InFulfillmentOf1 (CDA Class) - Clinical Document Architecture v2.0.1-sd

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: InFulfillmentOf1 (CDA Class)

Official URL: http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1				Version: 2.0.1-sd
Active as of 2025-09-17				Computable Name: InFulfillmentOf1

This is an actRelationship called inFulfillmentOf1 that represents the Fulfills General Relationship Operator in QDM 4.1.x in QDM-Base QRDA Category 1, R3.

Usages:

Use this Logical Model: Act (CDA Class), Encounter (CDA Class), Observation (CDA Class), Procedure (CDA Class)... Show 2 more

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 InfrastructureRoot

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
InFulfillmentOf1	1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc 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)
@typeCode	1..1	cs	Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
@inversionInd	0..1	bl
@negationInd	0..1	bl
actReference	1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc
@classCode	1..1	cs
@moodCode	1..1	cs
@determinerCode	0..1	cs	Fixed Value: INSTANCE
id	0..*	II	XML Namespace: urn:hl7-org:sdtc
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
InFulfillmentOf1.typeCode	required	Fixed Value: FLFS `http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills\|2.0.0`

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
InFulfillmentOf1		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc 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)
@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
@typeCode		1..1	cs	Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
@inversionInd		0..1	bl
@negationInd		0..1	bl
actReference		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc
@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
@classCode		1..1	cs
@moodCode		1..1	cs
@determinerCode		0..1	cs	Fixed Value: INSTANCE
id		0..*	II	XML Namespace: urn:hl7-org:sdtc
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
InFulfillmentOf1.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` From this IG
InFulfillmentOf1.typeId.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` From this IG
InFulfillmentOf1.typeCode	required	Fixed Value: FLFS `http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills\|2.0.0`
InFulfillmentOf1.actReference.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` From this IG
InFulfillmentOf1.actReference.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	InFulfillmentOf1.typeId, InFulfillmentOf1.actReference.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
InFulfillmentOf1		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc 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)
@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
@typeCode		1..1	cs	Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
@inversionInd		0..1	bl
@negationInd		0..1	bl
actReference		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc
@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
@classCode		1..1	cs
@moodCode		1..1	cs
@determinerCode		0..1	cs	Fixed Value: INSTANCE
id		0..*	II	XML Namespace: urn:hl7-org:sdtc
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
InFulfillmentOf1.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` From this IG
InFulfillmentOf1.typeId.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` From this IG
InFulfillmentOf1.typeCode	required	Fixed Value: FLFS `http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills\|2.0.0`
InFulfillmentOf1.actReference.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` From this IG
InFulfillmentOf1.actReference.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	InFulfillmentOf1.typeId, InFulfillmentOf1.actReference.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()

This structure is derived from InfrastructureRoot

Summary

Mandatory: 0 element(4 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from InfrastructureRoot

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
InFulfillmentOf1	1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc 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)
@typeCode	1..1	cs	Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
@inversionInd	0..1	bl
@negationInd	0..1	bl
actReference	1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc
@classCode	1..1	cs
@moodCode	1..1	cs
@determinerCode	0..1	cs	Fixed Value: INSTANCE
id	0..*	II	XML Namespace: urn:hl7-org:sdtc
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
InFulfillmentOf1.typeCode	required	Fixed Value: FLFS `http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills\|2.0.0`

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
InFulfillmentOf1		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc 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)
@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
@typeCode		1..1	cs	Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
@inversionInd		0..1	bl
@negationInd		0..1	bl
actReference		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc
@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
@classCode		1..1	cs
@moodCode		1..1	cs
@determinerCode		0..1	cs	Fixed Value: INSTANCE
id		0..*	II	XML Namespace: urn:hl7-org:sdtc
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
InFulfillmentOf1.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` From this IG
InFulfillmentOf1.typeId.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` From this IG
InFulfillmentOf1.typeCode	required	Fixed Value: FLFS `http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills\|2.0.0`
InFulfillmentOf1.actReference.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` From this IG
InFulfillmentOf1.actReference.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	InFulfillmentOf1.typeId, InFulfillmentOf1.actReference.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
InFulfillmentOf1		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc 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)
@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
@typeCode		1..1	cs	Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
@inversionInd		0..1	bl
@negationInd		0..1	bl
actReference		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc
@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
@classCode		1..1	cs
@moodCode		1..1	cs
@determinerCode		0..1	cs	Fixed Value: INSTANCE
id		0..*	II	XML Namespace: urn:hl7-org:sdtc
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
InFulfillmentOf1.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` From this IG
InFulfillmentOf1.typeId.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` From this IG
InFulfillmentOf1.typeCode	required	Fixed Value: FLFS `http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills\|2.0.0`
InFulfillmentOf1.actReference.nullFlavor	required	CDANullFlavor `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor` From this IG
InFulfillmentOf1.actReference.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	InFulfillmentOf1.typeId, InFulfillmentOf1.actReference.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()

This structure is derived from InfrastructureRoot

Summary

Mandatory: 0 element(4 nested mandatory elements)
Fixed: 2 elements

Structures

This structure refers to these other structures:

Other representations of profile: CSV, Excel

IG © 2019+ Health Level 7. Package hl7.cda.uv.core#2.0.1-sd based on FHIR 5.0.0. Generated 2025-09-17
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