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

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

Logical Model: US Realm Header for Patient Generated Document

This template focuses on the patient or related person in the roles of author and other participants and is designed to be used in conjunction with the US Realm Header. It includes additional conformances which further constrain the US Realm Header. The Patient Generated Document Header template is not a separate document type. The document body may contain any structured or unstructured content from C-CDA.

Usage:

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

Formal Views of Template Content

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

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

This structure is derived from USRealmHeader

Name	Flags	Card.	Type	Description & Constraints
ClinicalDocument		1..1	USRealmHeader	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
templateId		2..*	II
Slices for templateId				Content/Rules for all slices
templateId:us-patient-gen-doc		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.29.1
@extension		1..1	st	Required Pattern: 2024-05-01
recordTarget		1..1	RecordTarget	The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded.
patientRole		1..1	PatientRole
id		1..*	II
patient	C	1..1	Patient	should-languageCommunication: SHOULD contain languageCommunication
guardian	C	0..*	Guardian	should-id: SHOULD contain id should-code: SHOULD contain code
id		0..*	II
code		0..1	CE
languageCommunication		0..*	LanguageCommunication	𝗨𝗦𝗖𝗗𝗜: Preferred Language
languageCode		1..1	CS	Binding: AllLanguages (required)
preferenceInd		0..1	BL	Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1.
providerOrganization		0..1	Organization	If present, this organization represents the provider organization where the person is claiming to be a patient.
author		1..*	Author	The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate.
assignedAuthor	C	1..1	AssignedAuthor	should-code: SHOULD contain code
id		1..*	II
code		0..1	CE	When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient.
@code		1..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
dataEnterer		0..1	DataEnterer	The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author.
assignedEntity		1..1	AssignedEntity
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
Slices for informant				Content/Rules for all slices
informant:non-provider		0..*	Informant	The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
relatedEntity		1..1	RelatedEntity
code	C	0..1	CE	should-us-code-attr: SHOULD contain @code
@code		0..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
custodian		1..1	Custodian	The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), 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. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization.
assignedCustodian		1..1	AssignedCustodian
representedCustodianOrganization		1..1	CustodianOrganization	The representedCustodianOrganization may be the person when the document is not maintained by an organization.
id		1..*	II	The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way.
informationRecipient		0..*	InformationRecipient	The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart.
intendedRecipient	C	1..1	IntendedRecipient	should-id: SHOULD contain id
id	C	0..*	II	The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. should-root: SHOULD contain @root
@root		0..1	oid, uuid, ruid	For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document.
legalAuthenticator		0..1	LegalAuthenticator	In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored 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. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person.
assignedEntity		1..1	AssignedEntity
id		1..*	II	The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way.
code		0..1	CE
@code		0..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
authenticator		0..*	Authenticator	The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
assignedEntity	C	1..1	AssignedEntity	should-code: SHOULD contain code
id		1..*	II	The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way.
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
participant		0..*	Participant1	The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants 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)
@typeCode		1..1	cs	Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30
associatedEntity	C	1..1	AssociatedEntity	should-code: SHOULD contain code
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
inFulfillmentOf		0..*	InFulfillmentOf	The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
order		1..1	Order
id		1..*	II	A scheduled appointment or service event in a practice management system may be represented using this id element.
documentationOf		0..*	DocumentationOf
serviceEvent	C	1..1	ServiceEvent	A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-code: SHOULD contain code should-performer: SHOULD contain performer
code		0..1	CE	The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document.
performer		0..*	Performer1	The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors.
functionCode		0..1	CE	When indicating the performer was the primary care physician, implementers should indicate "PCP" as the functionCode
@code		0..1	cs	Binding: ParticipationFunction (required)
assignedEntity		1..1	AssignedEntity
id		1..*	II	The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way.
code		0..1	CE	If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set Binding: Personal And Legal Relationship Role Type (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.author.assignedAuthor.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.informant:non-provider.relatedEntity.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.participant.associatedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code	required	ParticipationFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.10267 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
should-code	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.authenticator.assignedEntity, ClinicalDocument.participant.associatedEntity, ClinicalDocument.documentationOf.serviceEvent	SHOULD contain code : code.exists()
should-id	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.informationRecipient.intendedRecipient	SHOULD contain id : id.exists()
should-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-performer	warning	ClinicalDocument.documentationOf.serviceEvent	SHOULD contain performer : performer.exists()
should-root	warning	ClinicalDocument.informationRecipient.intendedRecipient.id	SHOULD contain @root : root.exists()
should-us-code-attr	warning	ClinicalDocument.informant:non-provider.relatedEntity.code	SHOULD contain @code : code.exists()

