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
392. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item
Definition	A series of items that constitute the address.
Control	0..*
Type	http://hl7.org/fhir/StructureDefinition/Base
Choice Group	This is a repeating choice group that does not appear directly in the instance
Invariants	AD-1: 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`)
394. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter
Definition	Delimiters are printed without framing white space. If no value component is provided, the delimiter appears as a line break.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
396. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
398. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
400. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
402. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
404. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
406. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`DEL`
408. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country
Definition	Country
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
410. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
412. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
414. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
416. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
418. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
420. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`CNT`
422. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state
Definition	A sub-unit of a country with limited sovereignty in a federally organized country.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
424. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
426. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
428. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
430. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
432. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
434. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`STA`
436. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county
Definition	A sub-unit of a state or province. (49 of the United States of America use the term "county;" Louisiana uses the term "parish".)
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
438. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
440. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
442. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
444. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
446. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
448. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`CPA`
450. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city
Definition	The name of the city, town, village, or other community or delivery center
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
452. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
454. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
456. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
458. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
460. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
462. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`CTY`
464. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode
Definition	A postal code designating a region defined by the postal service.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
466. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
468. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
470. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
472. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
474. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
476. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ZIP`
478. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine
Definition	Street address line
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
480. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
482. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
484. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
486. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
488. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
490. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`SAL`
492. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber
Definition	The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
494. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
496. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
498. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
500. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
502. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
504. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`BNR`
506. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric
Definition	The numeric portion of a building number
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
508. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
510. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
512. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
514. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
516. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
518. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`BNN`
520. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction
Definition	Direction (e.g., N, S, W, E)
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
522. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
524. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
526. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
528. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
530. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
532. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`DIR`
534. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName
Definition	Name of a roadway or artery recognized by a municipality (including street type and direction)
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
536. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
538. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
540. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
542. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
544. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
546. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`STR`
548. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase
Definition	The base name of a roadway or artery recognized by a municipality (excluding street type and direction)
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
550. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
552. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
554. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
556. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
558. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
560. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`STB`
562. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType
Definition	The designation given to the street. (e.g. Street, Avenue, Crescent, etc.)
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
564. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
566. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
568. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
570. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
572. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
574. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`STTYP`
576. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator
Definition	This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
578. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
580. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
582. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
584. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
586. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
588. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ADL`
590. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID
Definition	The number or name of a specific unit contained within a building or complex, as assigned by that building or complex.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
592. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
594. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
596. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
598. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
600. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
602. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`UNID`
604. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType
Definition	Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
606. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
608. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
610. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
612. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
614. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
616. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`UNIT`
618. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf
Definition	The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
620. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
622. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
624. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
626. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
628. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
630. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`CAR`
632. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract
Definition	A geographic sub-unit delineated for demographic purposes.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
634. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
636. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
638. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
640. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
642. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
644. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`CEN`
646. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine
Definition	A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
648. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
650. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
652. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
654. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
656. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
658. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`DAL`
660. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType
Definition	Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
662. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
664. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
666. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
668. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
670. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
672. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`DINST`
674. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea
Definition	The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
676. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
678. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
680. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
682. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
684. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
686. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`DINSTA`
688. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier
Definition	A number, letter or name identifying a delivery installation. E.g., for Station A, the delivery installation qualifier would be 'A'.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
690. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
692. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
694. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
696. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
698. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
700. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`DINSTQ`
702. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode
Definition	Indicates the type of service offered, method of delivery. For example: post office box, rural route, general delivery, etc.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
704. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
706. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
708. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
710. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
712. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
714. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`DMOD`
716. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier
Definition	Represents the routing information such as a letter carrier route number. It is the identifying number of the designator (the box number or rural route number).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
718. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
720. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
722. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
724. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
726. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
728. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`DMODID`
730. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix
Definition	Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
732. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
734. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
736. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
738. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
740. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
742. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`BNS`
744. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox
Definition	A numbered box located in a post station.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
746. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
748. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
750. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
752. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
754. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
756. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`POB`
758. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct
Definition	A subsection of a municipality
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ADXP
Invariants	text-null: xmlText and nullFlavor are mutually exclusive (one must be present) (`(xmlText \| nullFlavor).count() = 1`)
760. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
762. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.representation
Definition	Specifies the representation of the binary data that is the content of the binary data value
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`TXT`
764. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
Fixed Value	`text/plain`
766. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
768. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
770. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.partType
Definition	Specifies the type of the address part
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRE`
772. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.xmlText
Short	Allows for mixed text content
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
774. ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.useablePeriod
Definition	A General Timing Specification (GTS) specifying the periods of time during which the address can be used. This is used to specify different addresses for different times of the week or year.
Control	0..*
Type	Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Type	http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Useable Period
776. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication
Short	𝗨𝗦𝗖𝗗𝗜: Preferred Language
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/LanguageCommunication
Invariants	should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode (`proficiencyLevelCode.exists()`) should-preferenceInd: SHOULD contain preferenceInd (`preferenceInd.exists()`)
778. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
780. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
782. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
784. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
786. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
788. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
790. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
792. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
794. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
796. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode
Control	1..1
Binding	The codes SHALL be taken from Language codes with language and optionally a region modifier (required to `http://hl7.org/fhir/us/core/ValueSet/simple-language`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
798. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode
Comments	The languageCommunication, if present, MAY contain zero or one [0..1] modeCode, which SHALL be selected from ValueSet LanguageAbilityMode urn:oid:2.16.840.1.113883.1.11.12249 DYNAMIC (CONF:4537-5409).
Control	0..1
Binding	The codes SHALL be taken from LanguageAbilityMode (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
800. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode
Comments	The languageCommunication, if present, SHOULD contain zero or one [0..1] proficiencyLevelCode, which SHALL be selected from ValueSet LanguageAbilityProficiency urn:oid:2.16.840.1.113883.1.11.12199 DYNAMIC (CONF:4537-9965).
Control	0..1
Binding	The codes SHALL be taken from LanguageAbilityProficiency (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
802. ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd
Comments	The languageCommunication, if present, SHOULD contain zero or one [0..1] preferenceInd (CONF:4537-5414).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
804. ClinicalDocument.recordTarget.patientRole.providerOrganization
Comments	This patientRole MAY contain zero or one [0..1] providerOrganization (CONF:4537-5416).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
806. ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
808. ClinicalDocument.recordTarget.patientRole.providerOrganization.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
810. ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
812. ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
814. ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
816. ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
818. ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
820. ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
822. ClinicalDocument.recordTarget.patientRole.providerOrganization.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
824. ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassOrganization (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ORG`
826. ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
828. ClinicalDocument.recordTarget.patientRole.providerOrganization.id
Comments	The providerOrganization, if present, SHALL contain at least one [1..*] id (CONF:4537-5417).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
830. ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
832. ClinicalDocument.recordTarget.patientRole.providerOrganization.id.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
834. ClinicalDocument.recordTarget.patientRole.providerOrganization.id.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
836. ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16820).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
838. ClinicalDocument.recordTarget.patientRole.providerOrganization.id.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
840. ClinicalDocument.recordTarget.patientRole.providerOrganization.name
Comments	The providerOrganization, if present, SHALL contain at least one [1..*] name (CONF:4537-5419).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/ON
842. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom
Comments	The providerOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:4537-5420).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
844. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
846. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.value
Control	0..1
Type	url(url: Universal Resource Locator)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
848. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.useablePeriod
Definition	Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.
