Clinical Document Architecture
2.0.1-sd - release

Clinical Document Architecture, published by Health Level 7. This guide is not an authorized publication; it is the continuous build for version 2.0.1-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

Logical Model: ExternalDocument (CDA Class)

Official URL: http://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument Version: 2.0.1-sd
Active as of 2025-10-02 Computable Name: ExternalDocument

ExternalDocument is a derivative of the RIM Document class, used for representing external documents. ExternalDocument.text is modeled as an ED data type - allowing for the expression of the MIME type of the external document.

Usages:

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.

This structure is derived from InfrastructureRoot

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ExternalDocument 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @classCode 0..1 cs Binding: ActClassDocument (required)
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... id 0..* II
... text 0..1 ED
... setId 0..1 II
... versionNumber 0..1 INT
... sdtcAuthor 0..* Author XML Namespace: urn:hl7-org:sdtc
XML: author (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ExternalDocument.classCode Base required ActClassDocument 📦2.0.0 THO v5.2
ExternalDocument.moodCode Base required CDAActMood 📦2.0.1-sd This IG
ExternalDocument.code Base example FHIR Document Type Codes 📦5.0.0 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ExternalDocument 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
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
... @classCode 0..1 cs Binding: ActClassDocument (required)
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... id 0..* II
... code 0..1 CD Binding: FHIRDocumentTypeCodes (example)
... text 0..1 ED
... setId 0..1 II
... versionNumber 0..1 INT
... sdtcAuthor 0..* Author XML Namespace: urn:hl7-org:sdtc
XML: author (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ExternalDocument.nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
ExternalDocument.typeId.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
ExternalDocument.classCode Base required ActClassDocument 📦2.0.0 THO v5.2
ExternalDocument.moodCode Base required CDAActMood 📦2.0.1-sd This IG
ExternalDocument.code Base example FHIR Document Type Codes 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error ExternalDocument.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ExternalDocument 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
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
... @classCode 0..1 cs Binding: ActClassDocument (required)
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... id 0..* II
... code 0..1 CD Binding: FHIRDocumentTypeCodes (example)
... text 0..1 ED
... setId 0..1 II
... versionNumber 0..1 INT
... sdtcAuthor 0..* Author XML Namespace: urn:hl7-org:sdtc
XML: author (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ExternalDocument.nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
ExternalDocument.typeId.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
ExternalDocument.classCode Base required ActClassDocument 📦2.0.0 THO v5.2
ExternalDocument.moodCode Base required CDAActMood 📦2.0.1-sd This IG
ExternalDocument.code Base example FHIR Document Type Codes 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error ExternalDocument.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

This structure is derived from InfrastructureRoot

Summary

Fixed: 1 element

Structures

This structure refers to these other structures:

Differential View

This structure is derived from InfrastructureRoot

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ExternalDocument 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @classCode 0..1 cs Binding: ActClassDocument (required)
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... id 0..* II
... text 0..1 ED
... setId 0..1 II
... versionNumber 0..1 INT
... sdtcAuthor 0..* Author XML Namespace: urn:hl7-org:sdtc
XML: author (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ExternalDocument.classCode Base required ActClassDocument 📦2.0.0 THO v5.2
ExternalDocument.moodCode Base required CDAActMood 📦2.0.1-sd This IG
ExternalDocument.code Base example FHIR Document Type Codes 📦5.0.0 FHIR Std.

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ExternalDocument 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
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
... @classCode 0..1 cs Binding: ActClassDocument (required)
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... id 0..* II
... code 0..1 CD Binding: FHIRDocumentTypeCodes (example)
... text 0..1 ED
... setId 0..1 II
... versionNumber 0..1 INT
... sdtcAuthor 0..* Author XML Namespace: urn:hl7-org:sdtc
XML: author (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ExternalDocument.nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
ExternalDocument.typeId.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
ExternalDocument.classCode Base required ActClassDocument 📦2.0.0 THO v5.2
ExternalDocument.moodCode Base required CDAActMood 📦2.0.1-sd This IG
ExternalDocument.code Base example FHIR Document Type Codes 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error ExternalDocument.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ExternalDocument 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
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
... @classCode 0..1 cs Binding: ActClassDocument (required)
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... id 0..* II
... code 0..1 CD Binding: FHIRDocumentTypeCodes (example)
... text 0..1 ED
... setId 0..1 II
... versionNumber 0..1 INT
... sdtcAuthor 0..* Author XML Namespace: urn:hl7-org:sdtc
XML: author (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ExternalDocument.nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
ExternalDocument.typeId.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
ExternalDocument.classCode Base required ActClassDocument 📦2.0.0 THO v5.2
ExternalDocument.moodCode Base required CDAActMood 📦2.0.1-sd This IG
ExternalDocument.code Base example FHIR Document Type Codes 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error ExternalDocument.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

This structure is derived from InfrastructureRoot

Summary

Fixed: 1 element

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel