Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/UnstructuredDocument | Version: 5.0.0-ballot | |||
| Active as of 2025-12-09 | Computable Name: UnstructuredDocument | |||
| Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.1.10:2024-05-01 | ||||
An Unstructured Document (UD) document type can (1) include unstructured content, such as a graphic, directly in a text element with a mediaType attribute, or (2) reference a single document file, such as a word-processing document using a text/reference element.
For guidance on how to handle multiple files, on the selection of media types for this IG, and on the identification of external files, see the examples that follow the constraints below.
IHEs XDS-SD (Cross-Transaction Specifications and Content Specifications, Scanned Documents Module) profile addresses a similar, more restricted use case, specifically for scanned documents or documents electronically created from existing text sources, and limits content to PDF-A or text. This Unstructured Documents template is applicable not only for scanned documents in non-PDF formats, but also for clinical documents produced through word processing applications, etc.
For conformance with both specifications, implementers need to ensure that their documents at a minimum conform with the SHALL constraints from either specification.
Usages:
You can also check for usages in the FHIR IG Statistics
Changes since version 4.0.0:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from USRealmHeader
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
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2..* | II | ||
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Content/Rules for all slices | |||
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1..1 | II | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.10 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |
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1..1 | PatientRole | ||
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1..* | II | ||
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1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |
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1..1 | AssignedCustodian | ||
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1..1 | CustodianOrganization | ||
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1..1 | Component | Body of the document | |
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1..1 | NonXMLBody | An Unstructured Document must include a nonXMLBody component with a single text element. The text element can reference an external file using a reference element, or include unstructured content directly with a mediaType attribute. The nonXMLBody/text element also has a "compression" attribute that can be used to indicate that the unstructured content was compressed before being Base64Encoded. At a minimum, a compression value of "DF" for the deflate compression algorithm (RFC 1951 [URL:http://www.ietf.org/rfc/rfc1951.txt]) must be supported although it is not required that content be compressed. | |
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C | 1..1 | ED | Constraints: 1198-7624 |
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0..1 | cs | Binding: SupportedFileFormats (required) | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalDocument.component.โnonXMLBody.text.mediaType | Base | required |
SupportedFileFormats
|
📦20240606 | VSAC v0.24 |
| Id | Grade | Path(s) | Description | Expression |
| 1198-7624 | error | ClinicalDocument.component.nonXMLBody.text | If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624). |
reference.value.empty() implies (representation = 'B64' and mediaType.exists())
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..1 | CS | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: US | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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C | 1..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | Fixed Value: POCD_HD000040 | |
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2..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.1 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.10 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991). | |
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0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
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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) | |
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1..1 | cs | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code | |
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0..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required) | |
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1..1 | USRealmDateTime | Document creation time | |
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1..1 | CE | Controls the disclosure of information in this document | |
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1..1 | cs | Binding: HL7 BasicConfidentialityKind (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | CS | Human language of character data Binding: AllLanguages (required) | |
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C | 0..1 | II | An identifier that is common across all document revisions |
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C | 0..1 | INT | An integer value used to version successive replacement documents |
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0..1 | TS | Deprecated - use is discouraged | |
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1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RCT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | PatientRole | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassRelationshipFormal (required) Fixed Value: PAT | |
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1..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address | |
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C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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C | 1..1 | Patient | Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | II | ||
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1..* | USRealmPatientNamePTNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: AdministrativeGender (example) | |
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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) Constraints: ts-shall-year, ts-should-day |
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0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc) | |
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C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) Constraints: should-value-att, ts-shall-year, ts-should-day |
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0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc) | |
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0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc) | |
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C | 0..1 | CE | SHOULD contain maritalStatusCode Binding: Marital Status (required) |
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0..1 | CE | Binding: Religious Affiliation (required) | |
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1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race - raceCode SHALL contain only the OMB race category; detailed race values go in translation. Additional race categories are conveyed using sdtc:raceCode, following the same pattern (OMB category in root; details in translation). Binding: Race Categories (required) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | ||
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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C | 0..* | CD | Binding: Race Value Set (preferred)Constraints: race-not-category |
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C | 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 โurn:hl7-org:sdtcโ. 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: Detailed race including absence reasons. (required)Constraints: sdtc-race-not-detail |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | ||
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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C | 0..* | CD | Binding: Race Value Set (preferred)Constraints: race-not-category |
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1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity Categories (required) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity Including Absence Reasons (required) | |
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C | 0..* | Guardian | Constraints: should-us-code, should-us-addr, should-us-telecom |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAgent (required) Fixed Value: GUARD | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Personal And Legal Relationship Role Type (required) | |
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0..* | USRealmAddress | ||
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C | 0..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Birthplace | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassPassive (required) Fixed Value: BIRTHPL | |
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1..1 | Place | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassPlace (required) Fixed Value: PLC | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | EN | ||
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C | 1..1 | AD | Constraints: 4537-5402, 4537-5403, should-country |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | bl | ||
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0..* | cs | Binding: CDAPostalAddressUse (required) | |
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C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance Constraints: AD-1 |
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1..1 | |||
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DEL | |
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C | 0..1 | ADXP | Binding: Country2 (required) Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CNT | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STA | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CPA | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CTY | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ZIP | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: SAL | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNN | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DIR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STB | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STTYP | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ADL | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNID | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNIT | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CAR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CEN | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DAL | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINST | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTA | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTQ | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMOD | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMODID | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNS | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: POB | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: PRE | |
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0..1 | st | Allows for mixed text content | |
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language Constraints: should-proficiencyLevelCode, should-preferenceInd |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | CS | Binding: Languages (required) | |
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0..1 | CE | Binding: LanguageAbilityMode (required) | |
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C | 0..1 | CE | SHOULD contain proficiencyLevelCode Binding: LanguageAbilityProficiency (required) |
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C | 0..1 | BL | SHOULD contain preferenceInd |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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1..* | ON | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..* | USRealmAddress | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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1..* | Author | The author element represents the creator of the clinical document. The author may be a device or a person. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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1..1 | USRealmDateTime | ||
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C | 1..1 | AssignedAuthor | Constraints: 4537-16790, should-id-npi, should-us-code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | Slice: Unordered, Open by value:root | |
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C | 0..1 | II | Constraints: should-extension |
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0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6 | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: CDARoleCode (example) | |
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1..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | |||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | AuthoringDevice | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassDevice (required) Fixed Value: DEV | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | CE | Binding: CDAEntityCode (example) | |
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1..1 | SC | Binding: Manufacturer Model Name Example (example) | |
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1..1 | SC | Binding: Software Name Example (example) | |
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0..* | MaintainedEntity | ||
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0..1 | Organization | ||
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0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: ENT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | USRealmDateTime | ||
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Informant | Person that provides relevant information Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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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). | |
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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0..* | TEL | ||
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | RelatedEntity | ||
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1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST | |
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1..1 | AssignedCustodian | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..1 | CustodianOrganization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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1..1 | ON | ||
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C | 1..1 | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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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) | |
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1..1 | USRealmAddress | ||
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0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: XInformationRecipient (2.0.0) (required) | |
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1..1 | IntendedRecipient | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAInformationRecipientRole (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..* | II | ||
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1..1 | ON | ||
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0..* | TEL | ||
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0..* | AD | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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C | 0..1 | LegalAuthenticator | The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LA | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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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) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI) | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUTHEN | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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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) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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C | 0..* | Participant1 | The participant element identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin). Constraints: 4537-10006, 4537-10007 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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0..1 | USRealmDateTimeInterval | ||
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1..1 | AssociatedEntity | ||
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0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS | |
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1..1 | Order | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) | |
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0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO | |
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1..* | II | ||
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0..1 | CE | Binding: v3 Code System ActCode (example) | |
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0..1 | CE | Binding: ActPriority (example) | |
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0..* | DocumentationOf | The main Act being documented | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: DOC | |
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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. Constraints: should-us-performer |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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0..1 | CE | ||
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1..1 | USRealmDateTimeInterval | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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C | 1..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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C | 0..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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C | 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. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ServiceEventPerformer (required) | |
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C | 0..1 | CE | Constraints: should-code-attr |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Care Team Member Function (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..1 | USRealmDateTimeInterval | ||
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C | 1..1 | AssignedEntity | Constraints: should-us-code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | RelatedDocument | Source of a document revision, addenda, or transformation | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH | |
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1..1 | Consent | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: CONS | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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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) | |
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1..1 | CS | Binding: ActStatus (required) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Fixed Value: completed | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() |
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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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C | 1..1 | EncompassingEncounter | Constraints: should-responsibleParty |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..* | II | ||
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0..1 | CE | Binding: Act Encounter Codes (preferred) | |
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1..1 | USRealmDateTimeInterval | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: USEncounterDischargeDisposition (example) | |
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RESP | |
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C | 1..1 | AssignedEntity | Constraints: 1198-32905 |
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0..* | EncounterParticipant | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ParticipationTargetLocation (required) Fixed Value: LOC | |
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1..1 | HealthCareFacility | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassServiceDeliveryLocation (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: ServiceDeliveryLocationRoleType (example) | |
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0..1 | Place | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassPlace (required) Fixed Value: PLC | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | EN | ||
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0..1 | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Facility Address | |
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0..1 | Organization | ||
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1..1 | Component | Body of the document | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | NonXMLBody | An Unstructured Document must include a nonXMLBody component with a single text element. The text element can reference an external file using a reference element, or include unstructured content directly with a mediaType attribute. The nonXMLBody/text element also has a "compression" attribute that can be used to indicate that the unstructured content was compressed before being Base64Encoded. At a minimum, a compression value of "DF" for the deflate compression algorithm (RFC 1951 [URL:http://www.ietf.org/rfc/rfc1951.txt]) must be supported although it is not required that content be compressed. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCBODY | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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C | 1..1 | ED | Constraints: 1198-7624 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
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0..1 | bin | ||
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0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
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0..1 | cs | ||
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0..1 | cs | Binding: SupportedFileFormats (required) | |
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0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
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0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
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0..1 | TEL | ||
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C | 0..1 | ED | Constraints: ED-1 |
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0..1 | CE | ||
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | StructuredBody | A body comprised of one or more document sections. | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalDocument.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.classCode | Base | example | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.realmCode.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.templateId:us-realm.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.templateId:unstructured-doc.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.code | Base | example | FHIR Document Type Codes | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.sdtcStatusCode | Base | required | ActStatus | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.confidentialityCode.โcode | Base | preferred |
HL7 BasicConfidentialityKind
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.recordTarget.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.classCode | Base | required | RoleClassRelationshipFormal | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โadministrativeGenderCode | Base | example | AdministrativeGender | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โmaritalStatusCode | Base | required |
Marital Status
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โreligiousAffiliationCode | Base | required |
Religious Affiliation
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โraceCode | Base | required |
Race Categories
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โraceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โraceCode.translation | Base | preferred |
Race Value Set
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcRaceCode | Base | required |
Detailed race including absence reasons.