Control	0..*
Type	Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Type	http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Useable Period
850. ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7994).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
852. ClinicalDocument.recordTarget.patientRole.providerOrganization.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	The providerOrganization, if present, SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5422).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
854. ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode
Control	0..1
Binding	For example codes, see OrganizationIndustryClassNAICS (example to `http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
856. ClinicalDocument.recordTarget.patientRole.providerOrganization.asOrganizationPartOf
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
858. ClinicalDocument.author
Short	The author element represents the creator of the clinical document. The author may be a device or a person.
Comments	SHALL contain at least one [1..*] author (CONF:4537-5444).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author
860. ClinicalDocument.author.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
862. ClinicalDocument.author.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
864. ClinicalDocument.author.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
866. ClinicalDocument.author.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
868. ClinicalDocument.author.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
870. ClinicalDocument.author.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
872. ClinicalDocument.author.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
874. ClinicalDocument.author.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
876. ClinicalDocument.author.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
878. ClinicalDocument.author.typeCode
Control	0..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`AUT`
880. ClinicalDocument.author.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
882. ClinicalDocument.author.functionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
884. ClinicalDocument.author.time
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	Such authors SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5445).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
Is Modifier	false
Invariants	ts-shall-day: SHALL be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`) ts-should-minute: SHOULD be precise to at least the minute (`nullFlavor.exists() or value.toString().length() > 10`)
886. ClinicalDocument.author.assignedAuthor
Comments	Such authors SHALL contain exactly one [1..1] assignedAuthor (CONF:4537-5448).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedAuthor
Invariants	4537-16790: There SHALL be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). (`(assignedPerson \| assignedAuthoringDevice).count() = 1`) should-id-npi: 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-us-code: SHOULD contain code (`code.exists()`)
888. ClinicalDocument.author.assignedAuthor.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
890. ClinicalDocument.author.assignedAuthor.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
892. ClinicalDocument.author.assignedAuthor.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
894. ClinicalDocument.author.assignedAuthor.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
896. ClinicalDocument.author.assignedAuthor.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
898. ClinicalDocument.author.assignedAuthor.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
900. ClinicalDocument.author.assignedAuthor.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
902. ClinicalDocument.author.assignedAuthor.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
904. ClinicalDocument.author.assignedAuthor.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
906. ClinicalDocument.author.assignedAuthor.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ASSIGNED`
908. ClinicalDocument.author.assignedAuthor.id
Comments	This assignedAuthor SHOULD contain zero or one [0..1] id (CONF:4537-32882) such that it, This assignedAuthor SHALL contain at least one [1..*] id (CONF:4537-5449).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Slicing	This element introduces a set of slices on `ClinicalDocument.author.assignedAuthor.id`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root
910. ClinicalDocument.author.assignedAuthor.id:npi
Slice Name	npi
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	should-extension: SHOULD contain extension (`extension.exists()`)
912. ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Short	If NPI is unknown, set @nullFlavor to UNK
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
914. ClinicalDocument.author.assignedAuthor.id:npi.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
916. ClinicalDocument.author.assignedAuthor.id:npi.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
918. ClinicalDocument.author.assignedAuthor.id:npi.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-32884).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.4.6`
920. ClinicalDocument.author.assignedAuthor.id:npi.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Comments	SHOULD contain zero or one [0..1] @extension (CONF:4537-32885).
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
922. ClinicalDocument.author.assignedAuthor.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
924. ClinicalDocument.author.assignedAuthor.code
Short	Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code.
Comments	This assignedAuthor SHOULD contain zero or one [0..1] code (CONF:4537-16787).
Control	0..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
926. ClinicalDocument.author.assignedAuthor.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..0
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
928. ClinicalDocument.author.assignedAuthor.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
930. ClinicalDocument.author.assignedAuthor.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
932. ClinicalDocument.author.assignedAuthor.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
934. ClinicalDocument.author.assignedAuthor.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
936. ClinicalDocument.author.assignedAuthor.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
938. ClinicalDocument.author.assignedAuthor.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
940. ClinicalDocument.author.assignedAuthor.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
942. ClinicalDocument.author.assignedAuthor.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
944. ClinicalDocument.author.assignedAuthor.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
946. ClinicalDocument.author.assignedAuthor.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
948. ClinicalDocument.author.assignedAuthor.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedAuthor SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5452).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
950. ClinicalDocument.author.assignedAuthor.telecom
Comments	This assignedAuthor SHALL contain at least one [1..*] telecom (CONF:4537-5428).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
952. ClinicalDocument.author.assignedAuthor.telecom.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
954. ClinicalDocument.author.assignedAuthor.telecom.value
Control	0..1
Type	url(url: Universal Resource Locator)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
956. ClinicalDocument.author.assignedAuthor.telecom.useablePeriod
Definition	Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.
Control	0..*
Type	Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Type	http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Useable Period
958. ClinicalDocument.author.assignedAuthor.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7995).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
960. ClinicalDocument.author.assignedAuthor.assignedPerson
Comments	MAY contain assignedPerson
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
962. ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
964. ClinicalDocument.author.assignedAuthor.assignedPerson.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
966. ClinicalDocument.author.assignedAuthor.assignedPerson.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
968. ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
970. ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
972. ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
974. ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
976. ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
978. ClinicalDocument.author.assignedAuthor.assignedPerson.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
980. ClinicalDocument.author.assignedAuthor.assignedPerson.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassLivingSubject (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PSN`
982. ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
984. ClinicalDocument.author.assignedAuthor.assignedPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).
Short	Base for all types and resources
Comments	The assignedPerson, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-16789).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`)
986. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcDesc
Definition	The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`desc`.
988. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship
Definition	Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`asPatientRelationship`.
990. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
992. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
994. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
996. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
998. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1000. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1002. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1004. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1006. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1008. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.classCode
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRS`
1010. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.determinerCode
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1012. ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.code
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
1014. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice
Comments	MAY contain assignedAuthoringDevice
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AuthoringDevice
1016. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1018. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1020. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1022. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1024. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1026. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1028. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1030. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1032. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1034. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassDevice (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassDevice`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`DEV`
1036. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1038. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code
Control	0..1
Binding	For example codes, see CDAEntityCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
1040. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName
Comments	The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] manufacturerModelName (CONF:4537-16784).
Control	1..1
Binding	For example codes, see Manufacturer Model Name Example (example to `http://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/SC
1042. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName
Comments	The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] softwareName (CONF:4537-16785).
Control	1..1
Binding	For example codes, see Software Name Example (example to `http://terminology.hl7.org/ValueSet/v3-SoftwareNameExample`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/SC
1044. ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.asMaintainedEntity
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/MaintainedEntity
1046. ClinicalDocument.author.assignedAuthor.representedOrganization
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
1048. ClinicalDocument.dataEnterer
Short	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.
