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

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON

Logical Model: InfrastructureRoot (Base Type for all CDA Classes) ( Abstract )

Defines the base elements and attributes on all CDA elements (other than data types)

Usages:

• Derived from this Logical Model: Act (CDA Class), AssignedAuthor (CDA Class), AssignedCustodian (CDA Class), AssignedEntity (CDA Class)... Show 77 more, AssociatedEntity (CDA Class), Authenticator (CDA Class), Author (CDA Class), AuthoringDevice (CDA Class), Authorization (CDA Class), Birthplace (CDA Class), Component (CDA Class), ComponentOf (CDA Class), Consent (CDA Class), Criterion (CDA Class), Custodian (CDA Class), CustodianOrganization (CDA Class), DataEnterer (CDA Class), Device (CDA Class), DocumentationOf (CDA Class), EncompassingEncounter (CDA Class), Encounter (CDA Class), EncounterParticipant (CDA Class), Entity (CDA Class), Entry (CDA Class), EntryRelationship (CDA Class), ExternalAct (CDA Class), ExternalDocument (CDA Class), ExternalObservation (CDA Class), ExternalProcedure (CDA Class), Guardian (CDA Class), HealthCareFacility (CDA Class), InFulfillmentOf (CDA Class), InFulfillmentOf1 (CDA Class), Informant (CDA Class), InformationRecipient (CDA Class), IntendedRecipient (CDA Class), LabeledDrug (CDA Class), LanguageCommunication (CDA Class), LegalAuthenticator (CDA Class), MaintainedEntity (CDA Class), ManufacturedProduct (CDA Class), Material (CDA Class), NonXMLBody (CDA Class), Observation (CDA Class), ObservationMedia (CDA Class), ObservationRange (CDA Class), Order (CDA Class), Organization (CDA Class), OrganizationPartOf (CDA Class), Organizer (CDA Class), OrganizerComponent (CDA Class), ParentDocument (CDA Class), Participant1 (CDA Class), Participant2 (CDA Class), ParticipantRole (CDA Class), Patient (CDA Class), PatientRole (CDA Class), Performer1 (CDA Class), Performer2 (CDA Class), Person (CDA Class), Place (CDA Class), PlayingEntity (CDA Class), Precondition (CDA Class), Precondition2 (CDA Class), PreconditionBase (CDA Class), Procedure (CDA Class), RecordTarget (CDA Class), Reference (CDA Class), RegionOfInterest (CDA Class), RelatedDocument (CDA Class), RelatedEntity (CDA Class), RelatedSubject (CDA Class), Section (CDA Class), ServiceEvent (CDA Class), Specimen (CDA Class), SpecimenRole (CDA Class), StructuredBody (CDA Class), Subject (CDA Class), SubjectPerson (CDA Class), SubstanceAdministration (CDA Class) and Supply (CDA Class)
• Use this Logical Model: EncompassingEncounter (CDA Class), InFulfillmentOf1 (CDA Class), Observation (CDA Class), ObservationRange (CDA Class)... Show 5 more, Person (CDA Class), Section (CDA Class), StructuredBody (CDA Class), SubstanceAdministration (CDA Class) and Supply (CDA Class)