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcRaceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcRaceCode.translation | Base | preferred |
Race Value Set
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โethnicGroupCode | Base | required |
Ethnicity Categories
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcEthnicGroupCode | Base | required |
Detailed Ethnicity Including Absence Reasons
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.classCode | Base | required | RoleClassAgent | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.code | Base | required |
Personal And Legal Relationship Role Type
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.telecom.use | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.classCode | Base | required | RoleClassPassive | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.classCode | Base | required | EntityClassPlace | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.determinerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โuse | Base | required | CDAPostalAddressUse | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.delimiter.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.country | Base | required | Country2 | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.country.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.state.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.county.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.city.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.postalCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetAddressLine.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.houseNumber.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.houseNumberNumeric.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.direction.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetName.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetNameBase.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetNameType.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.additionalLocator.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.unitID.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.unitType.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.careOf.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.censusTract.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryAddressLine.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryInstallationType.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryInstallationArea.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryInstallationQualifier.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryMode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryModeIdentifier.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.buildingNumberSuffix.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.postBox.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.precinct.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โlanguageCode | Base | required | Languages | 📦1.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โmodeCode | Base | required |
LanguageAbilityMode
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โproficiencyLevelCode | Base | required |
LanguageAbilityProficiency
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โclassCode | Base | required | EntityClassOrganization | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โid.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โtelecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โtelecom.use | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โstandardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.id:npi.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.code | Base | example | CDARoleCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.code.โcode | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.author.โassignedAuthor.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.author.โassignedAuthor.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โclassCode | Base | required | EntityClassDevice | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โcode | Base | example | CDAEntityCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โmanufacturerModelName | Base | example | Manufacturer Model Name Example | 📦2.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โsoftwareName | Base | example | Software Name Example | 📦2.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.dataEnterer.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.dataEnterer.โassignedEntity.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informant:provider.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.informant:provider.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โclassCode | Base | required | EntityClassOrganization | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โid.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โtelecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โtelecom.use | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.informationRecipient.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โtypeCode | Base | required | x_InformationRecipient | 📍2.0.0 | THO v5.2 |
| ClinicalDocument.informationRecipient.โintendedRecipient.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.classCode | Base | required | CDAInformationRecipientRole | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โclassCode | Base | required | EntityClassOrganization | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โstandardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โsignatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โsignatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.legalAuthenticator.โassignedEntity.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โsignatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โsignatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authenticator.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.code | Base | example | CDARoleCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.code.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.code.โcode | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.authenticator.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.authenticator.โassignedEntity.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โtypeCode | Base | required | ActRelationshipFulfills | 📍2.0.0 | THO v5.2 |
| ClinicalDocument.inFulfillmentOf.โorder.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.moodCode | Base | required | CDAActMoodIntent | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.inFulfillmentOf.โorder.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.documentationOf.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โtypeCode | Base | required | CDAActRelationshipType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โoperator | Base | required | CDASetOperator | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โlow.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โhigh.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โtypeCode | Base | required |
x_ServiceEventPerformer
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โfunctionCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โfunctionCode.code | Base | preferred |
Care Team Member Function
|
📦20240605 | VSAC v0.24 |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.authorization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โtypeCode | Base | required | ActRelationshipAuthorizedBy | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authorization.โconsent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authorization.โconsent.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authorization.โconsent.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โtypeCode | Base | required | ActRelationshipHasComponent | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โclassCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โmoodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โcode | Base | preferred |
Act Encounter Codes
|
📦20231012 | VSAC v0.24 |
| ClinicalDocument.componentOf.โencompassingEncounter.โdischargeDispositionCode | Base | example | USEncounterDischargeDisposition | 📦5.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โresponsibleParty.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โresponsibleParty.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โresponsibleParty.typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.typeCode | Base | required | ParticipationTargetLocation | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โclassCode | Base | required | RoleClassServiceDeliveryLocation | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โcode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.classCode | Base | required | EntityClassPlace | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.determinerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.component.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โtypeCode | Base | required | ActRelationshipHasComponent | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.component.โnonXMLBody.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.component.โnonXMLBody.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
| ClinicalDocument.component.โnonXMLBody.text.mediaType | Base | required |
SupportedFileFormats
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.component.โnonXMLBody.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 1198-7624 | error | ClinicalDocument.component.nonXMLBody.text | If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624). |
reference.value.empty() implies (representation = 'B64' and mediaType.exists())
|
| 1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). |
assignedPerson.exists() or representedOrganization.exists()
|
| 4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). |
nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://terminology.hl7.org/ValueSet/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()
|
| 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
|
| ED-1 | error | ClinicalDocument.component.nonXMLBody.text.thumbnail | Thumbnails cannot contain their own thumbnails |
thumbnail.empty()
|
| II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.location.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.nonXMLBody.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| race-not-category | error | ClinicalDocument.recordTarget.patientRole.patient.raceCode.translation, ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode.translation | Translation SHALL NOT be used to convey additional race categories. Multiple categories must be conveyed in multiple raceCode elements. |
(code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1')).not()
|
| sdtc-race-not-detail | error | ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | When using translation to convey race details, the base code SHALL be a race category. |
translation.exists(codeSystem = '2.16.840.1.113883.6.238') implies (code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1'))
|
| should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code |
code.exists()
|
| should-country | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | SHOULD contain country |
nullFlavor.exists() or item.country.exists()
|
| should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension |
extension.exists()
|
| should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) |
id.where(root = '2.16.840.1.113883.4.6')
|
| should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator |
legalAuthenticator.exists()
|
| should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode |
maritalStatusCode.exists()
|
| should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI |
$this = '2.16.840.1.113883.4.6'
|
| should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd |
preferenceInd.exists()
|
| should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode |
proficiencyLevelCode.exists()
|
| should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant |
participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
|
| should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty |
responsibleParty.exists()
|
| should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr |
addr.exists()
|
| should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | 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.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, 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.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.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high | **SHOULD** be precise to at least the minute |
nullFlavor.exists() or value.toString().length() > 10
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant |
![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..1 | CS | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: US | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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C | 1..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() |
1..1 | st | Fixed Value: POCD_HD000040 | |
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2..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.1 | |
![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2024-05-01 | |
![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.10 | |
![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2024-05-01 | |
![]() ![]() |
1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991). | |
![]() ![]() |
0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
![]() ![]() |
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) | |
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1..1 | cs | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() |
0..* | CD | ||
![]() ![]() |
1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code | |
![]() ![]() |
0..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required) | |
![]() ![]() |
1..1 | USRealmDateTime | Document creation time | |
![]() ![]() |
1..1 | CE | Controls the disclosure of information in this document | |
![]() ![]() ![]() |
1..1 | cs | Binding: HL7 BasicConfidentialityKind (preferred) | |
![]() ![]() ![]() |
0..1 | oid, uuid, ruid | ||
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() |
0..* | CD | ||
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1..1 | CS | Human language of character data Binding: AllLanguages (required) | |
![]() ![]() |
C | 0..1 | II | An identifier that is common across all document revisions |
![]() ![]() |
C | 0..1 | INT | An integer value used to version successive replacement documents |
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0..1 | TS | Deprecated - use is discouraged | |
![]() ![]() |
1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() |
0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RCT | |
![]() ![]() ![]() |
0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
![]() ![]() ![]() |
1..1 | PatientRole | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: RoleClassRelationshipFormal (required) Fixed Value: PAT | |
![]() ![]() ![]() ![]() |
1..* | II | ||
![]() ![]() ![]() ![]() |
0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address | |
![]() ![]() ![]() ![]() |
C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email Constraints: should-use |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | url | ||
![]() ![]() ![]() ![]() ![]() |
0..* | |||
![]() ![]() ![]() ![]() ![]() ![]() |
IVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() |
EIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() |
PIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() |
SXPR_TS | |||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
![]() ![]() ![]() ![]() |
C | 1..1 | Patient | Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
![]() ![]() ![]() ![]() ![]() |
0..1 | II | ||
![]() ![]() ![]() ![]() ![]() |
1..* | USRealmPatientNamePTNUSFIELDED | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CE | Binding: AdministrativeGender (example) | |
![]() ![]() ![]() ![]() ![]() |
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) Constraints: ts-shall-year, ts-should-day |
![]() ![]() ![]() ![]() ![]() |
0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) Constraints: should-value-att, ts-shall-year, ts-should-day |
![]() ![]() ![]() ![]() ![]() |
0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | CE | SHOULD contain maritalStatusCode Binding: Marital Status (required) |
![]() ![]() ![]() ![]() ![]() |
0..1 | CE | Binding: Religious Affiliation (required) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race - raceCode SHALL contain only the OMB race category; detailed race values go in translation. Additional race categories are conveyed using sdtc:raceCode, following the same pattern (OMB category in root; details in translation). Binding: Race Categories (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid, uuid, ruid | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..* | CD | Binding: Race Value Set (preferred)Constraints: race-not-category |
![]() ![]() ![]() ![]() ![]() |
C | 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 โurn:hl7-org:sdtcโ. 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: Detailed race including absence reasons. (required)Constraints: sdtc-race-not-detail |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid, uuid, ruid | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..* | CD | Binding: Race Value Set (preferred)Constraints: race-not-category |