Comments	MAY contain zero or one [0..1] dataEnterer (CONF:4537-5441).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/DataEnterer
1050. ClinicalDocument.dataEnterer.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1052. ClinicalDocument.dataEnterer.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1054. ClinicalDocument.dataEnterer.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1056. ClinicalDocument.dataEnterer.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1058. ClinicalDocument.dataEnterer.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1060. ClinicalDocument.dataEnterer.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1062. ClinicalDocument.dataEnterer.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1064. ClinicalDocument.dataEnterer.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1066. ClinicalDocument.dataEnterer.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1068. ClinicalDocument.dataEnterer.typeCode
Control	0..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ENT`
1070. ClinicalDocument.dataEnterer.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
1072. ClinicalDocument.dataEnterer.time
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
Is Modifier	false
Invariants	ts-shall-day: SHALL be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`) ts-should-minute: SHOULD be precise to at least the minute (`nullFlavor.exists() or value.toString().length() > 10`)
1074. ClinicalDocument.dataEnterer.assignedEntity
Comments	The dataEnterer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:4537-5442).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
1076. ClinicalDocument.dataEnterer.assignedEntity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1078. ClinicalDocument.dataEnterer.assignedEntity.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1080. ClinicalDocument.dataEnterer.assignedEntity.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1082. ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1084. ClinicalDocument.dataEnterer.assignedEntity.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1086. ClinicalDocument.dataEnterer.assignedEntity.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1088. ClinicalDocument.dataEnterer.assignedEntity.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1090. ClinicalDocument.dataEnterer.assignedEntity.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1092. ClinicalDocument.dataEnterer.assignedEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1094. ClinicalDocument.dataEnterer.assignedEntity.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ASSIGNED`
1096. ClinicalDocument.dataEnterer.assignedEntity.id
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5443).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1098. ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1100. ClinicalDocument.dataEnterer.assignedEntity.id.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1102. ClinicalDocument.dataEnterer.assignedEntity.id.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1104. ClinicalDocument.dataEnterer.assignedEntity.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16821).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
1106. ClinicalDocument.dataEnterer.assignedEntity.id.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1108. ClinicalDocument.dataEnterer.assignedEntity.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
1110. ClinicalDocument.dataEnterer.assignedEntity.code
Comments	This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-32173).
Control	0..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
1112. ClinicalDocument.dataEnterer.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5460).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
1114. ClinicalDocument.dataEnterer.assignedEntity.telecom
Comments	This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5466).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
1116. ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1118. ClinicalDocument.dataEnterer.assignedEntity.telecom.value
Control	0..1
Type	url(url: Universal Resource Locator)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
1120. ClinicalDocument.dataEnterer.assignedEntity.telecom.useablePeriod
Definition	Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.
Control	0..*
Type	Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Type	http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Useable Period
1122. ClinicalDocument.dataEnterer.assignedEntity.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7996).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
1124. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson
Comments	This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5469).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
1126. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1128. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1130. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1132. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1134. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1136. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1138. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1140. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1142. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1144. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassLivingSubject (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PSN`
1146. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1148. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).
Short	Base for all types and resources
Comments	This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5470).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`)
1150. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcDesc
Definition	The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`desc`.
1152. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship
Definition	Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`asPatientRelationship`.
1154. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1156. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1158. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1160. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1162. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1164. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1166. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1168. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1170. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1172. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRS`
1174. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1176. ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
1178. ClinicalDocument.dataEnterer.assignedEntity.representedOrganization
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
1180. ClinicalDocument.dataEnterer.assignedEntity.sdtcPatient
Control	0..1
Type	http://hl7.org/fhir/StructureDefinition/Base
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`patient`.
1182. ClinicalDocument.dataEnterer.assignedEntity.sdtcPatient.id
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
1184. ClinicalDocument.informant
Comments	MAY contain zero or more [0..*] informant (CONF:4537-31355) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
Slicing	This element introduces a set of slices on `ClinicalDocument.informant`. The slices areUnordered and Open, and can be differentiated using the following discriminators: exists @ relatedEntity exists @ assignedEntity
1186. ClinicalDocument.informant:provider
Slice Name	provider
Short	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.
Comments	MAY contain zero or more [0..*] informant (CONF:4537-8001) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
1188. ClinicalDocument.informant:provider.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1190. ClinicalDocument.informant:provider.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1192. ClinicalDocument.informant:provider.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1194. ClinicalDocument.informant:provider.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1196. ClinicalDocument.informant:provider.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1198. ClinicalDocument.informant:provider.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1200. ClinicalDocument.informant:provider.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1202. ClinicalDocument.informant:provider.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1204. ClinicalDocument.informant:provider.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1206. ClinicalDocument.informant:provider.typeCode
Control	0..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INF`
1208. ClinicalDocument.informant:provider.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
1210. ClinicalDocument.informant:provider.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8002).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
1212. ClinicalDocument.informant:provider.assignedEntity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1214. ClinicalDocument.informant:provider.assignedEntity.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1216. ClinicalDocument.informant:provider.assignedEntity.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1218. ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1220. ClinicalDocument.informant:provider.assignedEntity.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1222. ClinicalDocument.informant:provider.assignedEntity.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1224. ClinicalDocument.informant:provider.assignedEntity.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1226. ClinicalDocument.informant:provider.assignedEntity.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1228. ClinicalDocument.informant:provider.assignedEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1230. ClinicalDocument.informant:provider.assignedEntity.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ASSIGNED`
1232. ClinicalDocument.informant:provider.assignedEntity.id
Short	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).
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-9945).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1234. ClinicalDocument.informant:provider.assignedEntity.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
1236. ClinicalDocument.informant:provider.assignedEntity.code
Comments	This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-32174).
Control	0..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
1238. ClinicalDocument.informant:provider.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8220).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
1240. ClinicalDocument.informant:provider.assignedEntity.telecom
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
1242. ClinicalDocument.informant:provider.assignedEntity.assignedPerson
Comments	This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-8221).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
1244. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1246. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1248. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1250. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1252. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1254. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1256. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1258. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1260. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1262. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassLivingSubject (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PSN`
1264. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1266. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).
Short	Base for all types and resources
Comments	This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-8222).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`)
1268. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcDesc
Definition	The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`desc`.
1270. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship
Definition	Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`asPatientRelationship`.
1272. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1274. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1276. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1278. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1280. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1282. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1284. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1286. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1288. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1290. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRS`
1292. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1294. ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
1296. ClinicalDocument.informant:provider.assignedEntity.representedOrganization
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
1298. ClinicalDocument.informant:provider.assignedEntity.sdtcPatient
Control	0..1
Type	http://hl7.org/fhir/StructureDefinition/Base
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`patient`.
1300. ClinicalDocument.informant:provider.assignedEntity.sdtcPatient.id
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
1302. ClinicalDocument.informant:provider.relatedEntity
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/RelatedEntity
1304. ClinicalDocument.informant:non-provider
Slice Name	non-provider
Short	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.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
1306. ClinicalDocument.informant:non-provider.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1308. ClinicalDocument.informant:non-provider.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1310. ClinicalDocument.informant:non-provider.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1312. ClinicalDocument.informant:non-provider.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1314. ClinicalDocument.informant:non-provider.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1316. ClinicalDocument.informant:non-provider.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1318. ClinicalDocument.informant:non-provider.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1320. ClinicalDocument.informant:non-provider.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1322. ClinicalDocument.informant:non-provider.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1324. ClinicalDocument.informant:non-provider.typeCode
Control	0..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INF`
1326. ClinicalDocument.informant:non-provider.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
1328. ClinicalDocument.informant:non-provider.assignedEntity
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
1330. ClinicalDocument.informant:non-provider.relatedEntity
Comments	SHALL contain exactly one [1..1] relatedEntity (CONF:4537-31356).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RelatedEntity
1332. ClinicalDocument.custodian
Short	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.