Name	Flags	Card.	Type	Description & Constraints
ClinicalDocument	C	1..1	USRealmHeader	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) 4537-6380: If setId is present versionNumber **SHALL** be present (CONF:4537-6380). 4537-6387: If versionNumber is present setId **SHALL** be present (CONF:4537-6387). should-legalAuthenticator: SHOULD contain legalAuthenticator should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant
realmCode		1..1	CS
@code		1..1	cs	Required Pattern: US
typeId		1..1	II
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st	Fixed Value: POCD_HD000040
Slices for templateId		2..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:us-realm		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.1
@extension		1..1	st	Required Pattern: 2024-05-01
templateId:us-patient-gen-doc		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.29.1
@extension		1..1	st	Required Pattern: 2024-05-01
id		1..1	II	**SHALL** be a globally unique identifier for the document (CONF:4537-9991).
code		1..1	CE	**SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992). Binding: FHIRDocumentTypeCodes (example)
@code		1..1	cs
@codeSystem		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.6.1
title		1..1	ST	The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
effectiveTime	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
confidentialityCode		1..1	CE
@code		1..1	cs	Binding: HL7 BasicConfidentialityKind (preferred)
languageCode		1..1	CS	Binding: AllLanguages (required)
recordTarget		1..1	RecordTarget	The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded.
patientRole		1..1	PatientRole
id		1..*	II
addr	C	1..*	USRealmAddress	𝗨𝗦𝗖𝗗𝗜: Address shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	𝗨𝗦𝗖𝗗𝗜: Phone Number / Email should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
patient	C	1..1	Patient	4537-32993: If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true should-maritalStatusCode: SHOULD contain maritalStatusCode should-us-languageCommunication: SHOULD contain languageCommunication should-languageCommunication: SHOULD contain languageCommunication
name	C	1..*	USRealmPatientNamePTNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. shall-family: SHALL contain exactly one [1..1] family (CONF:81-7159). shall-given: SHALL contain at least one [1..*] given (CONF:81-7157). shall-max-suffix: There may be at most one suffix 81-7278: **SHALL NOT** have mixed content except for white space (CONF:81-7278).
administrativeGenderCode		1..1	CE	Binding: Administrative Gender (HL7 V3) (required)
birthTime	C	1..1	TS	𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day
raceCode		1..1	CE	𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls (required)
ethnicGroupCode		1..1	CE	𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity (required)
guardian	C	0..*	Guardian	should-us-code: SHOULD contain code should-us-addr: SHOULD contain addr should-us-telecom: SHOULD contain telecom should-id: SHOULD contain id should-code: SHOULD contain code
id		0..*	II
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (required)
guardianPerson		1..1	Person
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
languageCommunication	C	0..*	LanguageCommunication	𝗨𝗦𝗖𝗗𝗜: Preferred Language should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode should-preferenceInd: SHOULD contain preferenceInd
languageCode		1..1	CS	Binding: AllLanguages (required)
preferenceInd		0..1	BL	Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1.
providerOrganization		0..1	Organization	If present, this organization represents the provider organization where the person is claiming to be a patient.
id		1..*	II
name		1..*	ON
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
author		1..*	Author	The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate.
time	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
assignedAuthor	C	1..1	AssignedAuthor	4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). should-id-npi: SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) should-us-code: SHOULD contain code should-code: SHOULD contain code
Slices for id		1..*	II	Slice: Unordered, Open by value:root
id:npi	C	0..1	II	should-extension: SHOULD contain extension
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.4.6
code		0..1	CE	When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient. Binding: CDARoleCode (example)
@code		1..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
dataEnterer		0..1	DataEnterer	The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author.
assignedEntity		1..1	AssignedEntity
id		1..*	II
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
Slices for informant		0..*	Informant	Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity
informant:provider		0..*	Informant	The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.
assignedEntity		1..1	AssignedEntity
id		1..*	II	If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946).
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
assignedPerson		1..1	Person
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
informant:non-provider		0..*	Informant	The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
relatedEntity		1..1	RelatedEntity
@classCode		1..1	cs	Binding: CDARoleClassMutualRelationship (required)
code	C	0..1	CE	Binding: PersonalRelationshipRoleType (example) should-us-code-attr: SHOULD contain @code
@code		0..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
custodian		1..1	Custodian	The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), 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. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization.
assignedCustodian		1..1	AssignedCustodian
representedCustodianOrganization		1..1	CustodianOrganization	The representedCustodianOrganization may be the person when the document is not maintained by an organization.
id		1..*	II	The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way.
name		1..1	ON
telecom	C	1..1	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
addr	C	1..1	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
informationRecipient		0..*	InformationRecipient	The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart.
intendedRecipient	C	1..1	IntendedRecipient	should-id: SHOULD contain id
id	C	0..*	II	The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. should-root: SHOULD contain @root
@root		0..1	oid, uuid, ruid	For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document.
legalAuthenticator		0..1	LegalAuthenticator	In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored 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. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person.
time	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
signatureCode	C	1..1	CS	Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'.
@code		1..1	cs	Required Pattern: S
assignedEntity		1..1	AssignedEntity
id		1..*	II	The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way.
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
@code		0..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
authenticator		0..*	Authenticator	The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
time	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
signatureCode	C	1..1	CS	Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'.
@code		1..1	cs	Required Pattern: S
assignedEntity	C	1..1	AssignedEntity	should-code: SHOULD contain code
id		1..*	II	The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way.
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
participant	C	0..*	Participant1	The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin) 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007).
@typeCode		1..1	cs	Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 Binding: CDAParticipationType (required)
associatedEntity	C	1..1	AssociatedEntity	should-code: SHOULD contain code
@classCode		1..1	cs	Binding: CDARoleClassAssociative (required)
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
inFulfillmentOf		0..*	InFulfillmentOf	The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
order		1..1	Order
id		1..*	II	A scheduled appointment or service event in a practice management system may be represented using this id element.
documentationOf		0..*	DocumentationOf
serviceEvent	C	1..1	ServiceEvent	A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-us-performer: SHOULD contain performer should-code: SHOULD contain code should-performer: SHOULD contain performer
code		0..1	CE	The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document.
effectiveTime	C	1..1	USRealmDateTimeInterval	Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component.
low	C	1..1	IVXB_TS	**MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
performer		0..*	Performer1	The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors.
@typeCode		1..1	cs	Binding: x_ServiceEventPerformer (required)
functionCode	C	0..1	CE	When indicating the performer was the primary care physician, implementers should indicate "PCP" as the functionCode should-code-attr: SHOULD contain @code
@code		0..1	cs	Binding: ParticipationFunction (required)
assignedEntity	C	1..1	AssignedEntity	should-us-code: SHOULD contain code
id		1..*	II	The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way.
code		0..1	CE	If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set Binding: Personal And Legal Relationship Role Type (preferred)
component		1..1	Component
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ClinicalDocument.code	example	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
ClinicalDocument.confidentialityCode.code	preferred	HL7BasicConfidentialityKind http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 from https://vsac.nlm.nih.gov
ClinicalDocument.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.recordTarget.patientRole.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode	required	AdministrativeGenderHL7V3 http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.raceCode	required	RaceCategoryExcludingNulls http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode	required	Ethnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.code	required	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.code	example	CDARoleCode http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
ClinicalDocument.author.assignedAuthor.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.informant:non-provider.relatedEntity.classCode	required	CDARoleClassMutualRelationship http://hl7.org/cda/stds/core/ValueSet/CDARoleClassMutualRelationship
ClinicalDocument.informant:non-provider.relatedEntity.code	example	PersonalRelationshipRoleType http://terminology.hl7.org/ValueSet/v3-PersonalRelationshipRoleType
ClinicalDocument.informant:non-provider.relatedEntity.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.signatureCode	required	CDASignatureCode http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
ClinicalDocument.legalAuthenticator.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy) http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.signatureCode	required	CDASignatureCode http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
ClinicalDocument.authenticator.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.participant.typeCode	required	CDAParticipationType http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.participant.associatedEntity.classCode	required	CDARoleClassAssociative http://hl7.org/cda/stds/core/ValueSet/CDARoleClassAssociative
ClinicalDocument.participant.associatedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode	required	X_ServiceEventPerformer http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code	required	ParticipationFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.10267 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
4537-6380	error	ClinicalDocument	If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists()
4537-6387	error	ClinicalDocument	If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists()
4537-10006	error	ClinicalDocument.participant	**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()
4537-10007	warning	ClinicalDocument.participant	When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')
4537-16790	error	ClinicalDocument.author.assignedAuthor	There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1
4537-21000	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
4537-32993	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()
81-7278	error	ClinicalDocument.recordTarget.patientRole.patient.name	**SHALL NOT** have mixed content except for white space (CONF:81-7278). : item.xmlText.empty()
81-7296	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	**SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty()
81-9371	error	ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()
81-9372	error	ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()
81-10024	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))
81-10025	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))
ivl-ts-center	error	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty())
ivl-value-shall	error	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10
ivl-value-should	warning	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10
pn-no-ls	error	ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()
shall-city	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1
shall-family	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain exactly one [1..1] family (CONF:81-7159). : nullFlavor.exists() or item.family.count() = 1
shall-given	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain at least one [1..*] given (CONF:81-7157). : nullFlavor.exists() or item.given.exists()
shall-max-ad-parts	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)
shall-max-suffix	error	ClinicalDocument.recordTarget.patientRole.patient.name	There may be at most one suffix : (item.suffix.empty() or item.suffix.count() = 1)
shall-streetAddressLine	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)
should-code	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.authenticator.assignedEntity, ClinicalDocument.participant.associatedEntity, ClinicalDocument.documentationOf.serviceEvent	SHOULD contain code : code.exists()
should-code-attr	warning	ClinicalDocument.documentationOf.serviceEvent.performer.functionCode	SHOULD contain @code : code.exists()
should-country	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHOULD contain country : nullFlavor.exists() or item.country.exists()
should-extension	warning	ClinicalDocument.author.assignedAuthor.id:npi	SHOULD contain extension : extension.exists()
should-id	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.informationRecipient.intendedRecipient	SHOULD contain id : id.exists()
should-id-npi	warning	ClinicalDocument.author.assignedAuthor	SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6')
should-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-legalAuthenticator	warning	ClinicalDocument	SHOULD contain legalAuthenticator : legalAuthenticator.exists()
should-maritalStatusCode	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain maritalStatusCode : maritalStatusCode.exists()
should-performer	warning	ClinicalDocument.documentationOf.serviceEvent	SHOULD contain performer : performer.exists()
should-preferenceInd	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain preferenceInd : preferenceInd.exists()
should-proficiencyLevelCode	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists()
should-relatedParticipant	warning	ClinicalDocument	Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
should-root	warning	ClinicalDocument.informationRecipient.intendedRecipient.id	SHOULD contain @root : root.exists()
should-us-addr	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian	SHOULD contain addr : addr.exists()
should-us-code	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity	SHOULD contain code : code.exists()
should-us-code-attr	warning	ClinicalDocument.informant:non-provider.relatedEntity.code	SHOULD contain @code : code.exists()
should-us-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-us-performer	warning	ClinicalDocument.documentationOf.serviceEvent	SHOULD contain performer : performer.exists()
should-us-telecom	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian	SHOULD contain telecom : telecom.exists()
should-use	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.telecom	SHOULD contain @use : nullFlavor.exists() or use.exists()
signature	warning	ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode	CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X'
ts-shall-day	error	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low	**SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-shall-year	error	ClinicalDocument.recordTarget.patientRole.patient.birthTime	**SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4
ts-should-day	warning	ClinicalDocument.recordTarget.patientRole.patient.birthTime	**SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-should-minute	warning	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10