![]() ![]() ![]() ![]() ![]() |
1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity Categories (required) | |
![]() ![]() ![]() ![]() ![]() |
0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity Including Absence Reasons (required) | |
![]() ![]() ![]() ![]() ![]() |
C | 0..* | Guardian | Constraints: should-us-code, should-us-addr, should-us-telecom |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: RoleClassAgent (required) Fixed Value: GUARD | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | CE | Binding: Personal And Legal Relationship Role Type (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | USRealmAddress | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..* | TEL | Constraints: should-use |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | url | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
IVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
EIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
PIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
SXPR_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | Person | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..* | USRealmPersonNamePNUSFIELDED | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | cs | Fixed Value: PRS | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: INSTANCE | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | Organization | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Birthplace | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassPassive (required) Fixed Value: BIRTHPL | |
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1..1 | Place | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassPlace (required) Fixed Value: PLC | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | EN | ||
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C | 1..1 | AD | Constraints: 4537-5402, 4537-5403, should-country |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | bl | ||
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0..* | cs | Binding: CDAPostalAddressUse (required) | |
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C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance Constraints: AD-1 |
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1..1 | |||
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DEL | |
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C | 0..1 | ADXP | Binding: Country2 (required) Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CNT | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STA | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CPA | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CTY | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ZIP | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: SAL | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNN | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DIR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STB | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STTYP | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ADL | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNID | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNIT | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CAR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CEN | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DAL | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINST | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTA | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTQ | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMOD | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMODID | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNS | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: POB | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: PRE | |
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0..1 | st | Allows for mixed text content | |
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language Constraints: should-proficiencyLevelCode, should-preferenceInd |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | CS | Binding: Languages (required) | |
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0..1 | CE | Binding: LanguageAbilityMode (required) | |
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C | 0..1 | CE | SHOULD contain proficiencyLevelCode Binding: LanguageAbilityProficiency (required) |
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C | 0..1 | BL | SHOULD contain preferenceInd |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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1..* | ON | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..* | USRealmAddress | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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1..* | Author | The author element represents the creator of the clinical document. The author may be a device or a person. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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1..1 | USRealmDateTime | ||
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C | 1..1 | AssignedAuthor | Constraints: 4537-16790, should-id-npi, should-us-code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | Slice: Unordered, Open by value:root | |
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C | 0..1 | II | Constraints: should-extension |
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0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6 | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: CDARoleCode (example) | |
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1..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | |||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | AuthoringDevice | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassDevice (required) Fixed Value: DEV | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | CE | Binding: CDAEntityCode (example) | |
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1..1 | SC | Binding: Manufacturer Model Name Example (example) | |
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1..1 | SC | Binding: Software Name Example (example) | |
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0..* | MaintainedEntity | ||
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0..1 | Organization | ||
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0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: ENT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | USRealmDateTime | ||
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
![]() ![]() ![]() ![]() ![]() ![]() |
IVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() |
EIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() |
PIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() |
SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
![]() ![]() ![]() ![]() |
1..1 | Person | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Informant | Person that provides relevant information Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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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). | |
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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0..* | TEL | ||
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | RelatedEntity | ||
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1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST | |
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1..1 | AssignedCustodian | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..1 | CustodianOrganization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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1..1 | ON | ||
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C | 1..1 | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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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) | |
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1..1 | USRealmAddress | ||
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0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: XInformationRecipient (2.0.0) (required) | |
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1..1 | IntendedRecipient | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAInformationRecipientRole (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..* | II | ||
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1..1 | ON | ||
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0..* | TEL | ||
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0..* | AD | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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C | 0..1 | LegalAuthenticator | The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LA | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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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) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI) | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUTHEN | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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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) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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C | 0..* | Participant1 | The participant element identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin). Constraints: 4537-10006, 4537-10007 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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0..1 | USRealmDateTimeInterval | ||
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1..1 | AssociatedEntity | ||
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0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS | |
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1..1 | Order | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) | |
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0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO | |
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1..* | II | ||
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0..1 | CE | Binding: v3 Code System ActCode (example) | |
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0..1 | CE | Binding: ActPriority (example) | |
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0..* | DocumentationOf | The main Act being documented | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: DOC | |
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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. Constraints: should-us-performer |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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0..1 | CE | ||
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1..1 | USRealmDateTimeInterval | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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C | 1..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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C | 0..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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C | 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. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ServiceEventPerformer (required) | |
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C | 0..1 | CE | Constraints: should-code-attr |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Care Team Member Function (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..1 | USRealmDateTimeInterval | ||
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C | 1..1 | AssignedEntity | Constraints: should-us-code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | RelatedDocument | Source of a document revision, addenda, or transformation | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH | |
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1..1 | Consent | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: CONS | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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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) | |
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1..1 | CS | Binding: ActStatus (required) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Fixed Value: completed | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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C | 1..1 | EncompassingEncounter | Constraints: should-responsibleParty |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..* | II | ||
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0..1 | CE | Binding: Act Encounter Codes (preferred) | |
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1..1 | USRealmDateTimeInterval | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: USEncounterDischargeDisposition (example) | |
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RESP | |
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C | 1..1 | AssignedEntity | Constraints: 1198-32905 |
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0..* | EncounterParticipant | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ParticipationTargetLocation (required) Fixed Value: LOC | |
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1..1 | HealthCareFacility | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassServiceDeliveryLocation (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: ServiceDeliveryLocationRoleType (example) | |
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0..1 | Place | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassPlace (required) Fixed Value: PLC | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | EN | ||
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0..1 | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Facility Address | |
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0..1 | Organization | ||
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1..1 | Component | Body of the document | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | NonXMLBody | An Unstructured Document must include a nonXMLBody component with a single text element. The text element can reference an external file using a reference element, or include unstructured content directly with a mediaType attribute. The nonXMLBody/text element also has a "compression" attribute that can be used to indicate that the unstructured content was compressed before being Base64Encoded. At a minimum, a compression value of "DF" for the deflate compression algorithm (RFC 1951 [URL:http://www.ietf.org/rfc/rfc1951.txt]) must be supported although it is not required that content be compressed. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCBODY | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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C | 1..1 | ED | Constraints: 1198-7624 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
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0..1 | bin | ||
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0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
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0..1 | cs | ||
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0..1 | cs | Binding: SupportedFileFormats (required) | |
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0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
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0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
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0..1 | TEL | ||
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C | 0..1 | ED | Constraints: ED-1 |
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0..1 | CE | ||
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | StructuredBody | A body comprised of one or more document sections. | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalDocument.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.classCode | Base | example | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.realmCode.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.templateId:us-realm.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.templateId:unstructured-doc.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.code | Base | example | FHIR Document Type Codes | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.sdtcStatusCode | Base | required | ActStatus | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.confidentialityCode.โcode | Base | preferred |
HL7 BasicConfidentialityKind
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.recordTarget.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.classCode | Base | required | RoleClassRelationshipFormal | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โadministrativeGenderCode | Base | example | AdministrativeGender | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โmaritalStatusCode | Base | required |
Marital Status
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โreligiousAffiliationCode | Base | required |
Religious Affiliation
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โraceCode | Base | required |
Race Categories
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โraceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โraceCode.translation | Base | preferred |
Race Value Set
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcRaceCode | Base | required |
Detailed race including absence reasons.
