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

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• Detailed Descriptions
• Mappings
• Examples
• XML

Logical Model: CDAR2.ClinicalDocument - XML Profile

XML representation of the ClinicalDocument logical model.

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ClinicalDocument"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>The ClinicalDocument class is the entry point into the CDA R-MIM, and corresponds to the &lt;ClinicalDocument&gt; XML element that is the root element of a CDA document.</p>
      <p>A CDA document is logically broken up into a CDA Header and a CDA Body. The CDA Header is comprised of ClinicalDocument attributes, participants, and act relationships. The CDA Body is the target of the ClinicalDocument component act relationship.</p>
      <p>The ClinicalDocument class inherits various attributes from the InfrastructureRoot class of the RIM, including ClinicalDocument.templateId and ClinicalDocument.typeId. When ClinicalDocument.templateId is valued in an instance, it signals the imposition of a set of template-defined constraints. In addition, the templateId attribute is available in all other CDA classes, thus enabling the imposition of a set of template-defined constraints at any level of granularity. The value of this attribute provides a unique identifier for the template(s) in question.</p>
      <p>ClinicalDocument.typeId is a technology-neutral explicit reference to this CDA, Release Two specification, and must be valued as follows: ClinicalDocument.typeId.root = &quot;2.16.840.1.113883.1.3&quot; (which is the OID for HL7 Registered models); ClinicalDocument.typeId.extension = &quot;POCD_HD000040&quot; (which is the unique identifier for the CDA, Release Two Hierarchical Description).</p>
    </div>
  </text>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/logical-target">
    <valueBoolean>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
        <valueCode value="not-applicable"/>
      </extension>
    </valueBoolean>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
    <valueUri value="urn:hl7-org:v3"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
    <valueUri value="ClinicalDocument"/>
  </extension>
  <url
       value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
  <version value="2.0.1"/>
  <name value="CDAR2.ClinicalDocument"/>
  <title value="ClinicalDocument (CDA Class)"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2023-10-03T20:44:04+00:00"/>
  <publisher value="Health Level 7"/>
  <contact>
    <name value="HL7 International - Structured Documents"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/structdoc"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="structdog@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="This is a generated StructureDefinition that describes CDA - that is, CDA as it actually is for R2. The intent of this StructureDefinition is to enable CDA to be a FHIR resource. That enables the FHIR infrastructure - API, conformance, query - to be used directly against CDA"/>
  <fhirVersion value="5.0.0"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="ClinicalDocument">
      <path value="ClinicalDocument"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Base definition for all types defined in FHIR type system."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.classCode">
      <path value="ClinicalDocument.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DOCCLIN"/>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClass"/>
      </binding>
    </element>
    <element id="ClinicalDocument.moodCode">
      <path value="ClinicalDocument.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.moodCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActMood"/>
      </binding>
    </element>
    <element id="ClinicalDocument.realmCode">
      <path value="ClinicalDocument.realmCode"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId">
      <path value="ClinicalDocument.typeId"/>
      <definition
                  value="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."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.typeId"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId.root">
      <path value="ClinicalDocument.typeId.root"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.typeId.root"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.typeId.extension">
      <path value="ClinicalDocument.typeId.extension"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.typeId.extension"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId">
      <path value="ClinicalDocument.templateId"/>
      <definition
                  value="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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.id">
      <path value="ClinicalDocument.id"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.id"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.code">
      <path value="ClinicalDocument.code"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/doc-typecodes"/>
      </binding>
    </element>
    <element id="ClinicalDocument.title">
      <path value="ClinicalDocument.title"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </type>
    </element>
    <element id="ClinicalDocument.effectiveTime">
      <path value="ClinicalDocument.effectiveTime"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.effectiveTime"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.confidentialityCode">
      <path value="ClinicalDocument.confidentialityCode"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.confidentialityCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element id="ClinicalDocument.languageCode">
      <path value="ClinicalDocument.languageCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.languageCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-HumanLanguage"/>
      </binding>
    </element>
    <element id="ClinicalDocument.setId">
      <path value="ClinicalDocument.setId"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.setId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.versionNumber">
      <path value="ClinicalDocument.versionNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.versionNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="ClinicalDocument.copyTime">
      <path value="ClinicalDocument.copyTime"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.copyTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget">
      <path value="ClinicalDocument.recordTarget"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.recordTarget"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RecordTarget"/>
      </type>
    </element>
    <element id="ClinicalDocument.author">
      <path value="ClinicalDocument.author"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.author"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Author"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer">
      <path value="ClinicalDocument.dataEnterer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.dataEnterer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/DataEnterer"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant">
      <path value="ClinicalDocument.informant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.informant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Informant"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian">
      <path value="ClinicalDocument.custodian"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.custodian"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Custodian"/>
      </type>
    </element>
    <element id="ClinicalDocument.informationRecipient">
      <path value="ClinicalDocument.informationRecipient"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.informationRecipient"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InformationRecipient"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator">
      <path value="ClinicalDocument.legalAuthenticator"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.legalAuthenticator"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/LegalAuthenticator"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator">
      <path value="ClinicalDocument.authenticator"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.authenticator"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Authenticator"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant">
      <path value="ClinicalDocument.participant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.participant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Participant1"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf">
      <path value="ClinicalDocument.inFulfillmentOf"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.inFulfillmentOf"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf">
      <path value="ClinicalDocument.documentationOf"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.documentationOf"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/DocumentationOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.relatedDocument">
      <path value="ClinicalDocument.relatedDocument"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.relatedDocument"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RelatedDocument"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization">
      <path value="ClinicalDocument.authorization"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.authorization"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Authorization"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf">
      <path value="ClinicalDocument.componentOf"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.componentOf"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/ComponentOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.component">
      <path value="ClinicalDocument.component"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.component"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Component"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="ClinicalDocument">
      <path value="ClinicalDocument"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.classCode">
      <path value="ClinicalDocument.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DOCCLIN"/>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActClass"/>
      </binding>
    </element>
    <element id="ClinicalDocument.moodCode">
      <path value="ClinicalDocument.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActMood"/>
      </binding>
    </element>
    <element id="ClinicalDocument.realmCode">
      <path value="ClinicalDocument.realmCode"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId">
      <path value="ClinicalDocument.typeId"/>
      <definition
                  value="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."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId.root">
      <path value="ClinicalDocument.typeId.root"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.typeId.extension">
      <path value="ClinicalDocument.typeId.extension"/>
      <representation value="xmlAttr"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.templateId">
      <path value="ClinicalDocument.templateId"/>
      <definition
                  value="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"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.id">
      <path value="ClinicalDocument.id"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.code">
      <path value="ClinicalDocument.code"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/doc-typecodes"/>
      </binding>
    </element>
    <element id="ClinicalDocument.title">
      <path value="ClinicalDocument.title"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </type>
    </element>
    <element id="ClinicalDocument.effectiveTime">
      <path value="ClinicalDocument.effectiveTime"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.confidentialityCode">
      <path value="ClinicalDocument.confidentialityCode"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element id="ClinicalDocument.languageCode">
      <path value="ClinicalDocument.languageCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-HumanLanguage"/>
      </binding>
    </element>
    <element id="ClinicalDocument.setId">
      <path value="ClinicalDocument.setId"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.versionNumber">
      <path value="ClinicalDocument.versionNumber"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="ClinicalDocument.copyTime">
      <path value="ClinicalDocument.copyTime"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget">
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        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RecordTarget"/>
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        <code
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      <path value="ClinicalDocument.dataEnterer"/>
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        <code
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        <code
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        <code
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        <code
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        <code
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        <code
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  </differential>
</StructureDefinition>