Name	Flags	Card.	Type	Description & Constraints
ClinicalDocument	C	1..1	USRealmHeader	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) 4537-6380: If setId is present versionNumber **SHALL** be present (CONF:4537-6380). 4537-6387: If versionNumber is present setId **SHALL** be present (CONF:4537-6387). should-legalAuthenticator: SHOULD contain legalAuthenticator should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@classCode		0..1	cs	Binding: CDAActClass (example) Fixed Value: DOCCLIN
@moodCode		0..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
realmCode		1..1	CS
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: US
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
typeId		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st	Fixed Value: POCD_HD000040
Slices for templateId		2..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:us-realm		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.1
@extension		1..1	st	Required Pattern: 2024-05-01
templateId:us-patient-gen-doc		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.29.1
@extension		1..1	st	Required Pattern: 2024-05-01
id		1..1	II	**SHALL** be a globally unique identifier for the document (CONF:4537-9991).
sdtcCategory		0..*	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
code		1..1	CE	**SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992). Binding: FHIRDocumentTypeCodes (example)
@code		1..1	cs
@codeSystem		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
title		1..1	ST	The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
sdtcStatusCode		0..1	CS	XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required)
effectiveTime	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
confidentialityCode		1..1	CE
@code		1..1	cs	Binding: HL7 BasicConfidentialityKind (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
languageCode		1..1	CS	Binding: AllLanguages (required)
setId		0..1	II
versionNumber		0..1	INT
copyTime		0..1	TS
recordTarget		1..1	RecordTarget	The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: RCT
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
patientRole		1..1	PatientRole
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassRelationshipFormal (required) Fixed Value: PAT
id		1..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr	C	1..*	USRealmAddress	𝗨𝗦𝗖𝗗𝗜: Address shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	𝗨𝗦𝗖𝗗𝗜: Phone Number / Email should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
patient	C	1..1	Patient	4537-32993: If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true should-maritalStatusCode: SHOULD contain maritalStatusCode should-us-languageCommunication: SHOULD contain languageCommunication should-languageCommunication: SHOULD contain languageCommunication
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		0..1	II
name	C	1..*	USRealmPatientNamePTNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. shall-family: SHALL contain exactly one [1..1] family (CONF:81-7159). shall-given: SHALL contain at least one [1..*] given (CONF:81-7157). shall-max-suffix: There may be at most one suffix 81-7278: **SHALL NOT** have mixed content except for white space (CONF:81-7278).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
administrativeGenderCode		1..1	CE	Binding: Administrative Gender (HL7 V3) (required)
birthTime	C	1..1	TS	𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day
sdtcDeceasedInd		0..1	BL	XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc)
sdtcDeceasedTime	C	0..1	TS	XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) should-value-att: SHOULD contain @value ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day
sdtcMultipleBirthInd		0..1	BL	XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc)
sdtcMultipleBirthOrderNumber		0..1	INT_POS	XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc)
maritalStatusCode		0..1	CE	Binding: Marital Status (required)
religiousAffiliationCode		0..1	CE	Binding: Religious Affiliation (required)
raceCode		1..1	CE	𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls (required)
sdtcRaceCode		0..*	CE	XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Race Value Set (required)
ethnicGroupCode		1..1	CE	𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity (required)
sdtcEthnicGroupCode		0..*	CE	XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity (required)
guardian	C	0..*	Guardian	should-us-code: SHOULD contain code should-us-addr: SHOULD contain addr should-us-telecom: SHOULD contain telecom should-id: SHOULD contain id should-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAgent (required) Fixed Value: GUARD
id		0..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (required)
addr	C	0..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	0..*	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
guardianPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
guardianOrganization		0..1	Organization
birthplace		0..1	Birthplace
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassPassive (required) Fixed Value: BIRTHPL
place		1..1	Place
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassPlace (required) Fixed Value: PLC
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name		0..1	EN
addr	C	1..1	AD	4537-5402: If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). 4537-5403: If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). should-country: SHOULD contain country
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@isNotOrdered		0..1	bl
@use		0..*	cs	Binding: CDAPostalAddressUse (required)
item	C	0..*	Base	Choice Group: This is a repeating choice group that does not appear directly in the instance AD-1: Can only have only one of the possible item elements in each choice
(Choice of one)		1..1
delimiter	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DEL
country	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CNT
state	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STA
county	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CPA
city	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CTY
postalCode	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: ZIP
streetAddressLine	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: SAL
houseNumber	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: BNR
houseNumberNumeric	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: BNN
direction	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DIR
streetName	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STR
streetNameBase	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STB
streetNameType	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STTYP
additionalLocator	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: ADL
unitID	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: UNID
unitType	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: UNIT
careOf	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CAR
censusTract	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CEN
deliveryAddressLine	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DAL
deliveryInstallationType	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DINST
deliveryInstallationArea	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DINSTA
deliveryInstallationQualifier	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DINSTQ
deliveryMode	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DMOD
deliveryModeIdentifier	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DMODID
buildingNumberSuffix	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: BNS
postBox	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: POB
precinct	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: PRE
xmlText		0..1	st	Allows for mixed text content
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
languageCommunication	C	0..*	LanguageCommunication	𝗨𝗦𝗖𝗗𝗜: Preferred Language should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode should-preferenceInd: SHOULD contain preferenceInd
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
languageCode		1..1	CS	Binding: AllLanguages (required)
modeCode		0..1	CE	Binding: LanguageAbilityMode (required)
proficiencyLevelCode		0..1	CE	Binding: LanguageAbilityProficiency (required)
preferenceInd		0..1	BL	Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1.
providerOrganization		0..1	Organization	If present, this organization represents the provider organization where the person is claiming to be a patient.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid	should-npi: SHOULD be NPI
@extension		0..1	st
name		1..*	ON
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
standardIndustryClassCode		0..1	CE	Binding: OrganizationIndustryClassNAICS (example)
asOrganizationPartOf		0..1	OrganizationPartOf
author		1..*	Author	The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: AUT
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
assignedAuthor	C	1..1	AssignedAuthor	4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). should-id-npi: SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) should-us-code: SHOULD contain code should-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
Slices for id		1..*	II	Slice: Unordered, Open by value:root
id:npi	C	0..1	II	should-extension: SHOULD contain extension
@nullFlavor		0..1	cs	If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.4.6
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient. Binding: CDARoleCode (example)
@code		1..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
(Choice of one)		1..1
assignedPerson		0..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
assignedAuthoringDevice		0..1	AuthoringDevice
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassDevice (required) Fixed Value: DEV
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
code		0..1	CE	Binding: CDAEntityCode (example)
manufacturerModelName		1..1	SC	Binding: Manufacturer Model Name Example (example)
softwareName		1..1	SC	Binding: Software Name Example (example)
asMaintainedEntity		0..*	MaintainedEntity
representedOrganization		0..1	Organization
dataEnterer		0..1	DataEnterer	The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: ENT
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
time	C	0..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid	should-npi: SHOULD be NPI
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
Slices for informant		0..*	Informant	Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity
informant:provider		0..*	Informant	The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: INF
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II	If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946).
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom		0..*	TEL
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
informant:non-provider		0..*	Informant	The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: INF
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
relatedEntity		1..1	RelatedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Binding: CDARoleClassMutualRelationship (required)
code	C	0..1	CE	Binding: PersonalRelationshipRoleType (example) should-us-code-attr: SHOULD contain @code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
addr		0..*	AD
telecom		0..*	TEL
effectiveTime		0..1	IVL_TS
relatedPerson		0..1	Person
custodian		1..1	Custodian	The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), 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. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: CST
assignedCustodian		1..1	AssignedCustodian
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
representedCustodianOrganization		1..1	CustodianOrganization	The representedCustodianOrganization may be the person when the document is not maintained by an organization.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		1..*	II	The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid	should-npi: SHOULD be NPI
@extension		0..1	st
name		1..1	ON
telecom	C	1..1	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
sdtcTelecom		0..*	TEL	XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc)
addr	C	1..1	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
informationRecipient		0..*	InformationRecipient	The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: XInformationRecipient (2.0.0) (required)
intendedRecipient	C	1..1	IntendedRecipient	should-id: SHOULD contain id
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: CDAInformationRecipientRole (required)
id	C	0..*	II	The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. should-root: SHOULD contain @root
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		0..1	oid, uuid, ruid	For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document.
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr		0..*	AD
telecom		0..*	TEL
informationRecipient		0..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
receivedOrganization		0..1	Organization
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		0..*	II
name		1..1	ON
telecom		0..*	TEL
addr		0..*	AD
standardIndustryClassCode		0..1	CE	Binding: OrganizationIndustryClassNAICS (example)
asOrganizationPartOf		0..1	OrganizationPartOf
legalAuthenticator		0..1	LegalAuthenticator	In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored 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. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: LA
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
time	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
signatureCode	C	1..1	CS	Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: S
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText		0..1	ED	XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II	The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		0..1	oid, uuid, ruid	MAY contain '2.16.840.1.113883.4.6' (NPI)
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
authenticator		0..*	Authenticator	The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: AUTHEN
time	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
signatureCode	C	1..1	CS	Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: S
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText		0..1	ED	XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity	C	1..1	AssignedEntity	should-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II	The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid	should-npi: SHOULD be NPI
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs	Binding: Healthcare Provider Taxonomy (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
participant	C	0..*	Participant1	The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin) 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 Binding: CDAParticipationType (required)
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time	C	0..1	USRealmDateTimeInterval	Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component.
associatedEntity	C	1..1	AssociatedEntity	should-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Binding: CDARoleClassAssociative (required)
id		0..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
addr		0..*	AD
telecom		0..*	TEL
associatedPerson		0..1	Person
scopingOrganization		0..1	Organization
inFulfillmentOf		0..*	InFulfillmentOf	The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
order		1..1	Order
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: CDAActClass (required)
@moodCode		0..1	cs	Binding: CDAActMoodIntent (required) Fixed Value: RQO
id		1..*	II	A scheduled appointment or service event in a practice management system may be represented using this id element.
code		0..1	CE	Binding: v3 Code System ActCode (example)
priorityCode		0..1	CE	Binding: ActPriority (example)
documentationOf		0..*	DocumentationOf
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAActRelationshipType (required) Fixed Value: DOC
serviceEvent	C	1..1	ServiceEvent	A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-us-performer: SHOULD contain performer should-code: SHOULD contain code should-performer: SHOULD contain performer
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: CDAActClass (required)
@moodCode		0..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
id		0..*	II
code		0..1	CE	The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document.
effectiveTime	C	1..1	USRealmDateTimeInterval	Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator		0..1	cs	Binding: CDASetOperator (required)
low	C	1..1	IVXB_TS	**MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
center		0..1	TS
width		0..1	PQ
high	C	0..1	IVXB_TS	**MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
performer		0..*	Performer1	The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ServiceEventPerformer (required)
functionCode	C	0..1	CE	When indicating the performer was the primary care physician, implementers should indicate "PCP" as the functionCode should-code-attr: SHOULD contain @code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs	Binding: ParticipationFunction (required)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
time	C	0..1	USRealmDateTimeInterval	Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component.
assignedEntity	C	1..1	AssignedEntity	should-us-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II	The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid	should-npi: SHOULD be NPI
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set Binding: Personal And Legal Relationship Role Type (preferred)
addr		0..*	AD
telecom		0..*	TEL
assignedPerson		0..1	Person
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
relatedDocument		0..*	RelatedDocument
authorization		0..*	Authorization	The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH
consent		1..1	Consent
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: CDAActClass (required) Fixed Value: CONS
@moodCode		0..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
id		0..*	II
code		0..1	CE	The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: v3 Code System ActCode (example)
statusCode		1..1	CS	Binding: ActStatus (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Fixed Value: completed
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