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcRaceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcRaceCode.translation | Base | preferred |
Race Value Set
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โethnicGroupCode | Base | required |
Ethnicity Categories
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcEthnicGroupCode | Base | required |
Detailed Ethnicity Including Absence Reasons
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.classCode | Base | required | RoleClassAgent | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.code | Base | required |
Personal And Legal Relationship Role Type
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.telecom.use | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.classCode | Base | required | RoleClassPassive | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.classCode | Base | required | EntityClassPlace | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.determinerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โuse | Base | required | CDAPostalAddressUse | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.delimiter.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.country | Base | required | Country2 | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.country.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.state.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.county.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.city.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.postalCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetAddressLine.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.houseNumber.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.houseNumberNumeric.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.direction.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetName.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetNameBase.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetNameType.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.additionalLocator.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.unitID.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.unitType.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.careOf.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.censusTract.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryAddressLine.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryInstallationType.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryInstallationArea.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryInstallationQualifier.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryMode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryModeIdentifier.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.buildingNumberSuffix.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.postBox.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.precinct.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โlanguageCode | Base | required | Languages | 📦1.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โmodeCode | Base | required |
LanguageAbilityMode
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โproficiencyLevelCode | Base | required |
LanguageAbilityProficiency
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โclassCode | Base | required | EntityClassOrganization | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โid.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โtelecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โtelecom.use | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โstandardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.id:npi.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.code | Base | example | CDARoleCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.code.โcode | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.author.โassignedAuthor.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.author.โassignedAuthor.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โclassCode | Base | required | EntityClassDevice | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โcode | Base | example | CDAEntityCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โmanufacturerModelName | Base | example | Manufacturer Model Name Example | 📦2.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โsoftwareName | Base | example | Software Name Example | 📦2.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.dataEnterer.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.dataEnterer.โassignedEntity.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informant:provider.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.informant:provider.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โclassCode | Base | required | EntityClassOrganization | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โid.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โtelecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โtelecom.use | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.informationRecipient.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โtypeCode | Base | required | x_InformationRecipient | 📍2.0.0 | THO v5.2 |
| ClinicalDocument.informationRecipient.โintendedRecipient.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.classCode | Base | required | CDAInformationRecipientRole | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โclassCode | Base | required | EntityClassOrganization | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โstandardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โsignatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โsignatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.legalAuthenticator.โassignedEntity.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โsignatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โsignatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authenticator.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.code | Base | example | CDARoleCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.code.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.code.โcode | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.authenticator.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.authenticator.โassignedEntity.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โtypeCode | Base | required | ActRelationshipFulfills | 📍2.0.0 | THO v5.2 |
| ClinicalDocument.inFulfillmentOf.โorder.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.moodCode | Base | required | CDAActMoodIntent | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.inFulfillmentOf.โorder.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.documentationOf.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โtypeCode | Base | required | CDAActRelationshipType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โoperator | Base | required | CDASetOperator | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โlow.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โhigh.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โtypeCode | Base | required |
x_ServiceEventPerformer
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โfunctionCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โfunctionCode.code | Base | preferred |
Care Team Member Function
|
📦20240605 | VSAC v0.24 |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.authorization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โtypeCode | Base | required | ActRelationshipAuthorizedBy | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authorization.โconsent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authorization.โconsent.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authorization.โconsent.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โtypeCode | Base | required | ActRelationshipHasComponent | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โclassCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โmoodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โcode | Base | preferred |
Act Encounter Codes
|
📦20231012 | VSAC v0.24 |
| ClinicalDocument.componentOf.โencompassingEncounter.โdischargeDispositionCode | Base | example | USEncounterDischargeDisposition | 📦5.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โresponsibleParty.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โresponsibleParty.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โresponsibleParty.typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.typeCode | Base | required | ParticipationTargetLocation | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โclassCode | Base | required | RoleClassServiceDeliveryLocation | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โcode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.classCode | Base | required | EntityClassPlace | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.determinerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.component.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โtypeCode | Base | required | ActRelationshipHasComponent | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.component.โnonXMLBody.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.component.โnonXMLBody.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
| ClinicalDocument.component.โnonXMLBody.text.mediaType | Base | required |
SupportedFileFormats
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.component.โnonXMLBody.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 1198-7624 | error | ClinicalDocument.component.nonXMLBody.text | If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624). |
reference.value.empty() implies (representation = 'B64' and mediaType.exists())
|
| 1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). |
assignedPerson.exists() or representedOrganization.exists()
|
| 4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). |
nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://terminology.hl7.org/ValueSet/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()
|
| 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
|
| ED-1 | error | ClinicalDocument.component.nonXMLBody.text.thumbnail | Thumbnails cannot contain their own thumbnails |
thumbnail.empty()
|
| II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.location.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.nonXMLBody.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| race-not-category | error | ClinicalDocument.recordTarget.patientRole.patient.raceCode.translation, ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode.translation | Translation SHALL NOT be used to convey additional race categories. Multiple categories must be conveyed in multiple raceCode elements. |
(code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1')).not()
|
| sdtc-race-not-detail | error | ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | When using translation to convey race details, the base code SHALL be a race category. |
translation.exists(codeSystem = '2.16.840.1.113883.6.238') implies (code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1'))
|
| should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code |
code.exists()
|
| should-country | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | SHOULD contain country |
nullFlavor.exists() or item.country.exists()
|
| should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension |
extension.exists()
|
| should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) |
id.where(root = '2.16.840.1.113883.4.6')
|
| should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator |
legalAuthenticator.exists()
|
| should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode |
maritalStatusCode.exists()
|
| should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI |
$this = '2.16.840.1.113883.4.6'
|
| should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd |
preferenceInd.exists()
|
| should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode |
proficiencyLevelCode.exists()
|
| should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant |
participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
|
| should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty |
responsibleParty.exists()
|
| should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr |
addr.exists()
|
| should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | 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.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, 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.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.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
Differential View
This structure is derived from USRealmHeader
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
![]() ![]() |
2..* | II | ||
![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.10 | |
![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2024-05-01 | |
![]() ![]() |
1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |
![]() ![]() ![]() |
1..1 | PatientRole | ||
![]() ![]() ![]() ![]() |
1..* | II | ||
![]() ![]() |
1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |
![]() ![]() ![]() |
1..1 | AssignedCustodian | ||
![]() ![]() ![]() ![]() |
1..1 | CustodianOrganization | ||
![]() ![]() |
1..1 | Component | Body of the document | |
![]() ![]() ![]() |
1..1 | NonXMLBody | An Unstructured Document must include a nonXMLBody component with a single text element. The text element can reference an external file using a reference element, or include unstructured content directly with a mediaType attribute. The nonXMLBody/text element also has a "compression" attribute that can be used to indicate that the unstructured content was compressed before being Base64Encoded. At a minimum, a compression value of "DF" for the deflate compression algorithm (RFC 1951 [URL:http://www.ietf.org/rfc/rfc1951.txt]) must be supported although it is not required that content be compressed. | |
![]() ![]() ![]() ![]() |
C | 1..1 | ED | Constraints: 1198-7624 |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: SupportedFileFormats (required) | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalDocument.component.โnonXMLBody.text.mediaType | Base | required |
SupportedFileFormats
|
📦20240606 | VSAC v0.24 |
| Id | Grade | Path(s) | Description | Expression |
| 1198-7624 | error | ClinicalDocument.component.nonXMLBody.text | If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624). |
reference.value.empty() implies (representation = 'B64' and mediaType.exists())
|
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant |
![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() |
0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN | |
![]() ![]() |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
![]() ![]() |
1..1 | CS | ||
![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
1..1 | cs | Required Pattern: US | |
![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() |
C | 1..1 | II | Constraints: II-1 |
![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() |
1..1 | st | Fixed Value: POCD_HD000040 | |
![]() ![]() |
2..* | II | Slice: Unordered, Open by value:root, value:extension | |
![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.1 | |
![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2024-05-01 | |
![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.10 | |
![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2024-05-01 | |
![]() ![]() |
1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991). | |
![]() ![]() |
0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
![]() ![]() |
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) | |
![]() ![]() ![]() |
1..1 | cs | ||
![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() |
0..* | CD | ||
![]() ![]() |
1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code | |
![]() ![]() |
0..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required) | |
![]() ![]() |
1..1 | USRealmDateTime | Document creation time | |
![]() ![]() |
1..1 | CE | Controls the disclosure of information in this document | |
![]() ![]() ![]() |
1..1 | cs | Binding: HL7 BasicConfidentialityKind (preferred) | |
![]() ![]() ![]() |
0..1 | oid, uuid, ruid | ||
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() |
0..* | CD | ||
![]() ![]() |
1..1 | CS | Human language of character data Binding: AllLanguages (required) | |
![]() ![]() |
C | 0..1 | II | An identifier that is common across all document revisions |
![]() ![]() |
C | 0..1 | INT | An integer value used to version successive replacement documents |
![]() ![]() |
0..1 | TS | Deprecated - use is discouraged | |
![]() ![]() |
1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |
![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() |
0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RCT | |
![]() ![]() ![]() |
0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
![]() ![]() ![]() |
1..1 | PatientRole | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: RoleClassRelationshipFormal (required) Fixed Value: PAT | |
![]() ![]() ![]() ![]() |
1..* | II | ||
![]() ![]() ![]() ![]() |
0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address | |
![]() ![]() ![]() ![]() |
C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email Constraints: should-use |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | url | ||
![]() ![]() ![]() ![]() ![]() |
0..* | |||
![]() ![]() ![]() ![]() ![]() ![]() |
IVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() |
EIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() |
PIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() |
SXPR_TS | |||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
![]() ![]() ![]() ![]() |
C | 1..1 | Patient | Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
![]() ![]() ![]() ![]() ![]() |
0..1 | II | ||
![]() ![]() ![]() ![]() ![]() |