Comments	SHALL contain exactly one [1..1] custodian (CONF:4537-5519).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Custodian
1334. ClinicalDocument.custodian.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1336. ClinicalDocument.custodian.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1338. ClinicalDocument.custodian.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1340. ClinicalDocument.custodian.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1342. ClinicalDocument.custodian.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1344. ClinicalDocument.custodian.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1346. ClinicalDocument.custodian.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1348. ClinicalDocument.custodian.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1350. ClinicalDocument.custodian.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1352. ClinicalDocument.custodian.typeCode
Control	0..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`CST`
1354. ClinicalDocument.custodian.assignedCustodian
Comments	This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:4537-5520).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedCustodian
1356. ClinicalDocument.custodian.assignedCustodian.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1358. ClinicalDocument.custodian.assignedCustodian.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1360. ClinicalDocument.custodian.assignedCustodian.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1362. ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1364. ClinicalDocument.custodian.assignedCustodian.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1366. ClinicalDocument.custodian.assignedCustodian.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1368. ClinicalDocument.custodian.assignedCustodian.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1370. ClinicalDocument.custodian.assignedCustodian.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1372. ClinicalDocument.custodian.assignedCustodian.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1374. ClinicalDocument.custodian.assignedCustodian.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ASSIGNED`
1376. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization
Comments	This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:4537-5521).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CustodianOrganization
1378. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1380. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1382. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1384. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1386. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1388. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1390. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1392. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1394. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1396. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassOrganization (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ORG`
1398. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1400. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id
Comments	This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:4537-5522).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1402. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1404. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1406. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1408. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16822).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
1410. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1412. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.name
Comments	This representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:4537-5524).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ON
1414. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom
Comments	This representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:4537-5525).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
1416. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1418. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.value
Control	0..1
Type	url(url: Universal Resource Locator)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
1420. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.useablePeriod
Definition	Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.
Control	0..*
Type	Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Type	http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Useable Period
1422. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	This telecom SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7998).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
1424. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.sdtcTelecom
Short	The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`telecom`.
1426. ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This representedCustodianOrganization SHALL contain exactly one [1..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5559).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
1428. ClinicalDocument.informationRecipient
Short	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.
Comments	MAY contain zero or more [0..*] informationRecipient (CONF:4537-5565).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InformationRecipient
1430. ClinicalDocument.informationRecipient.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1432. ClinicalDocument.informationRecipient.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1434. ClinicalDocument.informationRecipient.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1436. ClinicalDocument.informationRecipient.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1438. ClinicalDocument.informationRecipient.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1440. ClinicalDocument.informationRecipient.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1442. ClinicalDocument.informationRecipient.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1444. ClinicalDocument.informationRecipient.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1446. ClinicalDocument.informationRecipient.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1448. ClinicalDocument.informationRecipient.typeCode
Control	0..1
Binding	The codes SHALL be taken from XInformationRecipient (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xInformationRecipient\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`PRCP`
1450. ClinicalDocument.informationRecipient.intendedRecipient
Comments	The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:4537-5566).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IntendedRecipient
1452. ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1454. ClinicalDocument.informationRecipient.intendedRecipient.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1456. ClinicalDocument.informationRecipient.intendedRecipient.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1458. ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1460. ClinicalDocument.informationRecipient.intendedRecipient.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1462. ClinicalDocument.informationRecipient.intendedRecipient.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1464. ClinicalDocument.informationRecipient.intendedRecipient.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1466. ClinicalDocument.informationRecipient.intendedRecipient.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1468. ClinicalDocument.informationRecipient.intendedRecipient.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1470. ClinicalDocument.informationRecipient.intendedRecipient.classCode
Control	0..1
Binding	The codes SHALL be taken from CDAInformationRecipientRole (required to `http://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`ASSIGNED`
1472. ClinicalDocument.informationRecipient.intendedRecipient.id
Comments	This intendedRecipient MAY contain zero or more [0..*] id (CONF:4537-32399).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1474. ClinicalDocument.informationRecipient.intendedRecipient.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
1476. ClinicalDocument.informationRecipient.intendedRecipient.addr
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD
1478. ClinicalDocument.informationRecipient.intendedRecipient.telecom
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
1480. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient
Comments	This intendedRecipient MAY contain zero or one [0..1] informationRecipient (CONF:4537-5567).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
1482. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1484. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1486. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1488. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1490. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1492. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1494. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1496. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1498. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1500. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassLivingSubject (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PSN`
1502. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1504. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).
Short	Base for all types and resources
Comments	The informationRecipient, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5568).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`)
1506. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcDesc
Definition	The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`desc`.
1508. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship
Definition	Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`asPatientRelationship`.
1510. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1512. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1514. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1516. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1518. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1520. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1522. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1524. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1526. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1528. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.classCode
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRS`
1530. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.determinerCode
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1532. ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.code
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
1534. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization
Comments	This intendedRecipient MAY contain zero or one [0..1] receivedOrganization (CONF:4537-5577).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
1536. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1538. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1540. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1542. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1544. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1546. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1548. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1550. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1552. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1554. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassOrganization (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ORG`
1556. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1558. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.id
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1560. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.name
Comments	The receivedOrganization, if present, SHALL contain exactly one [1..1] name (CONF:4537-5578).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ON
1562. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.telecom
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
1564. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.addr
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD
1566. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode
Control	0..1
Binding	For example codes, see OrganizationIndustryClassNAICS (example to `http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
1568. ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.asOrganizationPartOf
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
1570. ClinicalDocument.legalAuthenticator
Short	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.
Comments	SHOULD contain zero or one [0..1] legalAuthenticator (CONF:4537-5579).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/LegalAuthenticator
1572. ClinicalDocument.legalAuthenticator.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1574. ClinicalDocument.legalAuthenticator.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1576. ClinicalDocument.legalAuthenticator.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1578. ClinicalDocument.legalAuthenticator.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1580. ClinicalDocument.legalAuthenticator.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1582. ClinicalDocument.legalAuthenticator.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1584. ClinicalDocument.legalAuthenticator.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1586. ClinicalDocument.legalAuthenticator.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1588. ClinicalDocument.legalAuthenticator.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1590. ClinicalDocument.legalAuthenticator.typeCode
Control	0..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`LA`
1592. ClinicalDocument.legalAuthenticator.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
1594. ClinicalDocument.legalAuthenticator.time
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	The legalAuthenticator, if present, SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5580).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
Is Modifier	false
Invariants	ts-shall-day: SHALL be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`) ts-should-minute: SHOULD be precise to at least the minute (`nullFlavor.exists() or value.toString().length() > 10`)
1596. ClinicalDocument.legalAuthenticator.signatureCode
Comments	The legalAuthenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:4537-5583).