componentOf		0..1	ComponentOf	The encompassing encounter represents the setting of the clinical encounter during which the document act(s) or ServiceEvent(s) occurred. In order to represent providers associated with a specific encounter, they are recorded within the encompassingEncounter as participants. In a CCD, the encompassingEncounter may be used when documenting a specific encounter and its participants. All relevant encounters in a CCD may be listed in the encounters section.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required) Fixed Value: COMP
encompassingEncounter	C	1..1	EncompassingEncounter	should-responsibleParty: SHOULD contain responsibleParty
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: CDAActClass (required) Fixed Value: ENC
@moodCode		0..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
id		1..*	II
code		0..1	CE	Binding: Act Encounter Codes (preferred)
effectiveTime	C	1..1	USRealmDateTimeInterval	Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component.
sdtcAdmissionReferralSourceCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc)
dischargeDispositionCode		0..1	CE	Binding: USEncounterDischargeDisposition (example)
responsibleParty		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: RESP
assignedEntity	C	1..1	AssignedEntity	1198-32905: This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905).
encounterParticipant		0..*	EncounterParticipant
location		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationTargetLocation (required) Fixed Value: LOC
healthCareFacility		1..1	HealthCareFacility
component		1..1	Component
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalDocument.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.classCode	example	Fixed Value: DOCCLIN http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.realmCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.templateId:us-realm.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.templateId:us-patient-gen-doc.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.code	example	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
ClinicalDocument.sdtcStatusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
ClinicalDocument.confidentialityCode.code	preferred	HL7BasicConfidentialityKind http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 from https://vsac.nlm.nih.gov
ClinicalDocument.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.recordTarget.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.typeCode	required	Fixed Value: RCT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.recordTarget.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.recordTarget.patientRole.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.classCode	required	Fixed Value: PAT http://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.recordTarget.patientRole.patient.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode	required	AdministrativeGenderHL7V3 http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode	required	MaritalStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode	required	ReligiousAffiliation http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.raceCode	required	RaceCategoryExcludingNulls http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode	required	RaceValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode	required	Ethnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode	required	DetailedEthnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode	required	Fixed Value: GUARD http://terminology.hl7.org/ValueSet/v3-RoleClassAgent
ClinicalDocument.recordTarget.patientRole.patient.guardian.code	required	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode	required	Fixed Value: BIRTHPL http://terminology.hl7.org/ValueSet/v3-RoleClassPassive
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode	required	Fixed Value: PLC http://terminology.hl7.org/ValueSet/v3-EntityClassPlace
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use	required	CDAPostalAddressUse http://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode	required	LanguageAbilityMode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode	required	LanguageAbilityProficiency http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
ClinicalDocument.author.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.typeCode	required	Fixed Value: AUT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.author.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.author.assignedAuthor.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.code	example	CDARoleCode http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
ClinicalDocument.author.assignedAuthor.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode	required	Fixed Value: DEV http://terminology.hl7.org/ValueSet/v3-EntityClassDevice
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code	example	CDAEntityCode http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName	example	ManufacturerModelNameExample http://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName	example	SoftwareNameExample http://terminology.hl7.org/ValueSet/v3-SoftwareNameExample
ClinicalDocument.dataEnterer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.typeCode	required	Fixed Value: ENT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.dataEnterer.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.typeCode	required	Fixed Value: INF http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.informant:provider.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.informant:provider.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.informant:provider.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy) http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 from https://vsac.nlm.nih.gov
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.typeCode	required	Fixed Value: INF http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.informant:non-provider.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.informant:non-provider.relatedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.relatedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.relatedEntity.classCode	required	CDARoleClassMutualRelationship http://hl7.org/cda/stds/core/ValueSet/CDARoleClassMutualRelationship
ClinicalDocument.informant:non-provider.relatedEntity.code	example	PersonalRelationshipRoleType http://terminology.hl7.org/ValueSet/v3-PersonalRelationshipRoleType
ClinicalDocument.informant:non-provider.relatedEntity.code.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.relatedEntity.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.custodian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.typeCode	required	Fixed Value: CST http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.custodian.assignedCustodian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.informationRecipient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.typeCode	required	XInformationRecipient http://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.classCode	required	CDAInformationRecipientRole http://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole
ClinicalDocument.informationRecipient.intendedRecipient.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
ClinicalDocument.legalAuthenticator.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.typeCode	required	Fixed Value: LA http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.legalAuthenticator.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.legalAuthenticator.signatureCode	required	CDASignatureCode http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy) http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.code.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.typeCode	required	Fixed Value: AUTHEN http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.authenticator.signatureCode	required	CDASignatureCode http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
ClinicalDocument.authenticator.signatureCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.code.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy) http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.typeCode	required	CDAParticipationType http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.participant.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.participant.associatedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.associatedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.associatedEntity.classCode	required	CDARoleClassAssociative http://hl7.org/cda/stds/core/ValueSet/CDARoleClassAssociative
ClinicalDocument.participant.associatedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.inFulfillmentOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.typeCode	required	Fixed Value: FLFS http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0
ClinicalDocument.inFulfillmentOf.order.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.order.classCode	required	CDAActClass http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.inFulfillmentOf.order.moodCode	required	Fixed Value: RQO http://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent
ClinicalDocument.inFulfillmentOf.order.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
ClinicalDocument.inFulfillmentOf.order.priorityCode	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
ClinicalDocument.documentationOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.typeCode	required	Fixed Value: DOC http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
ClinicalDocument.documentationOf.serviceEvent.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.classCode	required	CDAActClass http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.documentationOf.serviceEvent.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator	required	CDASetOperator http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode	required	X_ServiceEventPerformer http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code	required	ParticipationFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.10267 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.authorization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.typeCode	required	Fixed Value: AUTH http://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy
ClinicalDocument.authorization.consent.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.consent.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.consent.classCode	required	Fixed Value: CONS http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.authorization.consent.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.authorization.consent.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
ClinicalDocument.authorization.consent.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
ClinicalDocument.authorization.consent.statusCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.classCode	required	Fixed Value: ENC http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.componentOf.encompassingEncounter.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.componentOf.encompassingEncounter.code	preferred	ActEncounterCodes http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5 from https://vsac.nlm.nih.gov
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode	example	USEncounterDischargeDisposition http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode	required	Fixed Value: RESP http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode	required	Fixed Value: LOC http://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-32905	error	ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity	This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). : assignedPerson.exists() or representedOrganization.exists()
4537-5402	error	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr	If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))
4537-5403	warning	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr	If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))
4537-6380	error	ClinicalDocument	If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists()
4537-6387	error	ClinicalDocument	If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists()
4537-10006	error	ClinicalDocument.participant	**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()
4537-10007	warning	ClinicalDocument.participant	When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')
4537-16790	error	ClinicalDocument.author.assignedAuthor	There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1
4537-21000	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
4537-32993	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()
81-7278	error	ClinicalDocument.recordTarget.patientRole.patient.name	**SHALL NOT** have mixed content except for white space (CONF:81-7278). : item.xmlText.empty()
81-7296	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	**SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty()
81-9371	error	ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()
81-9372	error	ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()
81-10024	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))
81-10025	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))
AD-1	error	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item	Can only have only one of the possible item elements in each choice : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1
ivl-ts-center	error	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime	Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty())
ivl-value-shall	error	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime	If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10
ivl-value-should	warning	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime	If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10
pn-no-ls	error	ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()
shall-city	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1
shall-family	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain exactly one [1..1] family (CONF:81-7159). : nullFlavor.exists() or item.family.count() = 1
shall-given	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain at least one [1..*] given (CONF:81-7157). : nullFlavor.exists() or item.given.exists()
shall-max-ad-parts	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)
shall-max-suffix	error	ClinicalDocument.recordTarget.patientRole.patient.name	There may be at most one suffix : (item.suffix.empty() or item.suffix.count() = 1)
shall-streetAddressLine	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)
should-code	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.authenticator.assignedEntity, ClinicalDocument.participant.associatedEntity, ClinicalDocument.documentationOf.serviceEvent	SHOULD contain code : code.exists()
should-code-attr	warning	ClinicalDocument.documentationOf.serviceEvent.performer.functionCode	SHOULD contain @code : code.exists()
should-country	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHOULD contain country : nullFlavor.exists() or item.country.exists()
should-extension	warning	ClinicalDocument.author.assignedAuthor.id:npi	SHOULD contain extension : extension.exists()
should-id	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.informationRecipient.intendedRecipient	SHOULD contain id : id.exists()
should-id-npi	warning	ClinicalDocument.author.assignedAuthor	SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6')
should-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-legalAuthenticator	warning	ClinicalDocument	SHOULD contain legalAuthenticator : legalAuthenticator.exists()
should-maritalStatusCode	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain maritalStatusCode : maritalStatusCode.exists()
should-npi	warning	ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root	SHOULD be NPI : $this = '2.16.840.1.113883.4.6'
should-performer	warning	ClinicalDocument.documentationOf.serviceEvent	SHOULD contain performer : performer.exists()
should-preferenceInd	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain preferenceInd : preferenceInd.exists()
should-proficiencyLevelCode	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists()
should-relatedParticipant	warning	ClinicalDocument	Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
should-responsibleParty	warning	ClinicalDocument.componentOf.encompassingEncounter	SHOULD contain responsibleParty : responsibleParty.exists()
should-root	warning	ClinicalDocument.informationRecipient.intendedRecipient.id	SHOULD contain @root : root.exists()
should-us-addr	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian	SHOULD contain addr : addr.exists()
should-us-code	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity	SHOULD contain code : code.exists()
should-us-code-attr	warning	ClinicalDocument.informant:non-provider.relatedEntity.code	SHOULD contain @code : code.exists()
should-us-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-us-performer	warning	ClinicalDocument.documentationOf.serviceEvent	SHOULD contain performer : performer.exists()
should-us-telecom	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian	SHOULD contain telecom : telecom.exists()
should-use	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.telecom	SHOULD contain @use : nullFlavor.exists() or use.exists()
should-value-att	warning	ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime	SHOULD contain @value : value.exists()
signature	warning	ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode	CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X'
text-null	error	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct	xmlText and nullFlavor are mutually exclusive (one must be present) : (xmlText | nullFlavor).count() = 1
ts-shall-day	error	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high	**SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-shall-year	error	ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime	**SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4
ts-should-day	warning	ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime	**SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-should-minute	warning	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10