1..* | USRealmPatientNamePTNUSFIELDED | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CE | Binding: AdministrativeGender (example) | |
![]() ![]() ![]() ![]() ![]() |
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) Constraints: ts-shall-year, ts-should-day |
![]() ![]() ![]() ![]() ![]() |
0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) Constraints: should-value-att, ts-shall-year, ts-should-day |
![]() ![]() ![]() ![]() ![]() |
0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | CE | SHOULD contain maritalStatusCode Binding: Marital Status (required) |
![]() ![]() ![]() ![]() ![]() |
0..1 | CE | Binding: Religious Affiliation (required) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race - raceCode SHALL contain only the OMB race category; detailed race values go in translation. Additional race categories are conveyed using sdtc:raceCode, following the same pattern (OMB category in root; details in translation). Binding: Race Categories (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid, uuid, ruid | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..* | CD | Binding: Race Value Set (preferred)Constraints: race-not-category |
![]() ![]() ![]() ![]() ![]() |
C | 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 โurn:hl7-org:sdtcโ. 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: Detailed race including absence reasons. (required)Constraints: sdtc-race-not-detail |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid, uuid, ruid | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..* | CD | Binding: Race Value Set (preferred)Constraints: race-not-category |
![]() ![]() ![]() ![]() ![]() |
1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity Categories (required) | |
![]() ![]() ![]() ![]() ![]() |
0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity Including Absence Reasons (required) | |
![]() ![]() ![]() ![]() ![]() |
C | 0..* | Guardian | Constraints: should-us-code, should-us-addr, should-us-telecom |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: RoleClassAgent (required) Fixed Value: GUARD | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | CE | Binding: Personal And Legal Relationship Role Type (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | USRealmAddress | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..* | TEL | Constraints: should-use |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | url | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
IVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
EIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
PIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
SXPR_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | Person | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Birthplace | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassPassive (required) Fixed Value: BIRTHPL | |
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1..1 | Place | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassPlace (required) Fixed Value: PLC | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | EN | ||
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C | 1..1 | AD | Constraints: 4537-5402, 4537-5403, should-country |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | bl | ||
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0..* | cs | Binding: CDAPostalAddressUse (required) | |
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C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance Constraints: AD-1 |
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1..1 | |||
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DEL | |
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C | 0..1 | ADXP | Binding: Country2 (required) Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CNT | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STA | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CPA | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CTY | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ZIP | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: SAL | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNN | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DIR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STB | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STTYP | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ADL | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: TXT | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNID | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNIT | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: TXT | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CAR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: TXT | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CEN | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: TXT | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DAL | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: TXT | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINST | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTA | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTQ | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMOD | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMODID | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNS | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: POB | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: PRE | |
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0..1 | st | Allows for mixed text content | |
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language Constraints: should-proficiencyLevelCode, should-preferenceInd |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | CS | Binding: Languages (required) | |
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0..1 | CE | Binding: LanguageAbilityMode (required) | |
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C | 0..1 | CE | SHOULD contain proficiencyLevelCode Binding: LanguageAbilityProficiency (required) |
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C | 0..1 | BL | SHOULD contain preferenceInd |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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1..* | ON | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..* | USRealmAddress | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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1..* | Author | The author element represents the creator of the clinical document. The author may be a device or a person. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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1..1 | USRealmDateTime | ||
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C | 1..1 | AssignedAuthor | Constraints: 4537-16790, should-id-npi, should-us-code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | Slice: Unordered, Open by value:root | |
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C | 0..1 | II | Constraints: should-extension |
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0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6 | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: CDARoleCode (example) | |
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1..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | |||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | AuthoringDevice | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassDevice (required) Fixed Value: DEV | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | CE | Binding: CDAEntityCode (example) | |
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1..1 | SC | Binding: Manufacturer Model Name Example (example) | |
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1..1 | SC | Binding: Software Name Example (example) | |
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0..* | MaintainedEntity | ||
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0..1 | Organization | ||
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0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: ENT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | USRealmDateTime | ||
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Informant | Person that provides relevant information Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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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). | |
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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0..* | TEL | ||
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | RelatedEntity | ||
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1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST | |
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1..1 | AssignedCustodian | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..1 | CustodianOrganization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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1..1 | ON | ||
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C | 1..1 | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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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) | |
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1..1 | USRealmAddress | ||
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0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: XInformationRecipient (2.0.0) (required) | |
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1..1 | IntendedRecipient | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAInformationRecipientRole (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..* | II | ||
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1..1 | ON | ||
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0..* | TEL | ||
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0..* | AD | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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C | 0..1 | LegalAuthenticator | The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LA | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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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) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI) | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUTHEN | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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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) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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C | 0..* | Participant1 | The participant element identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin). Constraints: 4537-10006, 4537-10007 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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0..1 | USRealmDateTimeInterval | ||
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1..1 | AssociatedEntity | ||
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0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS | |
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1..1 | Order | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) | |
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0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO | |
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1..* | II | ||
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0..1 | CE | Binding: v3 Code System ActCode (example) | |
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0..1 | CE | Binding: ActPriority (example) | |
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0..* | DocumentationOf | The main Act being documented | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: DOC | |
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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. Constraints: should-us-performer |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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0..1 | CE | ||
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1..1 | USRealmDateTimeInterval | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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C | 1..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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C | 0..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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C | 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. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ServiceEventPerformer (required) | |
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C | 0..1 | CE | Constraints: should-code-attr |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Care Team Member Function (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..1 | USRealmDateTimeInterval | ||
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C | 1..1 | AssignedEntity | Constraints: should-us-code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | RelatedDocument | Source of a document revision, addenda, or transformation | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH | |
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1..1 | Consent | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: CONS | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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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) | |
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1..1 | CS | Binding: ActStatus (required) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Fixed Value: completed | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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C | 1..1 | EncompassingEncounter | Constraints: should-responsibleParty |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..* | II | ||
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0..1 | CE | Binding: Act Encounter Codes (preferred) | |
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1..1 | USRealmDateTimeInterval | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: USEncounterDischargeDisposition (example) | |
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RESP | |
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C | 1..1 | AssignedEntity | Constraints: 1198-32905 |
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0..* | EncounterParticipant | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ParticipationTargetLocation (required) Fixed Value: LOC | |
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1..1 | HealthCareFacility | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassServiceDeliveryLocation (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: ServiceDeliveryLocationRoleType (example) | |
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0..1 | Place | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassPlace (required) Fixed Value: PLC | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | EN | ||
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0..1 | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Facility Address | |
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0..1 | Organization | ||
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1..1 | Component | Body of the document | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | NonXMLBody | An Unstructured Document must include a nonXMLBody component with a single text element. The text element can reference an external file using a reference element, or include unstructured content directly with a mediaType attribute. The nonXMLBody/text element also has a "compression" attribute that can be used to indicate that the unstructured content was compressed before being Base64Encoded. At a minimum, a compression value of "DF" for the deflate compression algorithm (RFC 1951 [URL:http://www.ietf.org/rfc/rfc1951.txt]) must be supported although it is not required that content be compressed. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCBODY | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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C | 1..1 | ED | Constraints: 1198-7624 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
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0..1 | bin | ||
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0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
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0..1 | cs | ||
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0..1 | cs | Binding: SupportedFileFormats (required) | |
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0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
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0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
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0..1 | TEL | ||
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C | 0..1 | ED | Constraints: ED-1 |
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0..1 | CE | ||
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | StructuredBody | A body comprised of one or more document sections. | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalDocument.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.classCode | Base | example | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.realmCode.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.templateId:us-realm.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.templateId:unstructured-doc.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.code | Base | example | FHIR Document Type Codes | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.sdtcStatusCode | Base | required | ActStatus | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.confidentialityCode.โcode | Base | preferred |
HL7 BasicConfidentialityKind