Control	1..1
Binding	The codes SHALL be taken from CDASignatureCode (required to `http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
Invariants	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'. (`code.exists() implies code != 'X'`)
1598. ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1600. ClinicalDocument.legalAuthenticator.signatureCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:4537-5584).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Pattern Value	`S`
1602. ClinicalDocument.legalAuthenticator.signatureCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
1604. ClinicalDocument.legalAuthenticator.signatureCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
1606. ClinicalDocument.legalAuthenticator.signatureCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
1608. ClinicalDocument.legalAuthenticator.signatureCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
1610. ClinicalDocument.legalAuthenticator.signatureCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
1612. ClinicalDocument.legalAuthenticator.signatureCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
1614. ClinicalDocument.legalAuthenticator.signatureCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
1616. ClinicalDocument.legalAuthenticator.signatureCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
1618. ClinicalDocument.legalAuthenticator.signatureCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
1620. ClinicalDocument.legalAuthenticator.sdtcSignatureText
Definition	A textual or multimedia depiction of the signature by which the participant endorses his or her participation in the Act as specified in the Participation.typeCode and that he or she agrees to assume the associated accountability.
Short	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.
Comments	The legalAuthenticator, if present, MAY contain zero or one [0..1] sdtc:signatureText (CONF:4537-30810).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`signatureText`.
1622. ClinicalDocument.legalAuthenticator.assignedEntity
Comments	The legalAuthenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:4537-5585).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
1624. ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1626. ClinicalDocument.legalAuthenticator.assignedEntity.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1628. ClinicalDocument.legalAuthenticator.assignedEntity.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1630. ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1632. ClinicalDocument.legalAuthenticator.assignedEntity.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1634. ClinicalDocument.legalAuthenticator.assignedEntity.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1636. ClinicalDocument.legalAuthenticator.assignedEntity.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1638. ClinicalDocument.legalAuthenticator.assignedEntity.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1640. ClinicalDocument.legalAuthenticator.assignedEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1642. ClinicalDocument.legalAuthenticator.assignedEntity.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ASSIGNED`
1644. ClinicalDocument.legalAuthenticator.assignedEntity.id
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5586).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1646. ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1648. ClinicalDocument.legalAuthenticator.assignedEntity.id.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1650. ClinicalDocument.legalAuthenticator.assignedEntity.id.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1652. ClinicalDocument.legalAuthenticator.assignedEntity.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Short	MAY contain '2.16.840.1.113883.4.6' (NPI)
Comments	Such ids MAY contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16823).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
1654. ClinicalDocument.legalAuthenticator.assignedEntity.id.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1656. ClinicalDocument.legalAuthenticator.assignedEntity.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
1658. ClinicalDocument.legalAuthenticator.assignedEntity.code
Comments	This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-17000).
Control	0..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
1660. ClinicalDocument.legalAuthenticator.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5589).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
1662. ClinicalDocument.legalAuthenticator.assignedEntity.telecom
Comments	This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5595).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
1664. ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1666. ClinicalDocument.legalAuthenticator.assignedEntity.telecom.value
Control	0..1
Type	url(url: Universal Resource Locator)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
1668. ClinicalDocument.legalAuthenticator.assignedEntity.telecom.useablePeriod
Definition	Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.
Control	0..*
Type	Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Type	http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Useable Period
1670. ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7999).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
1672. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson
Comments	This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5597).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
1674. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1676. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1678. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1680. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1682. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1684. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1686. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1688. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1690. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1692. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassLivingSubject (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PSN`
1694. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1696. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).
Short	Base for all types and resources
Comments	This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5598).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`)
1698. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcDesc
Definition	The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`desc`.
1700. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship
Definition	Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`asPatientRelationship`.
1702. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1704. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1706. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1708. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1710. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1712. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1714. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1716. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1718. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1720. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRS`
1722. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1724. ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
1726. ClinicalDocument.legalAuthenticator.assignedEntity.representedOrganization
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
1728. ClinicalDocument.legalAuthenticator.assignedEntity.sdtcPatient
Control	0..1
Type	http://hl7.org/fhir/StructureDefinition/Base
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`patient`.
1730. ClinicalDocument.legalAuthenticator.assignedEntity.sdtcPatient.id
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
1732. ClinicalDocument.authenticator
Short	The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Authenticator
1734. ClinicalDocument.authenticator.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1736. ClinicalDocument.authenticator.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1738. ClinicalDocument.authenticator.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1740. ClinicalDocument.authenticator.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1742. ClinicalDocument.authenticator.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1744. ClinicalDocument.authenticator.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1746. ClinicalDocument.authenticator.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1748. ClinicalDocument.authenticator.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1750. ClinicalDocument.authenticator.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1752. ClinicalDocument.authenticator.typeCode
Control	0..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`AUTHEN`
1754. ClinicalDocument.authenticator.time
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5608).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS(US Realm Date and Time - Point in Time)
Is Modifier	false
Invariants	ts-shall-day: SHALL be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`) ts-should-minute: SHOULD be precise to at least the minute (`nullFlavor.exists() or value.toString().length() > 10`)
1756. ClinicalDocument.authenticator.signatureCode
Comments	SHALL contain exactly one [1..1] signatureCode (CONF:4537-5610).
Control	1..1
Binding	The codes SHALL be taken from CDASignatureCode (required to `http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
Invariants	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'. (`code.exists() implies code != 'X'`)
1758. ClinicalDocument.authenticator.signatureCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1760. ClinicalDocument.authenticator.signatureCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:4537-5611).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Pattern Value	`S`
1762. ClinicalDocument.authenticator.signatureCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
1764. ClinicalDocument.authenticator.signatureCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
1766. ClinicalDocument.authenticator.signatureCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
1768. ClinicalDocument.authenticator.signatureCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
1770. ClinicalDocument.authenticator.signatureCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
1772. ClinicalDocument.authenticator.signatureCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
1774. ClinicalDocument.authenticator.signatureCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
1776. ClinicalDocument.authenticator.signatureCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
1778. ClinicalDocument.authenticator.signatureCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
1780. ClinicalDocument.authenticator.sdtcSignatureText
Definition	A textual or multimedia depiction of the signature by which the participant endorses his or her participation in the Act as specified in the Participation.typeCode and that he or she agrees to assume the associated accountability.
Short	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.
Comments	MAY contain zero or one [0..1] sdtc:signatureText (CONF:4537-30811).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`signatureText`.
1782. ClinicalDocument.authenticator.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4537-5612).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
1784. ClinicalDocument.authenticator.assignedEntity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1786. ClinicalDocument.authenticator.assignedEntity.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1788. ClinicalDocument.authenticator.assignedEntity.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1790. ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1792. ClinicalDocument.authenticator.assignedEntity.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1794. ClinicalDocument.authenticator.assignedEntity.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1796. ClinicalDocument.authenticator.assignedEntity.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1798. ClinicalDocument.authenticator.assignedEntity.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1800. ClinicalDocument.authenticator.assignedEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1802. ClinicalDocument.authenticator.assignedEntity.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ASSIGNED`
1804. ClinicalDocument.authenticator.assignedEntity.id
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-5613).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1806. ClinicalDocument.authenticator.assignedEntity.id.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1808. ClinicalDocument.authenticator.assignedEntity.id.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1810. ClinicalDocument.authenticator.assignedEntity.id.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1812. ClinicalDocument.authenticator.assignedEntity.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-16824).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
1814. ClinicalDocument.authenticator.assignedEntity.id.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1816. ClinicalDocument.authenticator.assignedEntity.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
1818. ClinicalDocument.authenticator.assignedEntity.code
Comments	This assignedEntity MAY contain zero or one [0..1] code (CONF:4537-16825).