This structure is derived from USRealmHeader

Summary

Mandatory: 3 elements

Differential View

This structure is derived from USRealmHeader

Name	Flags	Card.	Type	Description & Constraints
ClinicalDocument		1..1	USRealmHeader	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
templateId		2..*	II
Slices for templateId				Content/Rules for all slices
templateId:us-patient-gen-doc		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.29.1
@extension		1..1	st	Required Pattern: 2024-05-01
recordTarget		1..1	RecordTarget	The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded.
patientRole		1..1	PatientRole
id		1..*	II
patient	C	1..1	Patient	should-languageCommunication: SHOULD contain languageCommunication
guardian	C	0..*	Guardian	should-id: SHOULD contain id should-code: SHOULD contain code
id		0..*	II
code		0..1	CE
languageCommunication		0..*	LanguageCommunication	𝗨𝗦𝗖𝗗𝗜: Preferred Language
languageCode		1..1	CS	Binding: AllLanguages (required)
preferenceInd		0..1	BL	Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1.
providerOrganization		0..1	Organization	If present, this organization represents the provider organization where the person is claiming to be a patient.
author		1..*	Author	The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate.
assignedAuthor	C	1..1	AssignedAuthor	should-code: SHOULD contain code
id		1..*	II
code		0..1	CE	When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient.
@code		1..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
dataEnterer		0..1	DataEnterer	The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author.
assignedEntity		1..1	AssignedEntity
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
Slices for informant				Content/Rules for all slices
informant:non-provider		0..*	Informant	The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
relatedEntity		1..1	RelatedEntity
code	C	0..1	CE	should-us-code-attr: SHOULD contain @code
@code		0..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
custodian		1..1	Custodian	The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), 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. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization.
assignedCustodian		1..1	AssignedCustodian
representedCustodianOrganization		1..1	CustodianOrganization	The representedCustodianOrganization may be the person when the document is not maintained by an organization.
id		1..*	II	The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way.
informationRecipient		0..*	InformationRecipient	The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart.
intendedRecipient	C	1..1	IntendedRecipient	should-id: SHOULD contain id
id	C	0..*	II	The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. should-root: SHOULD contain @root
@root		0..1	oid, uuid, ruid	For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document.
legalAuthenticator		0..1	LegalAuthenticator	In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored 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. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person.
assignedEntity		1..1	AssignedEntity
id		1..*	II	The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way.
code		0..1	CE
@code		0..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
authenticator		0..*	Authenticator	The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
assignedEntity	C	1..1	AssignedEntity	should-code: SHOULD contain code
id		1..*	II	The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way.
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
participant		0..*	Participant1	The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants 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)
@typeCode		1..1	cs	Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30
associatedEntity	C	1..1	AssociatedEntity	should-code: SHOULD contain code
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
inFulfillmentOf		0..*	InFulfillmentOf	The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
order		1..1	Order
id		1..*	II	A scheduled appointment or service event in a practice management system may be represented using this id element.
documentationOf		0..*	DocumentationOf
serviceEvent	C	1..1	ServiceEvent	A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-code: SHOULD contain code should-performer: SHOULD contain performer
code		0..1	CE	The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document.
performer		0..*	Performer1	The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors.
functionCode		0..1	CE	When indicating the performer was the primary care physician, implementers should indicate "PCP" as the functionCode
@code		0..1	cs	Binding: ParticipationFunction (required)
assignedEntity		1..1	AssignedEntity
id		1..*	II	The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way.
code		0..1	CE	If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set Binding: Personal And Legal Relationship Role Type (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.author.assignedAuthor.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.informant:non-provider.relatedEntity.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.participant.associatedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code	required	ParticipationFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.10267 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
should-code	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.authenticator.assignedEntity, ClinicalDocument.participant.associatedEntity, ClinicalDocument.documentationOf.serviceEvent	SHOULD contain code : code.exists()
should-id	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.informationRecipient.intendedRecipient	SHOULD contain id : id.exists()
should-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-performer	warning	ClinicalDocument.documentationOf.serviceEvent	SHOULD contain performer : performer.exists()
should-root	warning	ClinicalDocument.informationRecipient.intendedRecipient.id	SHOULD contain @root : root.exists()
should-us-code-attr	warning	ClinicalDocument.informant:non-provider.relatedEntity.code	SHOULD contain @code : code.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ClinicalDocument	C	1..1	USRealmHeader	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) 4537-6380: If setId is present versionNumber **SHALL** be present (CONF:4537-6380). 4537-6387: If versionNumber is present setId **SHALL** be present (CONF:4537-6387). should-legalAuthenticator: SHOULD contain legalAuthenticator should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant
realmCode		1..1	CS
@code		1..1	cs	Required Pattern: US
typeId		1..1	II
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st	Fixed Value: POCD_HD000040
Slices for templateId		2..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:us-realm		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.1
@extension		1..1	st	Required Pattern: 2024-05-01
templateId:us-patient-gen-doc		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.29.1
@extension		1..1	st	Required Pattern: 2024-05-01
id		1..1	II	**SHALL** be a globally unique identifier for the document (CONF:4537-9991).
code		1..1	CE	**SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992). Binding: FHIRDocumentTypeCodes (example)
@code		1..1	cs
@codeSystem		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.6.1
title		1..1	ST	The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
effectiveTime	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
confidentialityCode		1..1	CE
@code		1..1	cs	Binding: HL7 BasicConfidentialityKind (preferred)
languageCode		1..1	CS	Binding: AllLanguages (required)
recordTarget		1..1	RecordTarget	The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded.
patientRole		1..1	PatientRole
id		1..*	II
addr	C	1..*	USRealmAddress	𝗨𝗦𝗖𝗗𝗜: Address shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	𝗨𝗦𝗖𝗗𝗜: Phone Number / Email should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
patient	C	1..1	Patient	4537-32993: If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true should-maritalStatusCode: SHOULD contain maritalStatusCode should-us-languageCommunication: SHOULD contain languageCommunication should-languageCommunication: SHOULD contain languageCommunication
name	C	1..*	USRealmPatientNamePTNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. shall-family: SHALL contain exactly one [1..1] family (CONF:81-7159). shall-given: SHALL contain at least one [1..*] given (CONF:81-7157). shall-max-suffix: There may be at most one suffix 81-7278: **SHALL NOT** have mixed content except for white space (CONF:81-7278).
administrativeGenderCode		1..1	CE	Binding: Administrative Gender (HL7 V3) (required)
birthTime	C	1..1	TS	𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day
raceCode		1..1	CE	𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls (required)
ethnicGroupCode		1..1	CE	𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity (required)
guardian	C	0..*	Guardian	should-us-code: SHOULD contain code should-us-addr: SHOULD contain addr should-us-telecom: SHOULD contain telecom should-id: SHOULD contain id should-code: SHOULD contain code
id		0..*	II
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (required)
guardianPerson		1..1	Person
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
languageCommunication	C	0..*	LanguageCommunication	𝗨𝗦𝗖𝗗𝗜: Preferred Language should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode should-preferenceInd: SHOULD contain preferenceInd
languageCode		1..1	CS	Binding: AllLanguages (required)
preferenceInd		0..1	BL	Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1.
providerOrganization		0..1	Organization	If present, this organization represents the provider organization where the person is claiming to be a patient.
id		1..*	II
name		1..*	ON
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
author		1..*	Author	The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate.
time	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
assignedAuthor	C	1..1	AssignedAuthor	4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). should-id-npi: SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) should-us-code: SHOULD contain code should-code: SHOULD contain code
Slices for id		1..*	II	Slice: Unordered, Open by value:root
id:npi	C	0..1	II	should-extension: SHOULD contain extension
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.4.6
code		0..1	CE	When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient. Binding: CDARoleCode (example)
@code		1..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
dataEnterer		0..1	DataEnterer	The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author.
assignedEntity		1..1	AssignedEntity
id		1..*	II
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
Slices for informant		0..*	Informant	Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity
informant:provider		0..*	Informant	The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.
assignedEntity		1..1	AssignedEntity
id		1..*	II	If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946).
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
assignedPerson		1..1	Person
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
informant:non-provider		0..*	Informant	The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
relatedEntity		1..1	RelatedEntity
@classCode		1..1	cs	Binding: CDARoleClassMutualRelationship (required)
code	C	0..1	CE	Binding: PersonalRelationshipRoleType (example) should-us-code-attr: SHOULD contain @code
@code		0..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
custodian		1..1	Custodian	The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), 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. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization.
assignedCustodian		1..1	AssignedCustodian
representedCustodianOrganization		1..1	CustodianOrganization	The representedCustodianOrganization may be the person when the document is not maintained by an organization.
id		1..*	II	The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way.
name		1..1	ON
telecom	C	1..1	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
addr	C	1..1	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
informationRecipient		0..*	InformationRecipient	The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart.
intendedRecipient	C	1..1	IntendedRecipient	should-id: SHOULD contain id
id	C	0..*	II	The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. should-root: SHOULD contain @root
@root		0..1	oid, uuid, ruid	For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document.
legalAuthenticator		0..1	LegalAuthenticator	In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored 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. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person.
time	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
signatureCode	C	1..1	CS	Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'.
@code		1..1	cs	Required Pattern: S
assignedEntity		1..1	AssignedEntity
id		1..*	II	The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way.
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
@code		0..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
authenticator		0..*	Authenticator	The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
time	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
signatureCode	C	1..1	CS	Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'.
@code		1..1	cs	Required Pattern: S
assignedEntity	C	1..1	AssignedEntity	should-code: SHOULD contain code
id		1..*	II	The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way.
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
participant	C	0..*	Participant1	The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin) 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007).
@typeCode		1..1	cs	Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 Binding: CDAParticipationType (required)
associatedEntity	C	1..1	AssociatedEntity	should-code: SHOULD contain code
@classCode		1..1	cs	Binding: CDARoleClassAssociative (required)
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
inFulfillmentOf		0..*	InFulfillmentOf	The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
order		1..1	Order
id		1..*	II	A scheduled appointment or service event in a practice management system may be represented using this id element.
documentationOf		0..*	DocumentationOf
serviceEvent	C	1..1	ServiceEvent	A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-us-performer: SHOULD contain performer should-code: SHOULD contain code should-performer: SHOULD contain performer
code		0..1	CE	The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document.
effectiveTime	C	1..1	USRealmDateTimeInterval	Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component.
low	C	1..1	IVXB_TS	**MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
performer		0..*	Performer1	The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors.
@typeCode		1..1	cs	Binding: x_ServiceEventPerformer (required)
functionCode	C	0..1	CE	When indicating the performer was the primary care physician, implementers should indicate "PCP" as the functionCode should-code-attr: SHOULD contain @code
