Clinical Document Architecture
2.0.1 - active

Clinical Document Architecture, published by Health Level 7. This is not an authorized publication; it is the continuous build for version 2.0.1). This version is based on the current content of https://github.com/HL7/CDA-core-2.0/ and changes regularly. See the Directory of published versions

Logical Model: CDAR2.ClinicalDocument - Detailed Descriptions

Active as of 2023-10-03

Definitions for the ClinicalDocument logical model.

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

0. ClinicalDocument
Control1..1
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
2. ClinicalDocument.classCode
Control0..1
BindingUnless not suitable, these codes SHALL be taken from ActClass
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueDOCCLIN
4. ClinicalDocument.moodCode
Control0..1
BindingThe codes SHALL be taken from ActMood
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
6. ClinicalDocument.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
8. ClinicalDocument.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
10. ClinicalDocument.typeId.root
Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Value2.16.840.1.113883.1.3
12. ClinicalDocument.typeId.extension
Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
14. ClinicalDocument.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
16. ClinicalDocument.id
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
18. ClinicalDocument.code
Control1..1
BindingUnless not suitable, these codes SHALL be taken from FHIRDocumentTypeCodes
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
20. ClinicalDocument.title
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
22. ClinicalDocument.effectiveTime
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
24. ClinicalDocument.confidentialityCode
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
26. ClinicalDocument.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
28. ClinicalDocument.setId
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
30. ClinicalDocument.versionNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
32. ClinicalDocument.copyTime
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
34. ClinicalDocument.recordTarget
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RecordTarget
36. ClinicalDocument.author
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
38. ClinicalDocument.dataEnterer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/DataEnterer
40. ClinicalDocument.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
42. ClinicalDocument.custodian
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Custodian
44. ClinicalDocument.informationRecipient
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InformationRecipient
46. ClinicalDocument.legalAuthenticator
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/LegalAuthenticator
48. ClinicalDocument.authenticator
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Authenticator
50. ClinicalDocument.participant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant1
52. ClinicalDocument.inFulfillmentOf
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf
54. ClinicalDocument.documentationOf
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/DocumentationOf
56. ClinicalDocument.relatedDocument
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RelatedDocument
58. ClinicalDocument.authorization
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Authorization
60. ClinicalDocument.componentOf
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ComponentOf
62. ClinicalDocument.component
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Component

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

0. ClinicalDocument
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. ClinicalDocument.classCode
Control0..1
BindingUnless not suitable, these codes SHALL be taken from ActClass
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueDOCCLIN
4. ClinicalDocument.moodCode
Control0..1
BindingThe codes SHALL be taken from ActMood
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
6. ClinicalDocument.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
8. ClinicalDocument.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
10. ClinicalDocument.typeId.root
Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Value2.16.840.1.113883.1.3
12. ClinicalDocument.typeId.extension
Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
14. ClinicalDocument.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
16. ClinicalDocument.id
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
18. ClinicalDocument.code
Control1..1
BindingUnless not suitable, these codes SHALL be taken from FHIRDocumentTypeCodes
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
20. ClinicalDocument.title
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
22. ClinicalDocument.effectiveTime
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
24. ClinicalDocument.confidentialityCode
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
26. ClinicalDocument.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
28. ClinicalDocument.setId
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
30. ClinicalDocument.versionNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
32. ClinicalDocument.copyTime
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
34. ClinicalDocument.recordTarget
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RecordTarget
36. ClinicalDocument.author
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
38. ClinicalDocument.dataEnterer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/DataEnterer
40. ClinicalDocument.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
42. ClinicalDocument.custodian
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Custodian
44. ClinicalDocument.informationRecipient
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InformationRecipient
46. ClinicalDocument.legalAuthenticator
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/LegalAuthenticator
48. ClinicalDocument.authenticator
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Authenticator
50. ClinicalDocument.participant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant1
52. ClinicalDocument.inFulfillmentOf
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf
54. ClinicalDocument.documentationOf
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/DocumentationOf
56. ClinicalDocument.relatedDocument
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RelatedDocument
58. ClinicalDocument.authorization
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Authorization
60. ClinicalDocument.componentOf
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ComponentOf
62. ClinicalDocument.component
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Component

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

0. ClinicalDocument
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control1..1
Is Modifierfalse
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. ClinicalDocument.classCode
Control0..1
BindingUnless not suitable, these codes SHALL be taken from ActClass
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueDOCCLIN
4. ClinicalDocument.moodCode
Control0..1
BindingThe codes SHALL be taken from ActMood
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
6. ClinicalDocument.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
8. ClinicalDocument.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
10. ClinicalDocument.typeId.root
Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Value2.16.840.1.113883.1.3
12. ClinicalDocument.typeId.extension
Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
14. ClinicalDocument.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
16. ClinicalDocument.id
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
18. ClinicalDocument.code
Control1..1
BindingUnless not suitable, these codes SHALL be taken from FHIRDocumentTypeCodes
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
20. ClinicalDocument.title
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
22. ClinicalDocument.effectiveTime
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
24. ClinicalDocument.confidentialityCode
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
26. ClinicalDocument.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
28. ClinicalDocument.setId
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
30. ClinicalDocument.versionNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
32. ClinicalDocument.copyTime
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
34. ClinicalDocument.recordTarget
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RecordTarget
36. ClinicalDocument.author
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
38. ClinicalDocument.dataEnterer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/DataEnterer
40. ClinicalDocument.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
42. ClinicalDocument.custodian
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Custodian
44. ClinicalDocument.informationRecipient
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InformationRecipient
46. ClinicalDocument.legalAuthenticator
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/LegalAuthenticator
48. ClinicalDocument.authenticator
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Authenticator
50. ClinicalDocument.participant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant1
52. ClinicalDocument.inFulfillmentOf
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf
54. ClinicalDocument.documentationOf
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/DocumentationOf
56. ClinicalDocument.relatedDocument
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RelatedDocument
58. ClinicalDocument.authorization
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Authorization
60. ClinicalDocument.componentOf
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ComponentOf
62. ClinicalDocument.component
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Component