You can also check for usages in the FHIR IG Statistics

Formal Views of Template Content

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

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

This structure is derived from ANY

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
InfrastructureRoot		1..*	ANY	XML Namespace: urn:hl7-org:v3 This is an abstract type. Child types: Act, AssignedAuthor, AssignedCustodian, AssignedEntity, AssociatedEntity, Authenticator, Author, AuthoringDevice, Authorization, Birthplace, Component, ComponentOf, Consent, Criterion, Custodian, CustodianOrganization, DataEnterer, Device, DocumentationOf, EncompassingEncounter, Encounter, EncounterParticipant, Entity, Entry, EntryRelationship, ExternalAct, ExternalDocument, ExternalObservation, ExternalProcedure, Guardian, HealthCareFacility, InFulfillmentOf, InFulfillmentOf1, Informant, InformationRecipient, IntendedRecipient, LabeledDrug, LanguageCommunication, LegalAuthenticator, MaintainedEntity, ManufacturedProduct, Material, NonXMLBody, Observation, ObservationMedia, ObservationRange, Order, Organization, OrganizationPartOf, Organizer, OrganizerComponent, ParentDocument, Participant1, Participant2, ParticipantRole, Patient, PatientRole, Performer1, Performer2, Person, Place, PlayingEntity, Precondition, Precondition2, PreconditionBase, Procedure, RecordTarget, Reference, RegionOfInterest, RelatedDocument, RelatedEntity, RelatedSubject, Section, ServiceEvent, Specimen, SpecimenRole, StructuredBody, Subject, SubjectPerson, SubstanceAdministration, Supply Elements defined in Ancestors:@nullFlavor Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
realmCode		0..*	CS
typeId		0..1	II
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
InfrastructureRoot		1..*	ANY	XML Namespace: urn:hl7-org:v3 This is an abstract type. Child types: Act, AssignedAuthor, AssignedCustodian, AssignedEntity, AssociatedEntity, Authenticator, Author, AuthoringDevice, Authorization, Birthplace, Component, ComponentOf, Consent, Criterion, Custodian, CustodianOrganization, DataEnterer, Device, DocumentationOf, EncompassingEncounter, Encounter, EncounterParticipant, Entity, Entry, EntryRelationship, ExternalAct, ExternalDocument, ExternalObservation, ExternalProcedure, Guardian, HealthCareFacility, InFulfillmentOf, InFulfillmentOf1, Informant, InformationRecipient, IntendedRecipient, LabeledDrug, LanguageCommunication, LegalAuthenticator, MaintainedEntity, ManufacturedProduct, Material, NonXMLBody, Observation, ObservationMedia, ObservationRange, Order, Organization, OrganizationPartOf, Organizer, OrganizerComponent, ParentDocument, Participant1, Participant2, ParticipantRole, Patient, PatientRole, Performer1, Performer2, Person, Place, PlayingEntity, Precondition, Precondition2, PreconditionBase, Procedure, RecordTarget, Reference, RegionOfInterest, RelatedDocument, RelatedEntity, RelatedSubject, Section, ServiceEvent, Specimen, SpecimenRole, StructuredBody, Subject, SubjectPerson, SubstanceAdministration, Supply Elements defined in Ancestors:@nullFlavor Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
InfrastructureRoot.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor From this IG
InfrastructureRoot.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	InfrastructureRoot.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
InfrastructureRoot		1..*	ANY	XML Namespace: urn:hl7-org:v3 This is an abstract type. Child types: Act, AssignedAuthor, AssignedCustodian, AssignedEntity, AssociatedEntity, Authenticator, Author, AuthoringDevice, Authorization, Birthplace, Component, ComponentOf, Consent, Criterion, Custodian, CustodianOrganization, DataEnterer, Device, DocumentationOf, EncompassingEncounter, Encounter, EncounterParticipant, Entity, Entry, EntryRelationship, ExternalAct, ExternalDocument, ExternalObservation, ExternalProcedure, Guardian, HealthCareFacility, InFulfillmentOf, InFulfillmentOf1, Informant, InformationRecipient, IntendedRecipient, LabeledDrug, LanguageCommunication, LegalAuthenticator, MaintainedEntity, ManufacturedProduct, Material, NonXMLBody, Observation, ObservationMedia, ObservationRange, Order, Organization, OrganizationPartOf, Organizer, OrganizerComponent, ParentDocument, Participant1, Participant2, ParticipantRole, Patient, PatientRole, Performer1, Performer2, Person, Place, PlayingEntity, Precondition, Precondition2, PreconditionBase, Procedure, RecordTarget, Reference, RegionOfInterest, RelatedDocument, RelatedEntity, RelatedSubject, Section, ServiceEvent, Specimen, SpecimenRole, StructuredBody, Subject, SubjectPerson, SubstanceAdministration, Supply Elements defined in Ancestors:@nullFlavor Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
InfrastructureRoot.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor From this IG
InfrastructureRoot.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	InfrastructureRoot.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()

This structure is derived from ANY

Summary

Mandatory: 0 element(2 nested mandatory elements)
Fixed: 1 element

Extensions

This structure refers to these extensions:

• http://hl7.org/cda/stds/core/StructureDefinition/st-simple

Differential View

This structure is derived from ANY

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
InfrastructureRoot		1..*	ANY	XML Namespace: urn:hl7-org:v3 This is an abstract type. Child types: Act, AssignedAuthor, AssignedCustodian, AssignedEntity, AssociatedEntity, Authenticator, Author, AuthoringDevice, Authorization, Birthplace, Component, ComponentOf, Consent, Criterion, Custodian, CustodianOrganization, DataEnterer, Device, DocumentationOf, EncompassingEncounter, Encounter, EncounterParticipant, Entity, Entry, EntryRelationship, ExternalAct, ExternalDocument, ExternalObservation, ExternalProcedure, Guardian, HealthCareFacility, InFulfillmentOf, InFulfillmentOf1, Informant, InformationRecipient, IntendedRecipient, LabeledDrug, LanguageCommunication, LegalAuthenticator, MaintainedEntity, ManufacturedProduct, Material, NonXMLBody, Observation, ObservationMedia, ObservationRange, Order, Organization, OrganizationPartOf, Organizer, OrganizerComponent, ParentDocument, Participant1, Participant2, ParticipantRole, Patient, PatientRole, Performer1, Performer2, Person, Place, PlayingEntity, Precondition, Precondition2, PreconditionBase, Procedure, RecordTarget, Reference, RegionOfInterest, RelatedDocument, RelatedEntity, RelatedSubject, Section, ServiceEvent, Specimen, SpecimenRole, StructuredBody, Subject, SubjectPerson, SubstanceAdministration, Supply Elements defined in Ancestors:@nullFlavor Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
realmCode		0..*	CS
typeId		0..1	II
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
InfrastructureRoot		1..*	ANY	XML Namespace: urn:hl7-org:v3 This is an abstract type. Child types: Act, AssignedAuthor, AssignedCustodian, AssignedEntity, AssociatedEntity, Authenticator, Author, AuthoringDevice, Authorization, Birthplace, Component, ComponentOf, Consent, Criterion, Custodian, CustodianOrganization, DataEnterer, Device, DocumentationOf, EncompassingEncounter, Encounter, EncounterParticipant, Entity, Entry, EntryRelationship, ExternalAct, ExternalDocument, ExternalObservation, ExternalProcedure, Guardian, HealthCareFacility, InFulfillmentOf, InFulfillmentOf1, Informant, InformationRecipient, IntendedRecipient, LabeledDrug, LanguageCommunication, LegalAuthenticator, MaintainedEntity, ManufacturedProduct, Material, NonXMLBody, Observation, ObservationMedia, ObservationRange, Order, Organization, OrganizationPartOf, Organizer, OrganizerComponent, ParentDocument, Participant1, Participant2, ParticipantRole, Patient, PatientRole, Performer1, Performer2, Person, Place, PlayingEntity, Precondition, Precondition2, PreconditionBase, Procedure, RecordTarget, Reference, RegionOfInterest, RelatedDocument, RelatedEntity, RelatedSubject, Section, ServiceEvent, Specimen, SpecimenRole, StructuredBody, Subject, SubjectPerson, SubstanceAdministration, Supply Elements defined in Ancestors:@nullFlavor Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
InfrastructureRoot.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor From this IG
InfrastructureRoot.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	InfrastructureRoot.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
InfrastructureRoot		1..*	ANY	XML Namespace: urn:hl7-org:v3 This is an abstract type. Child types: Act, AssignedAuthor, AssignedCustodian, AssignedEntity, AssociatedEntity, Authenticator, Author, AuthoringDevice, Authorization, Birthplace, Component, ComponentOf, Consent, Criterion, Custodian, CustodianOrganization, DataEnterer, Device, DocumentationOf, EncompassingEncounter, Encounter, EncounterParticipant, Entity, Entry, EntryRelationship, ExternalAct, ExternalDocument, ExternalObservation, ExternalProcedure, Guardian, HealthCareFacility, InFulfillmentOf, InFulfillmentOf1, Informant, InformationRecipient, IntendedRecipient, LabeledDrug, LanguageCommunication, LegalAuthenticator, MaintainedEntity, ManufacturedProduct, Material, NonXMLBody, Observation, ObservationMedia, ObservationRange, Order, Organization, OrganizationPartOf, Organizer, OrganizerComponent, ParentDocument, Participant1, Participant2, ParticipantRole, Patient, PatientRole, Performer1, Performer2, Person, Place, PlayingEntity, Precondition, Precondition2, PreconditionBase, Procedure, RecordTarget, Reference, RegionOfInterest, RelatedDocument, RelatedEntity, RelatedSubject, Section, ServiceEvent, Specimen, SpecimenRole, StructuredBody, Subject, SubjectPerson, SubstanceAdministration, Supply Elements defined in Ancestors:@nullFlavor Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
InfrastructureRoot.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor From this IG
InfrastructureRoot.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	InfrastructureRoot.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()

This structure is derived from ANY

Summary

Mandatory: 0 element(2 nested mandatory elements)
Fixed: 1 element

Extensions

This structure refers to these extensions:

• http://hl7.org/cda/stds/core/StructureDefinition/st-simple

Other representations of profile: CSV, Excel