@code		0..1	cs	Binding: ParticipationFunction (required)
assignedEntity	C	1..1	AssignedEntity	should-us-code: SHOULD contain code
id		1..*	II	The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way.
code		0..1	CE	If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set Binding: Personal And Legal Relationship Role Type (preferred)
component		1..1	Component
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ClinicalDocument.code	example	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
ClinicalDocument.confidentialityCode.code	preferred	HL7BasicConfidentialityKind http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 from https://vsac.nlm.nih.gov
ClinicalDocument.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.recordTarget.patientRole.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode	required	AdministrativeGenderHL7V3 http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.raceCode	required	RaceCategoryExcludingNulls http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode	required	Ethnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.code	required	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.code	example	CDARoleCode http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
ClinicalDocument.author.assignedAuthor.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.informant:non-provider.relatedEntity.classCode	required	CDARoleClassMutualRelationship http://hl7.org/cda/stds/core/ValueSet/CDARoleClassMutualRelationship
ClinicalDocument.informant:non-provider.relatedEntity.code	example	PersonalRelationshipRoleType http://terminology.hl7.org/ValueSet/v3-PersonalRelationshipRoleType
ClinicalDocument.informant:non-provider.relatedEntity.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.signatureCode	required	CDASignatureCode http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
ClinicalDocument.legalAuthenticator.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy) http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.signatureCode	required	CDASignatureCode http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
ClinicalDocument.authenticator.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.participant.typeCode	required	CDAParticipationType http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.participant.associatedEntity.classCode	required	CDARoleClassAssociative http://hl7.org/cda/stds/core/ValueSet/CDARoleClassAssociative
ClinicalDocument.participant.associatedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode	required	X_ServiceEventPerformer http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code	required	ParticipationFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.10267 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
4537-6380	error	ClinicalDocument	If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists()
4537-6387	error	ClinicalDocument	If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists()
4537-10006	error	ClinicalDocument.participant	**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()
4537-10007	warning	ClinicalDocument.participant	When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')
4537-16790	error	ClinicalDocument.author.assignedAuthor	There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1
4537-21000	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
4537-32993	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()
81-7278	error	ClinicalDocument.recordTarget.patientRole.patient.name	**SHALL NOT** have mixed content except for white space (CONF:81-7278). : item.xmlText.empty()
81-7296	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	**SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty()
81-9371	error	ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()
81-9372	error	ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()
81-10024	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))
81-10025	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))
ivl-ts-center	error	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty())
ivl-value-shall	error	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10
ivl-value-should	warning	ClinicalDocument.documentationOf.serviceEvent.effectiveTime	If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10
pn-no-ls	error	ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()
shall-city	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1
shall-family	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain exactly one [1..1] family (CONF:81-7159). : nullFlavor.exists() or item.family.count() = 1
shall-given	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain at least one [1..*] given (CONF:81-7157). : nullFlavor.exists() or item.given.exists()
shall-max-ad-parts	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)
shall-max-suffix	error	ClinicalDocument.recordTarget.patientRole.patient.name	There may be at most one suffix : (item.suffix.empty() or item.suffix.count() = 1)
shall-streetAddressLine	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)
should-code	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.authenticator.assignedEntity, ClinicalDocument.participant.associatedEntity, ClinicalDocument.documentationOf.serviceEvent	SHOULD contain code : code.exists()
should-code-attr	warning	ClinicalDocument.documentationOf.serviceEvent.performer.functionCode	SHOULD contain @code : code.exists()
should-country	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHOULD contain country : nullFlavor.exists() or item.country.exists()
should-extension	warning	ClinicalDocument.author.assignedAuthor.id:npi	SHOULD contain extension : extension.exists()
should-id	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.informationRecipient.intendedRecipient	SHOULD contain id : id.exists()
should-id-npi	warning	ClinicalDocument.author.assignedAuthor	SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6')
should-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-legalAuthenticator	warning	ClinicalDocument	SHOULD contain legalAuthenticator : legalAuthenticator.exists()
should-maritalStatusCode	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain maritalStatusCode : maritalStatusCode.exists()
should-performer	warning	ClinicalDocument.documentationOf.serviceEvent	SHOULD contain performer : performer.exists()
should-preferenceInd	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain preferenceInd : preferenceInd.exists()
should-proficiencyLevelCode	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists()
should-relatedParticipant	warning	ClinicalDocument	Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
should-root	warning	ClinicalDocument.informationRecipient.intendedRecipient.id	SHOULD contain @root : root.exists()
should-us-addr	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian	SHOULD contain addr : addr.exists()
should-us-code	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity	SHOULD contain code : code.exists()
should-us-code-attr	warning	ClinicalDocument.informant:non-provider.relatedEntity.code	SHOULD contain @code : code.exists()
should-us-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-us-performer	warning	ClinicalDocument.documentationOf.serviceEvent	SHOULD contain performer : performer.exists()
should-us-telecom	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian	SHOULD contain telecom : telecom.exists()
should-use	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.telecom	SHOULD contain @use : nullFlavor.exists() or use.exists()
signature	warning	ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode	CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X'
ts-shall-day	error	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low	**SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-shall-year	error	ClinicalDocument.recordTarget.patientRole.patient.birthTime	**SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4
ts-should-day	warning	ClinicalDocument.recordTarget.patientRole.patient.birthTime	**SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-should-minute	warning	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ClinicalDocument	C	1..1	USRealmHeader	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) 4537-6380: If setId is present versionNumber **SHALL** be present (CONF:4537-6380). 4537-6387: If versionNumber is present setId **SHALL** be present (CONF:4537-6387). should-legalAuthenticator: SHOULD contain legalAuthenticator should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@classCode		0..1	cs	Binding: CDAActClass (example) Fixed Value: DOCCLIN
@moodCode		0..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
realmCode		1..1	CS
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: US
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
typeId		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st	Fixed Value: POCD_HD000040
Slices for templateId		2..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:us-realm		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.1
@extension		1..1	st	Required Pattern: 2024-05-01
templateId:us-patient-gen-doc		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.29.1
@extension		1..1	st	Required Pattern: 2024-05-01
id		1..1	II	**SHALL** be a globally unique identifier for the document (CONF:4537-9991).
sdtcCategory		0..*	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
code		1..1	CE	**SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992). Binding: FHIRDocumentTypeCodes (example)
@code		1..1	cs
@codeSystem		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
title		1..1	ST	The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
sdtcStatusCode		0..1	CS	XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required)
effectiveTime	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
confidentialityCode		1..1	CE
@code		1..1	cs	Binding: HL7 BasicConfidentialityKind (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
languageCode		1..1	CS	Binding: AllLanguages (required)
setId		0..1	II
versionNumber		0..1	INT
copyTime		0..1	TS
recordTarget		1..1	RecordTarget	The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: RCT
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
patientRole		1..1	PatientRole
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassRelationshipFormal (required) Fixed Value: PAT
id		1..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr	C	1..*	USRealmAddress	𝗨𝗦𝗖𝗗𝗜: Address shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	𝗨𝗦𝗖𝗗𝗜: Phone Number / Email should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
patient	C	1..1	Patient	4537-32993: If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true should-maritalStatusCode: SHOULD contain maritalStatusCode should-us-languageCommunication: SHOULD contain languageCommunication should-languageCommunication: SHOULD contain languageCommunication
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		0..1	II
name	C	1..*	USRealmPatientNamePTNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. shall-family: SHALL contain exactly one [1..1] family (CONF:81-7159). shall-given: SHALL contain at least one [1..*] given (CONF:81-7157). shall-max-suffix: There may be at most one suffix 81-7278: **SHALL NOT** have mixed content except for white space (CONF:81-7278).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
administrativeGenderCode		1..1	CE	Binding: Administrative Gender (HL7 V3) (required)
birthTime	C	1..1	TS	𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day
sdtcDeceasedInd		0..1	BL	XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc)
sdtcDeceasedTime	C	0..1	TS	XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) should-value-att: SHOULD contain @value ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day
sdtcMultipleBirthInd		0..1	BL	XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc)
sdtcMultipleBirthOrderNumber		0..1	INT_POS	XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc)
maritalStatusCode		0..1	CE	Binding: Marital Status (required)
religiousAffiliationCode		0..1	CE	Binding: Religious Affiliation (required)
raceCode		1..1	CE	𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls (required)
sdtcRaceCode		0..*	CE	XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Race Value Set (required)
ethnicGroupCode		1..1	CE	𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity (required)
sdtcEthnicGroupCode		0..*	CE	XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity (required)
guardian	C	0..*	Guardian	should-us-code: SHOULD contain code should-us-addr: SHOULD contain addr should-us-telecom: SHOULD contain telecom should-id: SHOULD contain id should-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAgent (required) Fixed Value: GUARD
id		0..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (required)
addr	C	0..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	0..*	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
guardianPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
guardianOrganization		0..1	Organization
birthplace		0..1	Birthplace
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassPassive (required) Fixed Value: BIRTHPL
place		1..1	Place
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassPlace (required) Fixed Value: PLC
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name		0..1	EN
addr	C	1..1	AD	4537-5402: If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). 4537-5403: If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). should-country: SHOULD contain country
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@isNotOrdered		0..1	bl
@use		0..*	cs	Binding: CDAPostalAddressUse (required)
item	C	0..*	Base	Choice Group: This is a repeating choice group that does not appear directly in the instance AD-1: Can only have only one of the possible item elements in each choice
(Choice of one)		1..1
delimiter	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DEL
country	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CNT
state	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STA
county	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CPA
city	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CTY
postalCode	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: ZIP
streetAddressLine	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: SAL
houseNumber	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: BNR
houseNumberNumeric	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: BNN
direction	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DIR
streetName	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STR
streetNameBase	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STB
streetNameType	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STTYP
additionalLocator	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: ADL
unitID	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: UNID
unitType	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: UNIT
careOf	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CAR
censusTract	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CEN
deliveryAddressLine	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DAL
deliveryInstallationType	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DINST
