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: Guardian (CDA Class)

Official URL: http://hl7.org/cda/stds/core/StructureDefinition/Guardian Version: 2.0.1-sd
Active as of 2024-12-18 Computable Name: Guardian

A patient's guardian is a person or organization in the role of guardian (Guardian class). The entity playing the role of guardian is a person (Person class) or organization (Organization class). The entity scoping the role is the patient (Patient class).

Where a guardian is not explicitly stated, the value should default to local business practice (e.g. the patient makes their own health care decisions unless incapacitated in which case healthcare decisions are made by the patient's spouse).

Usage:

Formal Views of Template Content

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

This structure is derived from InfrastructureRoot

NameFlagsCard.TypeDescription & Constraintsdoco
.. Guardian C 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
guardian-choice: guardianPerson and guardianOrganization are mutually exclusive (one must be present)
... @classCode 0..1 cs Binding: RoleClassAgent (required)
Fixed Value: GUARD
... id 0..* II
... sdtcIdentifiedBy 0..* IdentifiedBy XML Namespace: urn:hl7-org:sdtc
XML: identifiedBy (urn:hl7-org:sdtc)
... addr 0..* AD
... telecom 0..* TEL
... (Choice of one) 1..1
.... guardianPerson 0..1 Person
.... guardianOrganization 0..1 Organization

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / CodeURI
Guardian.classCoderequiredFixed Value: GUARD
http://terminology.hl7.org/ValueSet/v3-RoleClassAgent
Guardian.codeexampleCDARoleCode
http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
from this IG

Constraints

IdGradePath(s)DetailsRequirements
guardian-choiceerrorGuardianguardianPerson and guardianOrganization are mutually exclusive (one must be present)
: (guardianPerson | guardianOrganization).count() = 1
NameFlagsCard.TypeDescription & Constraintsdoco
.. Guardian C 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
guardian-choice: guardianPerson and guardianOrganization are mutually exclusive (one must be present)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II II-1: An II instance must have either a root or an nullFlavor.
.... @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: RoleClassAgent (required)
Fixed Value: GUARD
... id 0..* II
... sdtcIdentifiedBy 0..* IdentifiedBy XML Namespace: urn:hl7-org:sdtc
XML: identifiedBy (urn:hl7-org:sdtc)
... code 0..1 CE Binding: CDARoleCode (example)
... addr 0..* AD
... telecom 0..* TEL
... (Choice of one) 1..1
.... guardianPerson 0..1 Person
.... guardianOrganization 0..1 Organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Guardian.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
from this IG
Guardian.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
from this IG
Guardian.classCoderequiredFixed Value: GUARD
http://terminology.hl7.org/ValueSet/v3-RoleClassAgent
Guardian.codeexampleCDARoleCode
http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
from this IG

Constraints

IdGradePath(s)DetailsRequirements
II-1errorGuardian.typeIdAn II instance must have either a root or an nullFlavor.
: root.exists() or nullFlavor.exists()
guardian-choiceerrorGuardianguardianPerson and guardianOrganization are mutually exclusive (one must be present)
: (guardianPerson | guardianOrganization).count() = 1
NameFlagsCard.TypeDescription & Constraintsdoco
.. Guardian C 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
guardian-choice: guardianPerson and guardianOrganization are mutually exclusive (one must be present)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II II-1: An II instance must have either a root or an nullFlavor.
.... @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: RoleClassAgent (required)
Fixed Value: GUARD
... id 0..* II
... sdtcIdentifiedBy 0..* IdentifiedBy XML Namespace: urn:hl7-org:sdtc
XML: identifiedBy (urn:hl7-org:sdtc)
... code 0..1 CE Binding: CDARoleCode (example)
... addr 0..* AD
... telecom 0..* TEL
... (Choice of one) 1..1
.... guardianPerson 0..1 Person
.... guardianOrganization 0..1 Organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Guardian.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
from this IG
Guardian.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
from this IG
Guardian.classCoderequiredFixed Value: GUARD
http://terminology.hl7.org/ValueSet/v3-RoleClassAgent
Guardian.codeexampleCDARoleCode
http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
from this IG