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.recordTarget.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.classCode | Base | required | RoleClassRelationshipFormal | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โadministrativeGenderCode | Base | example | AdministrativeGender | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โmaritalStatusCode | Base | required |
Marital Status
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โreligiousAffiliationCode | Base | required |
Religious Affiliation
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โraceCode | Base | required |
Race Categories
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โraceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โraceCode.translation | Base | preferred |
Race Value Set
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcRaceCode | Base | required |
Detailed race including absence reasons.
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcRaceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcRaceCode.translation | Base | preferred |
Race Value Set
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โethnicGroupCode | Base | required |
Ethnicity Categories
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcEthnicGroupCode | Base | required |
Detailed Ethnicity Including Absence Reasons
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.classCode | Base | required | RoleClassAgent | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.code | Base | required |
Personal And Legal Relationship Role Type
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.telecom.use | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.classCode | Base | required | RoleClassPassive | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.classCode | Base | required | EntityClassPlace | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.determinerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โuse | Base | required | CDAPostalAddressUse | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.delimiter.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.country | Base | required | Country2 | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.country.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.state.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.county.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.city.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.postalCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetAddressLine.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.houseNumber.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.houseNumberNumeric.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.direction.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetName.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetNameBase.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetNameType.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.additionalLocator.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.unitID.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.unitType.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.careOf.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.censusTract.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryAddressLine.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryInstallationType.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryInstallationArea.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryInstallationQualifier.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryMode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryModeIdentifier.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.buildingNumberSuffix.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.postBox.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.precinct.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โlanguageCode | Base | required | Languages | 📦1.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โmodeCode | Base | required |
LanguageAbilityMode
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โproficiencyLevelCode | Base | required |
LanguageAbilityProficiency
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โclassCode | Base | required | EntityClassOrganization | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โid.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โtelecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โtelecom.use | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โstandardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.id:npi.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.code | Base | example | CDARoleCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.code.โcode | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.author.โassignedAuthor.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.author.โassignedAuthor.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โclassCode | Base | required | EntityClassDevice | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โcode | Base | example | CDAEntityCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โmanufacturerModelName | Base | example | Manufacturer Model Name Example | 📦2.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โsoftwareName | Base | example | Software Name Example | 📦2.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.dataEnterer.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.dataEnterer.โassignedEntity.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informant:provider.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.informant:provider.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โclassCode | Base | required | EntityClassOrganization | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โid.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โtelecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โtelecom.use | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.informationRecipient.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โtypeCode | Base | required | x_InformationRecipient | 📍2.0.0 | THO v5.2 |
| ClinicalDocument.informationRecipient.โintendedRecipient.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.classCode | Base | required | CDAInformationRecipientRole | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โclassCode | Base | required | EntityClassOrganization | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โstandardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โsignatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โsignatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.legalAuthenticator.โassignedEntity.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โsignatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โsignatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authenticator.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.code | Base | example | CDARoleCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.code.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.code.โcode | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.authenticator.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.authenticator.โassignedEntity.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โtypeCode | Base | required | ActRelationshipFulfills | 📍2.0.0 | THO v5.2 |
| ClinicalDocument.inFulfillmentOf.โorder.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.moodCode | Base | required | CDAActMoodIntent | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.inFulfillmentOf.โorder.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.documentationOf.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โtypeCode | Base | required | CDAActRelationshipType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โoperator | Base | required | CDASetOperator | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โlow.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โhigh.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โtypeCode | Base | required |
x_ServiceEventPerformer
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โfunctionCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โfunctionCode.code | Base | preferred |
Care Team Member Function
|
📦20240605 | VSAC v0.24 |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.authorization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โtypeCode | Base | required | ActRelationshipAuthorizedBy | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authorization.โconsent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authorization.โconsent.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authorization.โconsent.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โtypeCode | Base | required | ActRelationshipHasComponent | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โclassCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โmoodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โcode | Base | preferred |
Act Encounter Codes
|
📦20231012 | VSAC v0.24 |
| ClinicalDocument.componentOf.โencompassingEncounter.โdischargeDispositionCode | Base | example | USEncounterDischargeDisposition | 📦5.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โresponsibleParty.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โresponsibleParty.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โresponsibleParty.typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.typeCode | Base | required | ParticipationTargetLocation | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โclassCode | Base | required | RoleClassServiceDeliveryLocation | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โcode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.classCode | Base | required | EntityClassPlace | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.determinerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.component.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โtypeCode | Base | required | ActRelationshipHasComponent | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.component.โnonXMLBody.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.component.โnonXMLBody.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
| ClinicalDocument.component.โnonXMLBody.text.mediaType | Base | required |
SupportedFileFormats
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.component.โnonXMLBody.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 1198-7624 | error | ClinicalDocument.component.nonXMLBody.text | If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624). |
reference.value.empty() implies (representation = 'B64' and mediaType.exists())
|
| 1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). |
assignedPerson.exists() or representedOrganization.exists()
|
| 4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). |
nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://terminology.hl7.org/ValueSet/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()
|
| 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
|
| ED-1 | error | ClinicalDocument.component.nonXMLBody.text.thumbnail | Thumbnails cannot contain their own thumbnails |
thumbnail.empty()
|
| II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.location.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.nonXMLBody.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| race-not-category | error | ClinicalDocument.recordTarget.patientRole.patient.raceCode.translation, ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode.translation | Translation SHALL NOT be used to convey additional race categories. Multiple categories must be conveyed in multiple raceCode elements. |
(code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1')).not()
|
| sdtc-race-not-detail | error | ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | When using translation to convey race details, the base code SHALL be a race category. |
translation.exists(codeSystem = '2.16.840.1.113883.6.238') implies (code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1'))
|
| should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code |
code.exists()
|
| should-country | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | SHOULD contain country |
nullFlavor.exists() or item.country.exists()
|
| should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension |
extension.exists()
|
| should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) |
id.where(root = '2.16.840.1.113883.4.6')
|
| should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator |
legalAuthenticator.exists()
|
| should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode |
maritalStatusCode.exists()
|
| should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI |
$this = '2.16.840.1.113883.4.6'
|
| should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd |
preferenceInd.exists()
|
| should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode |
proficiencyLevelCode.exists()
|
| should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant |
participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
|
| should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty |
responsibleParty.exists()
|
| should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr |
addr.exists()
|
| should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | 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.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, 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.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.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high | **SHOULD** be precise to at least the minute |
nullFlavor.exists() or value.toString().length() > 10
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..1 | CS | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: US | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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C | 1..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() |
1..1 | st | Fixed Value: POCD_HD000040 | |
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2..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.1 | |
![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.10 | |
![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2024-05-01 | |
![]() ![]() |
1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991). | |
![]() ![]() |
0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
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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) | |
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1..1 | cs | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..1 | ED | ||
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0..* | CD | ||
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1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code | |
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0..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required) | |
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1..1 | USRealmDateTime | Document creation time | |
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1..1 | CE | Controls the disclosure of information in this document | |
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1..1 | cs | Binding: HL7 BasicConfidentialityKind (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | CS | Human language of character data Binding: AllLanguages (required) | |
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C | 0..1 | II | An identifier that is common across all document revisions |
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C | 0..1 | INT | An integer value used to version successive replacement documents |
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0..1 | TS | Deprecated - use is discouraged | |
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1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RCT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | PatientRole | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() |
0..* | II | ||
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0..1 | cs | Binding: RoleClassRelationshipFormal (required) Fixed Value: PAT | |
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1..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address | |
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C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email Constraints: should-use |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | url | ||
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0..* | |||
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IVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() |
EIVL_TS | |||
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PIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() |
SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
![]() ![]() ![]() ![]() |
C | 1..1 | Patient | Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
![]() ![]() ![]() ![]() ![]() |
0..1 | II | ||
![]() ![]() ![]() ![]() ![]() |
1..* | USRealmPatientNamePTNUSFIELDED | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CE | Binding: AdministrativeGender (example) | |
![]() ![]() ![]() ![]() ![]() |
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) Constraints: ts-shall-year, ts-should-day |
![]() ![]() ![]() ![]() ![]() |
0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) Constraints: should-value-att, ts-shall-year, ts-should-day |
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0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | CE | SHOULD contain maritalStatusCode Binding: Marital Status (required) |
![]() ![]() ![]() ![]() ![]() |
0..1 | CE | Binding: Religious Affiliation (required) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race - raceCode SHALL contain only the OMB race category; detailed race values go in translation. Additional race categories are conveyed using sdtc:raceCode, following the same pattern (OMB category in root; details in translation). Binding: Race Categories (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid, uuid, ruid | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..* | CD | Binding: Race Value Set (preferred)Constraints: race-not-category |