Control	0..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
1820. ClinicalDocument.authenticator.assignedEntity.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1822. ClinicalDocument.authenticator.assignedEntity.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	The code, if present, MAY contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-16826).
Control	0..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
1824. ClinicalDocument.authenticator.assignedEntity.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
1826. ClinicalDocument.authenticator.assignedEntity.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
1828. ClinicalDocument.authenticator.assignedEntity.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
1830. ClinicalDocument.authenticator.assignedEntity.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
1832. ClinicalDocument.authenticator.assignedEntity.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
1834. ClinicalDocument.authenticator.assignedEntity.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
1836. ClinicalDocument.authenticator.assignedEntity.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
1838. ClinicalDocument.authenticator.assignedEntity.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
1840. ClinicalDocument.authenticator.assignedEntity.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
1842. ClinicalDocument.authenticator.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5616).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: 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-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 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). (`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: 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})?'))`) shall-max-ad-parts: 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)`)
1844. ClinicalDocument.authenticator.assignedEntity.telecom
Comments	This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4537-5622).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Invariants	should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`)
1846. ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1848. ClinicalDocument.authenticator.assignedEntity.telecom.value
Control	0..1
Type	url(url: Universal Resource Locator)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
1850. ClinicalDocument.authenticator.assignedEntity.telecom.useablePeriod
Definition	Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.
Control	0..*
Type	Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Type	http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Useable Period
1852. ClinicalDocument.authenticator.assignedEntity.telecom.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Comments	Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-8000).
Control	0..1
Binding	The codes SHALL be taken from Telecom Use (US Realm Header) (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Use Code
1854. ClinicalDocument.authenticator.assignedEntity.assignedPerson
Comments	This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4537-5624).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
1856. ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1858. ClinicalDocument.authenticator.assignedEntity.assignedPerson.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1860. ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1862. ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1864. ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1866. ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1868. ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1870. ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1872. ClinicalDocument.authenticator.assignedEntity.assignedPerson.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1874. ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassLivingSubject (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PSN`
1876. ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1878. ClinicalDocument.authenticator.assignedEntity.assignedPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).
Short	Base for all types and resources
Comments	This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5625).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Invariants	pn-no-ls: 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()`) 81-9371: 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: 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()`)
1880. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcDesc
Definition	The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`desc`.
1882. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship
Definition	Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`asPatientRelationship`.
1884. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1886. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1888. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1890. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1892. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1894. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1896. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1898. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1900. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1902. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRS`
1904. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
1906. ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
1908. ClinicalDocument.authenticator.assignedEntity.representedOrganization
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
1910. ClinicalDocument.authenticator.assignedEntity.sdtcPatient
Control	0..1
Type	http://hl7.org/fhir/StructureDefinition/Base
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`patient`.
1912. ClinicalDocument.authenticator.assignedEntity.sdtcPatient.id
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
1914. ClinicalDocument.participant
Short	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).
Comments	SHOULD contain zero or more [0..*] RelatedPerson participant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant1
Invariants	4537-10006: SHALL contain associatedEntity/associatedPerson AND/OR associatedEntity/scopingOrganization (CONF:4537-10006). (`associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()`) 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). (`typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')`)
1916. ClinicalDocument.participant.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1918. ClinicalDocument.participant.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1920. ClinicalDocument.participant.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1922. ClinicalDocument.participant.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1924. ClinicalDocument.participant.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1926. ClinicalDocument.participant.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1928. ClinicalDocument.participant.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1930. ClinicalDocument.participant.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1932. ClinicalDocument.participant.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1934. ClinicalDocument.participant.typeCode
Control	1..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
1936. ClinicalDocument.participant.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
1938. ClinicalDocument.participant.functionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
1940. ClinicalDocument.participant.time
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	MAY contain zero or one [0..1] time (CONF:4537-10004).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
Is Modifier	false
Invariants	ivl-ts-center: Center cannot co-exist with low or high (`center.empty() or (low.empty() and high.empty())`) ivl-value-shall: 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: If a time interval contains @value, then it SHOULD contain a time component. (`value.exists() implies value.toString().length() > 10`)
1942. ClinicalDocument.participant.associatedEntity
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssociatedEntity
1944. ClinicalDocument.inFulfillmentOf
Short	The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
Comments	MAY contain zero or more [0..*] inFulfillmentOf (CONF:4537-9952).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf
1946. ClinicalDocument.inFulfillmentOf.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1948. ClinicalDocument.inFulfillmentOf.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1950. ClinicalDocument.inFulfillmentOf.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1952. ClinicalDocument.inFulfillmentOf.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1954. ClinicalDocument.inFulfillmentOf.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1956. ClinicalDocument.inFulfillmentOf.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1958. ClinicalDocument.inFulfillmentOf.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1960. ClinicalDocument.inFulfillmentOf.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1962. ClinicalDocument.inFulfillmentOf.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1964. ClinicalDocument.inFulfillmentOf.typeCode
Control	0..1
Binding	The codes SHALL be taken from ActRelationshipFulfills (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`FLFS`
1966. ClinicalDocument.inFulfillmentOf.order
Comments	The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:4537-9953).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Order
1968. ClinicalDocument.inFulfillmentOf.order.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1970. ClinicalDocument.inFulfillmentOf.order.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
1972. ClinicalDocument.inFulfillmentOf.order.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1974. ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
1976. ClinicalDocument.inFulfillmentOf.order.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
1978. ClinicalDocument.inFulfillmentOf.order.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
1980. ClinicalDocument.inFulfillmentOf.order.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
1982. ClinicalDocument.inFulfillmentOf.order.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
1984. ClinicalDocument.inFulfillmentOf.order.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1986. ClinicalDocument.inFulfillmentOf.order.classCode
Control	0..1
Binding	The codes SHALL be taken from CDAActClass (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActClass`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`ACT`
1988. ClinicalDocument.inFulfillmentOf.order.moodCode
Control	0..1
Binding	The codes SHALL be taken from CDAActMoodIntent (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`RQO`
1990. ClinicalDocument.inFulfillmentOf.order.id
Comments	This order SHALL contain at least one [1..*] id (CONF:4537-9954).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
1992. ClinicalDocument.inFulfillmentOf.order.code
Control	0..1
Binding	For example codes, see v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
1994. ClinicalDocument.inFulfillmentOf.order.priorityCode
Control	0..1
Binding	For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
1996. ClinicalDocument.documentationOf
Comments	MAY contain zero or more [0..*] documentationOf (CONF:4537-14835).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/DocumentationOf
1998. ClinicalDocument.documentationOf.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2000. ClinicalDocument.documentationOf.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
2002. ClinicalDocument.documentationOf.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2004. ClinicalDocument.documentationOf.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2006. ClinicalDocument.documentationOf.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
2008. ClinicalDocument.documentationOf.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
2010. ClinicalDocument.documentationOf.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
2012. ClinicalDocument.documentationOf.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
2014. ClinicalDocument.documentationOf.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2016. ClinicalDocument.documentationOf.typeCode
Control	0..1
Binding	The codes SHALL be taken from CDAActRelationshipType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`DOC`
2018. ClinicalDocument.documentationOf.serviceEvent
Short	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.
