Clinical Document Architecture
2.0.0-sd - release
Clinical Document Architecture
2.0.0-sd - release
Clinical Document Architecture, published by Health Level 7. This guide is not an authorized publication; it is the continuous build for version 2.0.0-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 2024-10-25 |
XML representation of the Entry logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="Entry"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>CDA entries represent the structured computer-processable components within a document section. Each section can contain zero to many entries.</p>
<p>Clinical documents contain a wide breadth of content, requiring much of the RIM to enable a full and complete encoding. The current set of CDA entries have been developed in response to identified requirements and scenarios that are in CDA's scope. Rather than creating specific entries for each scenario, similar requirements are merged to create broader entries, which can then be constrained within a particular realm or implementation. This approach is consistent with the approach taken by CEN, DICOM, and OpenEHR.</p>
<p>The model for CDA entries is derived from the shared HL7 Clinical Statement model, which is a collaborative project between several committees striving to provide a consistent representation of clinical observations and acts across various V3 specifications.</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/tools/StructureDefinition/xml-namespace">
<valueUri value="urn:hl7-org:v3"/>
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
<valueString value="entry"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/logical-container">
<valueUri
value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/type-profile-style">
<valueUri value="cda"/>
</extension>
<url value="http://hl7.org/cda/stds/core/StructureDefinition/Entry"/>
<version value="2.0.0-sd"/>
<name value="Entry"/>
<title value="Entry (CDA Class)"/>
<status value="active"/>
<experimental value="false"/>
<date value="2024-10-25T20:25:09+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/structure"/>
</telecom>
<telecom>
<system value="email"/>
<value value="structdog@lists.HL7.org"/>
</telecom>
</contact>
<description
value="CDA entries represent the structured computer-processable components within a document section. Each section can contain zero to many entries."/>
<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/Entry"/>
<baseDefinition
value="http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"/>
<derivation value="specialization"/>
<snapshot>
<element id="Entry">
<path value="Entry"/>
<short value="Base for all types and resources"/>
<definition
value="Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<constraint>
<key value="entry-only-one"/>
<severity value="error"/>
<human
value="SHALL have no more than one of act, encounter, observation, observationMedia, organizer, procedure, regionOfInterest, substanceAdministration, or supply."/>
<expression
value="(act | encounter | observation | observationMedia | organizer | procedure | regionOfInterest | substanceAdministration | supply).count() = 1"/>
</constraint>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Entry.nullFlavor">
<path value="Entry.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Entry.realmCode">
<path value="Entry.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="InfrastructureRoot.realmCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
</type>
</element>
<element id="Entry.typeId">
<path value="Entry.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="0"/>
<max value="1"/>
<base>
<path value="InfrastructureRoot.typeId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Entry.typeId.nullFlavor">
<path value="Entry.typeId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
</binding>
</element>
<element id="Entry.typeId.assigningAuthorityName">
<path value="Entry.typeId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Entry.typeId.displayable">
<path value="Entry.typeId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
</element>
<element id="Entry.typeId.root">
<path value="Entry.typeId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition value="Identifies the type as an HL7 Registered model"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
</type>
<fixedString value="2.16.840.1.113883.1.3"/>
</element>
<element id="Entry.typeId.extension">
<path value="Entry.typeId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
</type>
</element>
<element id="Entry.templateId">
<path value="Entry.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="InfrastructureRoot.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
</type>
</element>
<element id="Entry.typeCode">
<path value="Entry.typeCode"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Entry.typeCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
</type>
<defaultValueCode value="COMP"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry"/>
</binding>
</element>
<element id="Entry.contextConductionInd">
<path value="Entry.contextConductionInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Entry.contextConductionInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
<fixedBoolean value="true"/>
</element>
<element id="Entry.act">
<path value="Entry.act"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Entry.act"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/Act"/>
</type>
</element>
<element id="Entry.encounter">
<path value="Entry.encounter"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Entry.encounter"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Encounter"/>
</type>
</element>
<element id="Entry.observation">
<path value="Entry.observation"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Entry.observation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
</type>
</element>
<element id="Entry.observationMedia">
<path value="Entry.observationMedia"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Entry.observationMedia"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"/>
</type>
</element>
<element id="Entry.organizer">
<path value="Entry.organizer"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Entry.organizer"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Organizer"/>
</type>
</element>
<element id="Entry.procedure">
<path value="Entry.procedure"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Entry.procedure"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Procedure"/>
</type>
</element>
<element id="Entry.regionOfInterest">
<path value="Entry.regionOfInterest"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Entry.regionOfInterest"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"/>
</type>
</element>
<element id="Entry.substanceAdministration">
<path value="Entry.substanceAdministration"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Entry.substanceAdministration"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"/>
</type>
</element>
<element id="Entry.supply">
<path value="Entry.supply"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Entry.supply"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Supply"/>
</type>
</element>
</snapshot>
<differential>
<element id="Entry">
<path value="Entry"/>
<min value="1"/>
<max value="*"/>
<constraint>
<key value="entry-only-one"/>
<severity value="error"/>
<human
value="SHALL have no more than one of act, encounter, observation, observationMedia, organizer, procedure, regionOfInterest, substanceAdministration, or supply."/>
<expression
value="(act | encounter | observation | observationMedia | organizer | procedure | regionOfInterest | substanceAdministration | supply).count() = 1"/>
</constraint>
</element>
<element id="Entry.typeCode">
<path value="Entry.typeCode"/>
<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>
<defaultValueCode value="COMP"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry"/>
</binding>
</element>
<element id="Entry.contextConductionInd">
<path value="Entry.contextConductionInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
<profile
value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
</type>
<fixedBoolean value="true"/>
</element>
<element id="Entry.act">
<path value="Entry.act"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="http://hl7.org/cda/stds/core/StructureDefinition/Act"/>
</type>
</element>
<element id="Entry.encounter">
<path value="Entry.encounter"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Encounter"/>
</type>
</element>
<element id="Entry.observation">
<path value="Entry.observation"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Observation"/>
</type>
</element>
<element id="Entry.observationMedia">
<path value="Entry.observationMedia"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"/>
</type>
</element>
<element id="Entry.organizer">
<path value="Entry.organizer"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Organizer"/>
</type>
</element>
<element id="Entry.procedure">
<path value="Entry.procedure"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Procedure"/>
</type>
</element>
<element id="Entry.regionOfInterest">
<path value="Entry.regionOfInterest"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"/>
</type>
</element>
<element id="Entry.substanceAdministration">
<path value="Entry.substanceAdministration"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"/>
</type>
</element>
<element id="Entry.supply">
<path value="Entry.supply"/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://hl7.org/cda/stds/core/StructureDefinition/Supply"/>
</type>
</element>
</differential>
</StructureDefinition>
IG © 2019+ Health Level 7. Package hl7.cda.uv.core#2.0.0-sd based on FHIR 5.0.0. Generated 2024-10-25
Links: Table of Contents |
QA Report
| Version History 
|
|
Propose a change