![]() ![]() ![]() ![]() ![]() |
C | 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 โurn:hl7-org:sdtcโ. 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: Detailed race including absence reasons. (required)Constraints: sdtc-race-not-detail |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid, uuid, ruid | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..* | CD | Binding: Race Value Set (preferred)Constraints: race-not-category |
![]() ![]() ![]() ![]() ![]() |
1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity Categories (required) | |
![]() ![]() ![]() ![]() ![]() |
0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity Including Absence Reasons (required) | |
![]() ![]() ![]() ![]() ![]() |
C | 0..* | Guardian | Constraints: should-us-code, should-us-addr, should-us-telecom |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: RoleClassAgent (required) Fixed Value: GUARD | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | CE | Binding: Personal And Legal Relationship Role Type (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | USRealmAddress | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..* | TEL | Constraints: should-use |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | url | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
IVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
EIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
PIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | Person | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Birthplace | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassPassive (required) Fixed Value: BIRTHPL | |
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1..1 | Place | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassPlace (required) Fixed Value: PLC | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | EN | ||
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C | 1..1 | AD | Constraints: 4537-5402, 4537-5403, should-country |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | bl | ||
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0..* | cs | Binding: CDAPostalAddressUse (required) | |
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C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance Constraints: AD-1 |
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1..1 | |||
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DEL | |
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C | 0..1 | ADXP | Binding: Country2 (required) Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CNT | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STA | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CPA | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CTY | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ZIP | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: SAL | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNN | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DIR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STB | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STTYP | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ADL | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNID | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNIT | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CAR | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CEN | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DAL | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINST | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTA | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTQ | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMOD | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMODID | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNS | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: POB | |
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C | 0..1 | ADXP | Constraints: text-null |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: PRE | |
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0..1 | st | Allows for mixed text content | |
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language Constraints: should-proficiencyLevelCode, should-preferenceInd |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | CS | Binding: Languages (required) | |
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0..1 | CE | Binding: LanguageAbilityMode (required) | |
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C | 0..1 | CE | SHOULD contain proficiencyLevelCode Binding: LanguageAbilityProficiency (required) |
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C | 0..1 | BL | SHOULD contain preferenceInd |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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1..* | ON | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..* | USRealmAddress | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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1..* | Author | The author element represents the creator of the clinical document. The author may be a device or a person. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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1..1 | USRealmDateTime | ||
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C | 1..1 | AssignedAuthor | Constraints: 4537-16790, should-id-npi, should-us-code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | Slice: Unordered, Open by value:root | |
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C | 0..1 | II | Constraints: should-extension |
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0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6 | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: CDARoleCode (example) | |
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1..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | |||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | AuthoringDevice | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassDevice (required) Fixed Value: DEV | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | CE | Binding: CDAEntityCode (example) | |
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1..1 | SC | Binding: Manufacturer Model Name Example (example) | |
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1..1 | SC | Binding: Software Name Example (example) | |
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0..* | MaintainedEntity | ||
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0..1 | Organization | ||
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0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: ENT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | USRealmDateTime | ||
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Informant | Person that provides relevant information Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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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). | |
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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0..* | TEL | ||
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | RelatedEntity | ||
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1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST | |
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1..1 | AssignedCustodian | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..1 | CustodianOrganization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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1..1 | ON | ||
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C | 1..1 | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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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) | |
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1..1 | USRealmAddress | ||
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0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: XInformationRecipient (2.0.0) (required) | |
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1..1 | IntendedRecipient | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAInformationRecipientRole (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..* | II | ||
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1..1 | ON | ||
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0..* | TEL | ||
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0..* | AD | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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C | 0..1 | LegalAuthenticator | The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LA | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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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) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI) | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUTHEN | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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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) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred) | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | Constraints: should-use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) (required) | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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C | 0..* | Participant1 | The participant element identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin). Constraints: 4537-10006, 4537-10007 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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0..1 | USRealmDateTimeInterval | ||
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1..1 | AssociatedEntity | ||
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0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS | |
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1..1 | Order | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) | |
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0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO | |
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1..* | II | ||
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0..1 | CE | Binding: v3 Code System ActCode (example) | |
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0..1 | CE | Binding: ActPriority (example) | |
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0..* | DocumentationOf | The main Act being documented | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: DOC | |
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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. Constraints: should-us-performer |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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0..1 | CE | ||
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1..1 | USRealmDateTimeInterval | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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C | 1..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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C | 0..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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C | 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. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ServiceEventPerformer (required) | |
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C | 0..1 | CE | Constraints: should-code-attr |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Care Team Member Function (preferred) | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..1 | USRealmDateTimeInterval | ||
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C | 1..1 | AssignedEntity | Constraints: should-us-code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | Constraints: should-npi |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | RelatedDocument | Source of a document revision, addenda, or transformation | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH | |
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1..1 | Consent | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: CONS | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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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) | |
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1..1 | CS | Binding: ActStatus (required) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Fixed Value: completed | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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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. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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C | 1..1 | EncompassingEncounter | Constraints: should-responsibleParty |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..* | II | ||
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0..1 | CE | Binding: Act Encounter Codes (preferred) | |
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1..1 | USRealmDateTimeInterval | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: USEncounterDischargeDisposition (example) | |
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RESP | |
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C | 1..1 | AssignedEntity | Constraints: 1198-32905 |
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0..* | EncounterParticipant | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ParticipationTargetLocation (required) Fixed Value: LOC | |
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1..1 | HealthCareFacility | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassServiceDeliveryLocation (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: ServiceDeliveryLocationRoleType (example) | |
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0..1 | Place | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassPlace (required) Fixed Value: PLC | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | EN | ||
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0..1 | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Facility Address | |
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0..1 | Organization | ||
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1..1 | Component | Body of the document | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | NonXMLBody | An Unstructured Document must include a nonXMLBody component with a single text element. The text element can reference an external file using a reference element, or include unstructured content directly with a mediaType attribute. The nonXMLBody/text element also has a "compression" attribute that can be used to indicate that the unstructured content was compressed before being Base64Encoded. At a minimum, a compression value of "DF" for the deflate compression algorithm (RFC 1951 [URL:http://www.ietf.org/rfc/rfc1951.txt]) must be supported although it is not required that content be compressed. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCBODY | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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C | 1..1 | ED | Constraints: 1198-7624 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
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0..1 | bin | ||
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0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
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0..1 | cs | ||
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0..1 | cs | Binding: SupportedFileFormats (required) | |
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0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
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0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
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0..1 | TEL | ||
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C | 0..1 | ED | Constraints: ED-1 |
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0..1 | CE | ||
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | StructuredBody | A body comprised of one or more document sections. | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ClinicalDocument.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.classCode | Base | example | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.realmCode.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.templateId:us-realm.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.templateId:unstructured-doc.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.code | Base | example | FHIR Document Type Codes | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.sdtcStatusCode | Base | required | ActStatus | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.confidentialityCode.โcode | Base | preferred |
HL7 BasicConfidentialityKind
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.recordTarget.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.classCode | Base | required | RoleClassRelationshipFormal | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โadministrativeGenderCode | Base | example | AdministrativeGender | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โmaritalStatusCode | Base | required |
Marital Status
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โreligiousAffiliationCode | Base | required |
Religious Affiliation
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โraceCode | Base | required |
Race Categories
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โraceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โraceCode.translation | Base | preferred |
Race Value Set
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcRaceCode | Base | required |
Detailed race including absence reasons.