Comments	The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:4537-14836).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ServiceEvent
Invariants	should-us-performer: SHOULD contain performer (`performer.exists()`)
2020. ClinicalDocument.documentationOf.serviceEvent.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2022. ClinicalDocument.documentationOf.serviceEvent.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
2024. ClinicalDocument.documentationOf.serviceEvent.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2026. ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2028. ClinicalDocument.documentationOf.serviceEvent.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
2030. ClinicalDocument.documentationOf.serviceEvent.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
2032. ClinicalDocument.documentationOf.serviceEvent.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
2034. ClinicalDocument.documentationOf.serviceEvent.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
2036. ClinicalDocument.documentationOf.serviceEvent.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2038. ClinicalDocument.documentationOf.serviceEvent.classCode
Control	0..1
Binding	The codes SHALL be taken from CDAActClass (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActClass`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`ACT`
2040. ClinicalDocument.documentationOf.serviceEvent.moodCode
Control	0..1
Binding	The codes SHALL be taken from CDAActMood (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActMood`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`EVN`
2042. ClinicalDocument.documentationOf.serviceEvent.id
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2044. ClinicalDocument.documentationOf.serviceEvent.code
Definition	Drawn from concept domain ActCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
2046. ClinicalDocument.documentationOf.serviceEvent.effectiveTime
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	This serviceEvent SHALL contain exactly one [1..1] US Realm Date and Time (Interval) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:4537-14837).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
Is Modifier	false
Invariants	ivl-ts-center: Center cannot co-exist with low or high (`center.empty() or (low.empty() and high.empty())`) ivl-value-shall: 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: If a time interval contains @value, then it SHOULD contain a time component. (`value.exists() implies value.toString().length() > 10`)
2048. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2050. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.value
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Either @value or low/high should be present, but not both
Control	0..1
Type	dateTime(ts: Point in Time)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Date Format	YYYYMMDDHHMMSS.UUUU[+\|-ZZzz]
XML Format	In the XML format, this property is represented as an attribute.
2052. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator
Definition	A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.
Control	0..1
Binding	The codes SHALL be taken from CDASetOperator (required to `http://hl7.org/cda/stds/core/ValueSet/CDASetOperator`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`I`
2054. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low
Definition	This is the low limit of the interval.
Short	MAY be precise to at least the second
Comments	This effectiveTime SHALL contain exactly one [1..1] low (CONF:4537-14838).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label	Low Boundary
Invariants	ts-shall-day: SHALL be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`) ts-should-minute: SHOULD be precise to at least the minute (`nullFlavor.exists() or value.toString().length() > 10`)
2056. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2058. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.value
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Control	0..1
Type	dateTime(ts: Point in Time)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Date Format	YYYYMMDDHHMMSS.UUUU[+\|-ZZzz]
XML Format	In the XML format, this property is represented as an attribute.
2060. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.inclusive
Definition	Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
2062. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.center
Definition	The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS
Label	Central Value
2064. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.width
Definition	The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PQ
Label	Width
2066. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high
Definition	This is the high limit of the interval.
Short	MAY be precise to at least the second
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label	High Boundary
Invariants	ts-shall-day: SHALL be precise to at least the day (`nullFlavor.exists() or value.toString().length() >= 10`) ts-should-minute: SHOULD be precise to at least the minute (`nullFlavor.exists() or value.toString().length() > 10`)
2068. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2070. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.value
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Control	0..1
Type	dateTime(ts: Point in Time)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Date Format	YYYYMMDDHHMMSS.UUUU[+\|-ZZzz]
XML Format	In the XML format, this property is represented as an attribute.
2072. ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.inclusive
Definition	Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
2074. ClinicalDocument.documentationOf.serviceEvent.performer
Short	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.
Comments	This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:4537-14839).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer1
2076. ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2078. ClinicalDocument.documentationOf.serviceEvent.performer.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
2080. ClinicalDocument.documentationOf.serviceEvent.performer.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2082. ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2084. ClinicalDocument.documentationOf.serviceEvent.performer.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
2086. ClinicalDocument.documentationOf.serviceEvent.performer.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
2088. ClinicalDocument.documentationOf.serviceEvent.performer.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
2090. ClinicalDocument.documentationOf.serviceEvent.performer.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
2092. ClinicalDocument.documentationOf.serviceEvent.performer.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2094. ClinicalDocument.documentationOf.serviceEvent.performer.typeCode
Comments	The performer, if present, SHALL contain exactly one [1..1] @typeCode, which SHALL be selected from ValueSet x_ServiceEventPerformer urn:oid:2.16.840.1.113883.1.11.19601 STATIC (CONF:4537-14840).
Control	1..1
Binding	The codes SHALL be taken from x_ServiceEventPerformer (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
2096. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode
Comments	The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:4537-16818).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
Invariants	should-code-attr: SHOULD contain @code (`code.exists()`)
2098. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2100. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	The functionCode, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4537-32889).
Control	0..1
Binding	The codes SHOULD be taken from Care Team Member Function (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
2102. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
2104. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
2106. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
2108. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
2110. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
2112. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
2114. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
2116. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
2118. ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
2120. ClinicalDocument.documentationOf.serviceEvent.performer.time
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
Is Modifier	false
Invariants	ivl-ts-center: Center cannot co-exist with low or high (`center.empty() or (low.empty() and high.empty())`) ivl-value-shall: 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: If a time interval contains @value, then it SHOULD contain a time component. (`value.exists() implies value.toString().length() > 10`)
2122. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity
Comments	The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:4537-14841).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants	should-us-code: SHOULD contain code (`code.exists()`)
2124. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2126. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
2128. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2130. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2132. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
2134. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
2136. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
2138. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
2140. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2142. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ASSIGNED`
2144. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-14846).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2146. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2148. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
2150. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
2152. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-14847).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
2154. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
2156. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
2158. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code
Comments	This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:4537-14842).
Control	0..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
2160. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.addr
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD
2162. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.telecom
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
2164. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.assignedPerson
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
2166. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.representedOrganization
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
2168. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcPatient
Control	0..1
Type	http://hl7.org/fhir/StructureDefinition/Base
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`patient`.
2170. ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcPatient.id
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
2172. ClinicalDocument.relatedDocument
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/RelatedDocument
2174. ClinicalDocument.authorization
Short	The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document.
Comments	MAY contain zero or more [0..*] authorization (CONF:4537-16792) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Authorization
2176. ClinicalDocument.authorization.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2178. ClinicalDocument.authorization.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
2180. ClinicalDocument.authorization.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2182. ClinicalDocument.authorization.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2184. ClinicalDocument.authorization.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
2186. ClinicalDocument.authorization.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
2188. ClinicalDocument.authorization.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
2190. ClinicalDocument.authorization.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
2192. ClinicalDocument.authorization.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2194. ClinicalDocument.authorization.typeCode
Control	0..1
Binding	The codes SHALL be taken from ActRelationshipAuthorizedBy (required to `http://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`AUTH`
2196. ClinicalDocument.authorization.consent
Comments	SHALL contain exactly one [1..1] consent (CONF:4537-16793).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Consent
2198. ClinicalDocument.authorization.consent.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2200. ClinicalDocument.authorization.consent.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
2202. ClinicalDocument.authorization.consent.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2204. ClinicalDocument.authorization.consent.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2206. ClinicalDocument.authorization.consent.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
2208. ClinicalDocument.authorization.consent.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
2210. ClinicalDocument.authorization.consent.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
2212. ClinicalDocument.authorization.consent.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
2214. ClinicalDocument.authorization.consent.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2216. ClinicalDocument.authorization.consent.classCode
Control	0..1
Binding	The codes SHALL be taken from CDAActClass (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActClass`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`CONS`
2218. ClinicalDocument.authorization.consent.moodCode
Control	0..1
Binding	The codes SHALL be taken from CDAActMood (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActMood`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`EVN`
2220. ClinicalDocument.authorization.consent.id
Comments	This consent MAY contain zero or more [0..*] id (CONF:4537-16794).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2222. ClinicalDocument.authorization.consent.code
Short	The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code.
Comments	This consent MAY contain zero or one [0..1] code (CONF:4537-16795).
Control	0..1
Binding	For example codes, see v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
2224. ClinicalDocument.authorization.consent.statusCode
Comments	This consent SHALL contain exactly one [1..1] statusCode (CONF:4537-16797).
Control	1..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
2226. ClinicalDocument.authorization.consent.statusCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2228. ClinicalDocument.authorization.consent.statusCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:4537-16798).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Fixed Value	`completed`
2230. ClinicalDocument.authorization.consent.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
2232. ClinicalDocument.authorization.consent.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
2234. ClinicalDocument.authorization.consent.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
2236. ClinicalDocument.authorization.consent.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
2238. ClinicalDocument.authorization.consent.statusCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
2240. ClinicalDocument.authorization.consent.statusCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
2242. ClinicalDocument.authorization.consent.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
2244. ClinicalDocument.authorization.consent.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
2246. ClinicalDocument.authorization.consent.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
2248. ClinicalDocument.componentOf
Short	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.
Comments	MAY contain zero or one [0..1] componentOf (CONF:4537-9955).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ComponentOf
2250. ClinicalDocument.componentOf.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2252. ClinicalDocument.componentOf.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
2254. ClinicalDocument.componentOf.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2256. ClinicalDocument.componentOf.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2258. ClinicalDocument.componentOf.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
2260. ClinicalDocument.componentOf.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
2262. ClinicalDocument.componentOf.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
2264. ClinicalDocument.componentOf.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
2266. ClinicalDocument.componentOf.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2268. ClinicalDocument.componentOf.typeCode
Control	0..1
Binding	The codes SHALL be taken from ActRelationshipHasComponent (required to `http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`COMP`
2270. ClinicalDocument.componentOf.encompassingEncounter
Comments	The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:4537-9956).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/EncompassingEncounter
Invariants	should-responsibleParty: SHOULD contain responsibleParty (`responsibleParty.exists()`)
2272. ClinicalDocument.componentOf.encompassingEncounter.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2274. ClinicalDocument.componentOf.encompassingEncounter.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
2276. ClinicalDocument.componentOf.encompassingEncounter.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2278. ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2280. ClinicalDocument.componentOf.encompassingEncounter.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
2282. ClinicalDocument.componentOf.encompassingEncounter.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
2284. ClinicalDocument.componentOf.encompassingEncounter.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
2286. ClinicalDocument.componentOf.encompassingEncounter.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
2288. ClinicalDocument.componentOf.encompassingEncounter.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2290. ClinicalDocument.componentOf.encompassingEncounter.classCode
Control	0..1
Binding	The codes SHALL be taken from CDAActClass (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActClass`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ENC`
2292. ClinicalDocument.componentOf.encompassingEncounter.moodCode
Control	0..1
Binding	The codes SHALL be taken from CDAActMood (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActMood`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`EVN`
2294. ClinicalDocument.componentOf.encompassingEncounter.id
Comments	This encompassingEncounter SHALL contain at least one [1..*] id (CONF:4537-9959).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2296. ClinicalDocument.componentOf.encompassingEncounter.code
Comments	This encompassingEncounter MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Act Encounter Codes urn:oid:2.16.840.1.113762.1.4.1240.5 (CONF:1198-30873).
Control	0..1
Binding	The codes SHOULD be taken from Act Encounter Codes (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
2298. ClinicalDocument.componentOf.encompassingEncounter.effectiveTime
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Short	Base for all types and resources
Comments	This encompassingEncounter SHALL contain exactly one [1..1] US Realm Date and Time (Interval) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:4537-9958).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
Is Modifier	false
Invariants	ivl-ts-center: Center cannot co-exist with low or high (`center.empty() or (low.empty() and high.empty())`) ivl-value-shall: 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: If a time interval contains @value, then it SHOULD contain a time component. (`value.exists() implies value.toString().length() > 10`)
2300. ClinicalDocument.componentOf.encompassingEncounter.sdtcAdmissionReferralSourceCode
Definition	This element is a coded concept that represents the type of referral. Its RIM source class is PatientEncounter.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`admissionReferralSourceCode`.
2302. ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode
Control	0..1
Binding	For example codes, see USEncounterDischargeDisposition (example to `http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
2304. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty
Definition	The responsibleParty participant represents the participant having primary legal responsibility for the encounter. This differs from the legalAuthenticator participant in that the legalAuthenticator may or may not be the responsible party, and is serving a medical records function by signing off on the document, moving it into a completed state.
Comments	This encompassingEncounter SHOULD contain zero or one [0..1] responsibleParty (CONF:1198-8391).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
2306. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2308. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
2310. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2312. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2314. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
2316. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
2318. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
2320. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
2322. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2324. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode
Control	0..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`RESP`
2326. ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity
Comments	The responsibleParty, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-32904).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants	1198-32905: This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). (`assignedPerson.exists() or representedOrganization.exists()`)
2328. ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EncounterParticipant
2330. ClinicalDocument.componentOf.encompassingEncounter.location
Definition	The location participant (location class) relates a healthcare facility (HealthCareFacility class) to the encounter to indicate where the encounter took place. The entity playing the role of HealthCareFacility is a place (Place class). The entity scoping the HealthCareFacility role is an organization (Organization class). The setting of an encounter (e.g. cardiology clinic, primary care clinic, rehabilitation hospital, skilled nursing facility) can be expressed in HealthCareFacility.code. Note that setting and physical location are not the same. There is a many-to-many relationship between setting and the physical location where care is delivered. Thus, a particular room can provide the location for cardiology clinic one day, and for primary care clinic another day; and cardiology clinic today might be held in one physical location, but in another physical location tomorrow. When the location is an organization, this is indicated by the presence of a scoping Organization, without a playing Place.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
2332. ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2334. ClinicalDocument.componentOf.encompassingEncounter.location.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
2336. ClinicalDocument.componentOf.encompassingEncounter.location.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2338. ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
2340. ClinicalDocument.componentOf.encompassingEncounter.location.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
2342. ClinicalDocument.componentOf.encompassingEncounter.location.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
2344. ClinicalDocument.componentOf.encompassingEncounter.location.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
2346. ClinicalDocument.componentOf.encompassingEncounter.location.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
2348. ClinicalDocument.componentOf.encompassingEncounter.location.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
2350. ClinicalDocument.componentOf.encompassingEncounter.location.typeCode
Control	0..1
Binding	The codes SHALL be taken from ParticipationTargetLocation (required to `http://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`LOC`
2352. ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/HealthCareFacility
2354. ClinicalDocument.component
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Component