deliveryInstallationArea	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DINSTA
deliveryInstallationQualifier	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DINSTQ
deliveryMode	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DMOD
deliveryModeIdentifier	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DMODID
buildingNumberSuffix	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: BNS
postBox	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: POB
precinct	C	0..1	ADXP	text-null: xmlText and nullFlavor are mutually exclusive (one must be present)
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: PRE
xmlText		0..1	st	Allows for mixed text content
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
languageCommunication	C	0..*	LanguageCommunication	𝗨𝗦𝗖𝗗𝗜: Preferred Language should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode should-preferenceInd: SHOULD contain preferenceInd
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
languageCode		1..1	CS	Binding: AllLanguages (required)
modeCode		0..1	CE	Binding: LanguageAbilityMode (required)
proficiencyLevelCode		0..1	CE	Binding: LanguageAbilityProficiency (required)
preferenceInd		0..1	BL	Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1.
providerOrganization		0..1	Organization	If present, this organization represents the provider organization where the person is claiming to be a patient.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid	should-npi: SHOULD be NPI
@extension		0..1	st
name		1..*	ON
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
standardIndustryClassCode		0..1	CE	Binding: OrganizationIndustryClassNAICS (example)
asOrganizationPartOf		0..1	OrganizationPartOf
author		1..*	Author	The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: AUT
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
assignedAuthor	C	1..1	AssignedAuthor	4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). should-id-npi: SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) should-us-code: SHOULD contain code should-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
Slices for id		1..*	II	Slice: Unordered, Open by value:root
id:npi	C	0..1	II	should-extension: SHOULD contain extension
@nullFlavor		0..1	cs	If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.4.6
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient. Binding: CDARoleCode (example)
@code		1..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
(Choice of one)		1..1
assignedPerson		0..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
assignedAuthoringDevice		0..1	AuthoringDevice
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassDevice (required) Fixed Value: DEV
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
code		0..1	CE	Binding: CDAEntityCode (example)
manufacturerModelName		1..1	SC	Binding: Manufacturer Model Name Example (example)
softwareName		1..1	SC	Binding: Software Name Example (example)
asMaintainedEntity		0..*	MaintainedEntity
representedOrganization		0..1	Organization
dataEnterer		0..1	DataEnterer	The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: ENT
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
time	C	0..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid	should-npi: SHOULD be NPI
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
Slices for informant		0..*	Informant	Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity
informant:provider		0..*	Informant	The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: INF
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II	If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946).
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom		0..*	TEL
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
informant:non-provider		0..*	Informant	The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: INF
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
relatedEntity		1..1	RelatedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Binding: CDARoleClassMutualRelationship (required)
code	C	0..1	CE	Binding: PersonalRelationshipRoleType (example) should-us-code-attr: SHOULD contain @code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
addr		0..*	AD
telecom		0..*	TEL
effectiveTime		0..1	IVL_TS
relatedPerson		0..1	Person
custodian		1..1	Custodian	The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), 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. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: CST
assignedCustodian		1..1	AssignedCustodian
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
representedCustodianOrganization		1..1	CustodianOrganization	The representedCustodianOrganization may be the person when the document is not maintained by an organization.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		1..*	II	The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid	should-npi: SHOULD be NPI
@extension		0..1	st
name		1..1	ON
telecom	C	1..1	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
sdtcTelecom		0..*	TEL	XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc)
addr	C	1..1	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
informationRecipient		0..*	InformationRecipient	The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: XInformationRecipient (2.0.0) (required)
intendedRecipient	C	1..1	IntendedRecipient	should-id: SHOULD contain id
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: CDAInformationRecipientRole (required)
id	C	0..*	II	The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. should-root: SHOULD contain @root
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		0..1	oid, uuid, ruid	For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document.
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr		0..*	AD
telecom		0..*	TEL
informationRecipient		0..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
receivedOrganization		0..1	Organization
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		0..*	II
name		1..1	ON
telecom		0..*	TEL
addr		0..*	AD
standardIndustryClassCode		0..1	CE	Binding: OrganizationIndustryClassNAICS (example)
asOrganizationPartOf		0..1	OrganizationPartOf
legalAuthenticator		0..1	LegalAuthenticator	In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored 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. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: LA
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
time	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
signatureCode	C	1..1	CS	Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: S
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText		0..1	ED	XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II	The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		0..1	oid, uuid, ruid	MAY contain '2.16.840.1.113883.4.6' (NPI)
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs	Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
authenticator		0..*	Authenticator	The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: AUTHEN
time	C	1..1	USRealmDateTime	Base for all types and resources ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
signatureCode	C	1..1	CS	Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: S
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText		0..1	ED	XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity	C	1..1	AssignedEntity	should-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II	The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid	should-npi: SHOULD be NPI
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs	Binding: Healthcare Provider Taxonomy (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
addr	C	1..*	USRealmAddress	Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country
telecom	C	1..*	TEL	should-use: SHOULD contain @use
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372).
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
participant	C	0..*	Participant1	The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin) 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 Binding: CDAParticipationType (required)
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time	C	0..1	USRealmDateTimeInterval	Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component.
associatedEntity	C	1..1	AssociatedEntity	should-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Binding: CDARoleClassAssociative (required)
id		0..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (preferred)
addr		0..*	AD
telecom		0..*	TEL
associatedPerson		0..1	Person
scopingOrganization		0..1	Organization
inFulfillmentOf		0..*	InFulfillmentOf	The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
order		1..1	Order
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: CDAActClass (required)
@moodCode		0..1	cs	Binding: CDAActMoodIntent (required) Fixed Value: RQO
id		1..*	II	A scheduled appointment or service event in a practice management system may be represented using this id element.
code		0..1	CE	Binding: v3 Code System ActCode (example)
priorityCode		0..1	CE	Binding: ActPriority (example)
documentationOf		0..*	DocumentationOf
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAActRelationshipType (required) Fixed Value: DOC
serviceEvent	C	1..1	ServiceEvent	A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-us-performer: SHOULD contain performer should-code: SHOULD contain code should-performer: SHOULD contain performer
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: CDAActClass (required)
@moodCode		0..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
id		0..*	II
code		0..1	CE	The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document.
effectiveTime	C	1..1	USRealmDateTimeInterval	Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator		0..1	cs	Binding: CDASetOperator (required)
low	C	1..1	IVXB_TS	**MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
center		0..1	TS
width		0..1	PQ
high	C	0..1	IVXB_TS	**MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
performer		0..*	Performer1	The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ServiceEventPerformer (required)
functionCode	C	0..1	CE	When indicating the performer was the primary care physician, implementers should indicate "PCP" as the functionCode should-code-attr: SHOULD contain @code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs	Binding: ParticipationFunction (required)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
time	C	0..1	USRealmDateTimeInterval	Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component.
assignedEntity	C	1..1	AssignedEntity	should-us-code: SHOULD contain code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II	The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid	should-npi: SHOULD be NPI
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set Binding: Personal And Legal Relationship Role Type (preferred)
addr		0..*	AD
telecom		0..*	TEL
assignedPerson		0..1	Person
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
relatedDocument		0..*	RelatedDocument
authorization		0..*	Authorization	The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH
consent		1..1	Consent
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: CDAActClass (required) Fixed Value: CONS
@moodCode		0..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
id		0..*	II
code		0..1	CE	The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: v3 Code System ActCode (example)
statusCode		1..1	CS	Binding: ActStatus (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Fixed Value: completed
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
componentOf		0..1	ComponentOf	The encompassing encounter represents the setting of the clinical encounter during which the document act(s) or ServiceEvent(s) occurred. In order to represent providers associated with a specific encounter, they are recorded within the encompassingEncounter as participants. In a CCD, the encompassingEncounter may be used when documenting a specific encounter and its participants. All relevant encounters in a CCD may be listed in the encounters section.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required) Fixed Value: COMP
encompassingEncounter	C	1..1	EncompassingEncounter	should-responsibleParty: SHOULD contain responsibleParty
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: CDAActClass (required) Fixed Value: ENC
@moodCode		0..1	cs	Binding: CDAActMood (required) Fixed Value: EVN
id		1..*	II
code		0..1	CE	Binding: Act Encounter Codes (preferred)
effectiveTime	C	1..1	USRealmDateTimeInterval	Base for all types and resources ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component.
sdtcAdmissionReferralSourceCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc)
dischargeDispositionCode		0..1	CE	Binding: USEncounterDischargeDisposition (example)
responsibleParty		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: RESP
assignedEntity	C	1..1	AssignedEntity	1198-32905: This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905).
encounterParticipant		0..*	EncounterParticipant
location		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationTargetLocation (required) Fixed Value: LOC
healthCareFacility		1..1	HealthCareFacility
component		1..1	Component
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ClinicalDocument.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.classCode	example	Fixed Value: DOCCLIN http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.realmCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.templateId:us-realm.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.templateId:us-patient-gen-doc.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.code	example	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
ClinicalDocument.sdtcStatusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
ClinicalDocument.confidentialityCode.code	preferred	HL7BasicConfidentialityKind http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 from https://vsac.nlm.nih.gov
ClinicalDocument.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.recordTarget.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.typeCode	required	Fixed Value: RCT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.recordTarget.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.recordTarget.patientRole.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.classCode	required	Fixed Value: PAT http://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.recordTarget.patientRole.patient.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode	required	AdministrativeGenderHL7V3 http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode	required	MaritalStatus http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode	required	ReligiousAffiliation http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.raceCode	required	RaceCategoryExcludingNulls http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode	required	RaceValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode	required	Ethnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode	required	DetailedEthnicity http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode	required	Fixed Value: GUARD http://terminology.hl7.org/ValueSet/v3-RoleClassAgent