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcRaceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcRaceCode.translation | Base | preferred |
Race Value Set
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โethnicGroupCode | Base | required |
Ethnicity Categories
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โsdtcEthnicGroupCode | Base | required |
Detailed Ethnicity Including Absence Reasons
|
📦20250419 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.classCode | Base | required | RoleClassAgent | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.code | Base | required |
Personal And Legal Relationship Role Type
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.telecom.use | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โguardian.guardianPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.classCode | Base | required | RoleClassPassive | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.classCode | Base | required | EntityClassPlace | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.determinerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โuse | Base | required | CDAPostalAddressUse | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.delimiter.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.country | Base | required | Country2 | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.country.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.state.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.county.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.city.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.postalCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetAddressLine.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.houseNumber.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.houseNumberNumeric.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.direction.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetName.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetNameBase.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.streetNameType.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.additionalLocator.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.unitID.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.unitType.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.careOf.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.censusTract.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryAddressLine.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryInstallationType.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryInstallationArea.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryInstallationQualifier.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryMode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.deliveryModeIdentifier.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.buildingNumberSuffix.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.postBox.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โbirthplace.place.addr.โitem.precinct.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โlanguageCode | Base | required | Languages | 📦1.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โmodeCode | Base | required |
LanguageAbilityMode
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.patient.โlanguageCommunication.โproficiencyLevelCode | Base | required |
LanguageAbilityProficiency
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โclassCode | Base | required | EntityClassOrganization | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โid.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โtelecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โtelecom.use | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.recordTarget.โpatientRole.providerOrganization.โstandardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.id:npi.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.code | Base | example | CDARoleCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.code.โcode | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.author.โassignedAuthor.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.author.โassignedAuthor.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โclassCode | Base | required | EntityClassDevice | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โcode | Base | example | CDAEntityCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โmanufacturerModelName | Base | example | Manufacturer Model Name Example | 📦2.0.0 | THO v7.0 |
| ClinicalDocument.author.โassignedAuthor.assignedAuthoringDevice.โsoftwareName | Base | example | Software Name Example | 📦2.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.dataEnterer.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.dataEnterer.โassignedEntity.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.dataEnterer.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informant:provider.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.informant:provider.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:provider.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informant:non-provider.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โclassCode | Base | required | EntityClassOrganization | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โid.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โtelecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.custodian.โassignedCustodian.representedCustodianOrganization.โtelecom.use | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.informationRecipient.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โtypeCode | Base | required | x_InformationRecipient | 📍2.0.0 | THO v5.2 |
| ClinicalDocument.informationRecipient.โintendedRecipient.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.classCode | Base | required | CDAInformationRecipientRole | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.informationRecipient.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โclassCode | Base | required | EntityClassOrganization | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.informationRecipient.โintendedRecipient.receivedOrganization.โstandardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โsignatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โsignatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.legalAuthenticator.โassignedEntity.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.legalAuthenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โsignatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โsignatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authenticator.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.code | Base | example | CDARoleCode | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.code.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.code.โcode | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.authenticator.โassignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std. |
| ClinicalDocument.authenticator.โassignedEntity.telecom.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.telecom.โuse | Base | required |
Telecom Use (US Realm Header)
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โclassCode | Base | required | EntityClassLivingSubject | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โdeterminerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authenticator.โassignedEntity.assignedPerson.โsdtcAsPatientRelationship.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โtypeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.participant.โcontextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โtypeCode | Base | required | ActRelationshipFulfills | 📍2.0.0 | THO v5.2 |
| ClinicalDocument.inFulfillmentOf.โorder.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.moodCode | Base | required | CDAActMoodIntent | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.inFulfillmentOf.โorder.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.inFulfillmentOf.โorder.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.documentationOf.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โtypeCode | Base | required | CDAActRelationshipType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โoperator | Base | required | CDASetOperator | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โlow.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.effectiveTime.โhigh.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โtypeCode | Base | required |
x_ServiceEventPerformer
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โfunctionCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โfunctionCode.code | Base | preferred |
Care Team Member Function
|
📦20240605 | VSAC v0.24 |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.documentationOf.โserviceEvent.performer.โassignedEntity.code | Base | preferred |
Healthcare Provider Taxonomy
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.authorization.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โtypeCode | Base | required | ActRelationshipAuthorizedBy | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authorization.โconsent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.authorization.โconsent.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authorization.โconsent.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.authorization.โconsent.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โtypeCode | Base | required | ActRelationshipHasComponent | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โclassCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โmoodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โcode | Base | preferred |
Act Encounter Codes
|
📦20231012 | VSAC v0.24 |
| ClinicalDocument.componentOf.โencompassingEncounter.โdischargeDispositionCode | Base | example | USEncounterDischargeDisposition | 📦5.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โresponsibleParty.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โresponsibleParty.typeId.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โresponsibleParty.typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.typeCode | Base | required | ParticipationTargetLocation | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โclassCode | Base | required | RoleClassServiceDeliveryLocation | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โcode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.classCode | Base | required | EntityClassPlace | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.componentOf.โencompassingEncounter.โlocation.healthCareFacility.โlocation.determinerCode | Base | required | EntityDeterminer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.component.โnullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โtypeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โtypeCode | Base | required | ActRelationshipHasComponent | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.component.โnonXMLBody.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v7.0 |
| ClinicalDocument.component.โnonXMLBody.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
| ClinicalDocument.component.โnonXMLBody.text.mediaType | Base | required |
SupportedFileFormats
|
📦20240606 | VSAC v0.24 |
| ClinicalDocument.component.โnonXMLBody.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.2-sd | Clinical Document Architecture vnull |
| ClinicalDocument.component.โnonXMLBody.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 1198-7624 | error | ClinicalDocument.component.nonXMLBody.text | If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624). |
reference.value.empty() implies (representation = 'B64' and mediaType.exists())
|
| 1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). |
assignedPerson.exists() or representedOrganization.exists()
|
| 4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). |
nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://terminology.hl7.org/ValueSet/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()
|
| 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
|
| ED-1 | error | ClinicalDocument.component.nonXMLBody.text.thumbnail | Thumbnails cannot contain their own thumbnails |
thumbnail.empty()
|
| II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.location.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.nonXMLBody.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| race-not-category | error | ClinicalDocument.recordTarget.patientRole.patient.raceCode.translation, ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode.translation | Translation SHALL NOT be used to convey additional race categories. Multiple categories must be conveyed in multiple raceCode elements. |
(code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1')).not()
|
| sdtc-race-not-detail | error | ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | When using translation to convey race details, the base code SHALL be a race category. |
translation.exists(codeSystem = '2.16.840.1.113883.6.238') implies (code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1'))
|
| should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code |
code.exists()
|
| should-country | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | SHOULD contain country |
nullFlavor.exists() or item.country.exists()
|
| should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension |
extension.exists()
|
| should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) |
id.where(root = '2.16.840.1.113883.4.6')
|
| should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator |
legalAuthenticator.exists()
|
| should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode |
maritalStatusCode.exists()
|
| should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI |
$this = '2.16.840.1.113883.4.6'
|
| should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd |
preferenceInd.exists()
|
| should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode |
proficiencyLevelCode.exists()
|
| should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant |
participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
|
| should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty |
responsibleParty.exists()
|
| should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr |
addr.exists()
|
| should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | 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.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, 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.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.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