Constraints

IdGradePath(s)DetailsRequirements
II-1errorGuardian.typeIdAn II instance must have either a root or an nullFlavor.
: root.exists() or nullFlavor.exists()
guardian-choiceerrorGuardianguardianPerson and guardianOrganization are mutually exclusive (one must be present)
: (guardianPerson | guardianOrganization).count() = 1

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 & Constraintsdoco
.. Guardian C 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
guardian-choice: guardianPerson and guardianOrganization are mutually exclusive (one must be present)
... @classCode 0..1 cs Binding: RoleClassAgent (required)
Fixed Value: GUARD
... id 0..* II
... sdtcIdentifiedBy 0..* IdentifiedBy XML Namespace: urn:hl7-org:sdtc
XML: identifiedBy (urn:hl7-org:sdtc)
... addr 0..* AD
... telecom 0..* TEL
... (Choice of one) 1..1
.... guardianPerson 0..1 Person
.... guardianOrganization 0..1 Organization

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / CodeURI
Guardian.classCoderequiredFixed Value: GUARD
http://terminology.hl7.org/ValueSet/v3-RoleClassAgent
Guardian.codeexampleCDARoleCode
http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
from this IG

Constraints

IdGradePath(s)DetailsRequirements
guardian-choiceerrorGuardianguardianPerson and guardianOrganization are mutually exclusive (one must be present)
: (guardianPerson | guardianOrganization).count() = 1

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Guardian C 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
guardian-choice: guardianPerson and guardianOrganization are mutually exclusive (one must be present)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II II-1: An II instance must have either a root or an nullFlavor.
.... @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: RoleClassAgent (required)
Fixed Value: GUARD
... id 0..* II
... sdtcIdentifiedBy 0..* IdentifiedBy XML Namespace: urn:hl7-org:sdtc
XML: identifiedBy (urn:hl7-org:sdtc)
... code 0..1 CE Binding: CDARoleCode (example)
... addr 0..* AD
... telecom 0..* TEL
... (Choice of one) 1..1
.... guardianPerson 0..1 Person
.... guardianOrganization 0..1 Organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Guardian.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
from this IG
Guardian.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
from this IG
Guardian.classCoderequiredFixed Value: GUARD
http://terminology.hl7.org/ValueSet/v3-RoleClassAgent
Guardian.codeexampleCDARoleCode
http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
from this IG

Constraints

IdGradePath(s)DetailsRequirements
II-1errorGuardian.typeIdAn II instance must have either a root or an nullFlavor.
: root.exists() or nullFlavor.exists()
guardian-choiceerrorGuardianguardianPerson and guardianOrganization are mutually exclusive (one must be present)
: (guardianPerson | guardianOrganization).count() = 1

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Guardian C 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
guardian-choice: guardianPerson and guardianOrganization are mutually exclusive (one must be present)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II II-1: An II instance must have either a root or an nullFlavor.
.... @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: RoleClassAgent (required)
Fixed Value: GUARD
... id 0..* II
... sdtcIdentifiedBy 0..* IdentifiedBy XML Namespace: urn:hl7-org:sdtc
XML: identifiedBy (urn:hl7-org:sdtc)
... code 0..1 CE Binding: CDARoleCode (example)
... addr 0..* AD
... telecom 0..* TEL
... (Choice of one) 1..1
.... guardianPerson 0..1 Person
.... guardianOrganization 0..1 Organization

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Guardian.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
from this IG
Guardian.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
from this IG
Guardian.classCoderequiredFixed Value: GUARD
http://terminology.hl7.org/ValueSet/v3-RoleClassAgent
Guardian.codeexampleCDARoleCode
http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
from this IG

Constraints

IdGradePath(s)DetailsRequirements
II-1errorGuardian.typeIdAn II instance must have either a root or an nullFlavor.
: root.exists() or nullFlavor.exists()
guardian-choiceerrorGuardianguardianPerson and guardianOrganization are mutually exclusive (one must be present)
: (guardianPerson | guardianOrganization).count() = 1

This structure is derived from InfrastructureRoot

Summary

Fixed: 1 element

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel