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
Active as of 2024-12-18 |
Definitions for the CR logical model.
Guidance on how to interpret the contents of this table can be found here
0. CR | |
Definition | A concept qualifier code with optionally named role. Both qualifier role and value codes must be defined by the coding system. For example, if SNOMED RT defines a concept "leg", a role relation "has-laterality", and another concept "left", the concept role relation allows to add the qualifier "has-laterality: left" to a primary code "leg" to construct the meaning "left leg". |
Control | 1..* |
Logical Container | ClinicalDocument (CDA Class) |
XML Format | In the XML format, this property has the namespace urn:hl7-org:v3 . |
Invariants | value-null-cr: Must contain value or nullFlavor. If nullFlavor is present, name and value must not be present. ((value.exists() or nullFlavor.exists()) and (nullFlavor.exists() implies (name | value).empty()) ) |
2. CR.inverted | |
Definition | Indicates if the sense of the role name is inverted. This can be used in cases where the underlying code system defines inversion but does not provide reciprocal pairs of role names. By default, inverted is false. |
Control | 0..1 |
Type | boolean(bn: BooleanNonNull) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Inversion Indicator |
4. CR.name | |
Definition | Specifies the manner in which the concept role value contributes to the meaning of a code phrase. For example, if SNOMED RT defines a concept "leg", a role relation "has-laterality", and another concept "left", the concept role relation allows to add the qualifier "has-laterality: left" to a primary code "leg" to construct the meaning "left leg". In this example "has-laterality" is the CR.name. |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CV |
Label | Name |
6. CR.value | |
Definition | The concept that modifies the primary code of a code phrase through the role relation. For example, if SNOMED RT defines a concept "leg", a role relation "has-laterality", and another concept "left", the concept role relation allows adding the qualifier "has-laterality: left" to a primary code "leg" to construct the meaning "left leg". In this example "left" is the CR.value. |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
Label | Value |
Guidance on how to interpret the contents of this table can be found here
0. CR | |
Definition | A concept qualifier code with optionally named role. Both qualifier role and value codes must be defined by the coding system. For example, if SNOMED RT defines a concept "leg", a role relation "has-laterality", and another concept "left", the concept role relation allows to add the qualifier "has-laterality: left" to a primary code "leg" to construct the meaning "left leg". Base definition for all types defined in FHIR type system. |
Short | Base for all types and resources |
Control | 10..* |
Is Modifier | false |
Logical Container | ClinicalDocument (CDA Class) |
XML Format | In the XML format, this property has the namespace urn:hl7-org:v3 . |
Invariants | value-null-cr: Must contain value or nullFlavor. If nullFlavor is present, name and value must not be present. ((value.exists() or nullFlavor.exists()) and (nullFlavor.exists() implies (name | value).empty()) ) |
2. CR.nullFlavor | |
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
Control | 0..1 |
Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor ) |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Exceptional Value Detail |
4. CR.inverted | |
Definition | Indicates if the sense of the role name is inverted. This can be used in cases where the underlying code system defines inversion but does not provide reciprocal pairs of role names. By default, inverted is false. |
Control | 0..1 |
Type | boolean(bn: BooleanNonNull) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Inversion Indicator |
6. CR.name | |
Definition | Specifies the manner in which the concept role value contributes to the meaning of a code phrase. For example, if SNOMED RT defines a concept "leg", a role relation "has-laterality", and another concept "left", the concept role relation allows to add the qualifier "has-laterality: left" to a primary code "leg" to construct the meaning "left leg". In this example "has-laterality" is the CR.name. |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CV |
Label | Name |
8. CR.value | |
Definition | The concept that modifies the primary code of a code phrase through the role relation. For example, if SNOMED RT defines a concept "leg", a role relation "has-laterality", and another concept "left", the concept role relation allows adding the qualifier "has-laterality: left" to a primary code "leg" to construct the meaning "left leg". In this example "left" is the CR.value. |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
Label | Value |
Guidance on how to interpret the contents of this table can be found here
0. CR | |
Definition | A concept qualifier code with optionally named role. Both qualifier role and value codes must be defined by the coding system. For example, if SNOMED RT defines a concept "leg", a role relation "has-laterality", and another concept "left", the concept role relation allows to add the qualifier "has-laterality: left" to a primary code "leg" to construct the meaning "left leg". |
Short | Base for all types and resources |
Control | 1..* |
Is Modifier | false |
Logical Container | ClinicalDocument (CDA Class) |
XML Format | In the XML format, this property has the namespace urn:hl7-org:v3 . |
Invariants | value-null-cr: Must contain value or nullFlavor. If nullFlavor is present, name and value must not be present. ((value.exists() or nullFlavor.exists()) and (nullFlavor.exists() implies (name | value).empty()) ) |
2. CR.nullFlavor | |
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
Control | 0..1 |
Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor ) |
Type | code(cs: Coded Simple Value) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Exceptional Value Detail |
4. CR.inverted | |
Definition | Indicates if the sense of the role name is inverted. This can be used in cases where the underlying code system defines inversion but does not provide reciprocal pairs of role names. By default, inverted is false. |
Control | 0..1 |
Type | boolean(bn: BooleanNonNull) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Label | Inversion Indicator |
6. CR.name | |
Definition | Specifies the manner in which the concept role value contributes to the meaning of a code phrase. For example, if SNOMED RT defines a concept "leg", a role relation "has-laterality", and another concept "left", the concept role relation allows to add the qualifier "has-laterality: left" to a primary code "leg" to construct the meaning "left leg". In this example "has-laterality" is the CR.name. |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CV |
Label | Name |
8. CR.value | |
Definition | The concept that modifies the primary code of a code phrase through the role relation. For example, if SNOMED RT defines a concept "leg", a role relation "has-laterality", and another concept "left", the concept role relation allows adding the qualifier "has-laterality: left" to a primary code "leg" to construct the meaning "left leg". In this example "left" is the CR.value. |
Control | 0..1 |
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
Label | Value |