ClinicalDocument.recordTarget.patientRole.patient.guardian.code	required	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode	required	Fixed Value: BIRTHPL http://terminology.hl7.org/ValueSet/v3-RoleClassPassive
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode	required	Fixed Value: PLC http://terminology.hl7.org/ValueSet/v3-EntityClassPlace
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use	required	CDAPostalAddressUse http://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode	required	LanguageAbilityMode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode	required	LanguageAbilityProficiency http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
ClinicalDocument.author.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.typeCode	required	Fixed Value: AUT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.author.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.author.assignedAuthor.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.code	example	CDARoleCode http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
ClinicalDocument.author.assignedAuthor.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode	required	Fixed Value: DEV http://terminology.hl7.org/ValueSet/v3-EntityClassDevice
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code	example	CDAEntityCode http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName	example	ManufacturerModelNameExample http://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName	example	SoftwareNameExample http://terminology.hl7.org/ValueSet/v3-SoftwareNameExample
ClinicalDocument.dataEnterer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.typeCode	required	Fixed Value: ENT http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.dataEnterer.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.typeCode	required	Fixed Value: INF http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.informant:provider.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.informant:provider.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.informant:provider.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy) http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 from https://vsac.nlm.nih.gov
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.typeCode	required	Fixed Value: INF http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.informant:non-provider.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.informant:non-provider.relatedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.relatedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.relatedEntity.classCode	required	CDARoleClassMutualRelationship http://hl7.org/cda/stds/core/ValueSet/CDARoleClassMutualRelationship
ClinicalDocument.informant:non-provider.relatedEntity.code	example	PersonalRelationshipRoleType http://terminology.hl7.org/ValueSet/v3-PersonalRelationshipRoleType
ClinicalDocument.informant:non-provider.relatedEntity.code.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informant:non-provider.relatedEntity.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.custodian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.typeCode	required	Fixed Value: CST http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.custodian.assignedCustodian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.informationRecipient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.typeCode	required	XInformationRecipient http://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.classCode	required	CDAInformationRecipientRole http://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole
ClinicalDocument.informationRecipient.intendedRecipient.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
ClinicalDocument.legalAuthenticator.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.typeCode	required	Fixed Value: LA http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.legalAuthenticator.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.legalAuthenticator.signatureCode	required	CDASignatureCode http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy) http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.code.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.code.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.typeCode	required	Fixed Value: AUTHEN http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.authenticator.signatureCode	required	CDASignatureCode http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
ClinicalDocument.authenticator.signatureCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.code.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy) http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 from https://vsac.nlm.nih.gov
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.typeCode	required	CDAParticipationType http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.participant.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
ClinicalDocument.participant.associatedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.associatedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.participant.associatedEntity.classCode	required	CDARoleClassAssociative http://hl7.org/cda/stds/core/ValueSet/CDARoleClassAssociative
ClinicalDocument.participant.associatedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.inFulfillmentOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.typeCode	required	Fixed Value: FLFS http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0
ClinicalDocument.inFulfillmentOf.order.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.inFulfillmentOf.order.classCode	required	CDAActClass http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.inFulfillmentOf.order.moodCode	required	Fixed Value: RQO http://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent
ClinicalDocument.inFulfillmentOf.order.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
ClinicalDocument.inFulfillmentOf.order.priorityCode	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
ClinicalDocument.documentationOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.typeCode	required	Fixed Value: DOC http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
ClinicalDocument.documentationOf.serviceEvent.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.classCode	required	CDAActClass http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.documentationOf.serviceEvent.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator	required	CDASetOperator http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode	required	X_ServiceEventPerformer http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code	required	ParticipationFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.10267 from https://vsac.nlm.nih.gov
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code	preferred	PersonalAndLegalRelationshipRoleType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 from https://vsac.nlm.nih.gov
ClinicalDocument.authorization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.typeCode	required	Fixed Value: AUTH http://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy
ClinicalDocument.authorization.consent.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.consent.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.authorization.consent.classCode	required	Fixed Value: CONS http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.authorization.consent.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.authorization.consent.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
ClinicalDocument.authorization.consent.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
ClinicalDocument.authorization.consent.statusCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.classCode	required	Fixed Value: ENC http://hl7.org/cda/stds/core/ValueSet/CDAActClass
ClinicalDocument.componentOf.encompassingEncounter.moodCode	required	Fixed Value: EVN http://hl7.org/cda/stds/core/ValueSet/CDAActMood
ClinicalDocument.componentOf.encompassingEncounter.code	preferred	ActEncounterCodes http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5 from https://vsac.nlm.nih.gov
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode	example	USEncounterDischargeDisposition http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode	required	Fixed Value: RESP http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode	required	Fixed Value: LOC http://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-32905	error	ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity	This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). : assignedPerson.exists() or representedOrganization.exists()
4537-5402	error	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr	If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))
4537-5403	warning	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr	If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))
4537-6380	error	ClinicalDocument	If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists()
4537-6387	error	ClinicalDocument	If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists()
4537-10006	error	ClinicalDocument.participant	**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()
4537-10007	warning	ClinicalDocument.participant	When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')
4537-16790	error	ClinicalDocument.author.assignedAuthor	There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1
4537-21000	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
4537-32993	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()
81-7278	error	ClinicalDocument.recordTarget.patientRole.patient.name	**SHALL NOT** have mixed content except for white space (CONF:81-7278). : item.xmlText.empty()
81-7296	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	**SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty()
81-9371	error	ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()
81-9372	error	ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()
81-10024	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))
81-10025	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))
AD-1	error	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item	Can only have only one of the possible item elements in each choice : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1
ivl-ts-center	error	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime	Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty())
ivl-value-shall	error	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime	If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10
ivl-value-should	warning	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime	If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10
pn-no-ls	error	ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()
shall-city	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1
shall-family	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain exactly one [1..1] family (CONF:81-7159). : nullFlavor.exists() or item.family.count() = 1
shall-given	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain at least one [1..*] given (CONF:81-7157). : nullFlavor.exists() or item.given.exists()
shall-max-ad-parts	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)
shall-max-suffix	error	ClinicalDocument.recordTarget.patientRole.patient.name	There may be at most one suffix : (item.suffix.empty() or item.suffix.count() = 1)
shall-streetAddressLine	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)
should-code	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.authenticator.assignedEntity, ClinicalDocument.participant.associatedEntity, ClinicalDocument.documentationOf.serviceEvent	SHOULD contain code : code.exists()
should-code-attr	warning	ClinicalDocument.documentationOf.serviceEvent.performer.functionCode	SHOULD contain @code : code.exists()
should-country	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHOULD contain country : nullFlavor.exists() or item.country.exists()
should-extension	warning	ClinicalDocument.author.assignedAuthor.id:npi	SHOULD contain extension : extension.exists()
should-id	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.informationRecipient.intendedRecipient	SHOULD contain id : id.exists()
should-id-npi	warning	ClinicalDocument.author.assignedAuthor	SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6')
should-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-legalAuthenticator	warning	ClinicalDocument	SHOULD contain legalAuthenticator : legalAuthenticator.exists()
should-maritalStatusCode	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain maritalStatusCode : maritalStatusCode.exists()
should-npi	warning	ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root	SHOULD be NPI : $this = '2.16.840.1.113883.4.6'
should-performer	warning	ClinicalDocument.documentationOf.serviceEvent	SHOULD contain performer : performer.exists()
should-preferenceInd	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain preferenceInd : preferenceInd.exists()
should-proficiencyLevelCode	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists()
should-relatedParticipant	warning	ClinicalDocument	Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
should-responsibleParty	warning	ClinicalDocument.componentOf.encompassingEncounter	SHOULD contain responsibleParty : responsibleParty.exists()
should-root	warning	ClinicalDocument.informationRecipient.intendedRecipient.id	SHOULD contain @root : root.exists()
should-us-addr	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian	SHOULD contain addr : addr.exists()
should-us-code	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity	SHOULD contain code : code.exists()
should-us-code-attr	warning	ClinicalDocument.informant:non-provider.relatedEntity.code	SHOULD contain @code : code.exists()
should-us-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-us-performer	warning	ClinicalDocument.documentationOf.serviceEvent	SHOULD contain performer : performer.exists()
should-us-telecom	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian	SHOULD contain telecom : telecom.exists()
should-use	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.telecom	SHOULD contain @use : nullFlavor.exists() or use.exists()
should-value-att	warning	ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime	SHOULD contain @value : value.exists()
signature	warning	ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode	CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X'
text-null	error	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct	xmlText and nullFlavor are mutually exclusive (one must be present) : (xmlText | nullFlavor).count() = 1
ts-shall-day	error	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high	**SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-shall-year	error	ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime	**SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4
ts-should-day	warning	ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime	**SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-should-minute	warning	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10

This structure is derived from USRealmHeader

Summary

Mandatory: 3 elements