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: ParentDocument (CDA Class)

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

The ParentDocument represents the source of a document revision, addenda, or transformation. ParentDocument.text is modeled as an ED data type - allowing for the expression of the MIME type of the parent document. It is not to be used to embed the related document, and thus ParentDocument.text.BIN is precluded from use.

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
.. ParentDocument 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: ActClassClinicalDocument (required)
Fixed Value: DOCCLIN
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... id 1..* II
... text 0..1 ED
... setId 0..1 II
... versionNumber 0..1 INT

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ParentDocument.classCode Base required ActClassClinicalDocument 📦2.0.0 THO v5.2
ParentDocument.moodCode Base required CDAActMood 📦2.0.1-sd This IG
ParentDocument.code Base example FHIR Document Type Codes 📦5.0.0 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ParentDocument 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: ActClassClinicalDocument (required)
Fixed Value: DOCCLIN
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... id 1..* II
... code 0..1 CD Binding: FHIRDocumentTypeCodes (example)
... text 0..1 ED
... setId 0..1 II
... versionNumber 0..1 INT

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
II-1 error ParentDocument.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ParentDocument 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: ActClassClinicalDocument (required)
Fixed Value: DOCCLIN
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... id 1..* II
... code 0..1 CD Binding: FHIRDocumentTypeCodes (example)
... text 0..1 ED
... setId 0..1 II
... versionNumber 0..1 INT

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
II-1 error ParentDocument.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(1 nested mandatory element)
Fixed: 2 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from InfrastructureRoot

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ParentDocument 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: ActClassClinicalDocument (required)
Fixed Value: DOCCLIN
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... id 1..* II
... text 0..1 ED
... setId 0..1 II
... versionNumber 0..1 INT

doco Documentation for this format

Terminology Bindings (Differential)

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ParentDocument 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: ActClassClinicalDocument (required)
Fixed Value: DOCCLIN
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... id 1..* II
... code 0..1 CD Binding: FHIRDocumentTypeCodes (example)
... text 0..1 ED
... setId 0..1 II
... versionNumber 0..1 INT

doco Documentation for this format

Terminology Bindings

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

Constraints

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

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ParentDocument 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: ActClassClinicalDocument (required)
Fixed Value: DOCCLIN
... @moodCode 0..1 cs Binding: CDAActMood (required)
Fixed Value: EVN
... id 1..* II
... code 0..1 CD Binding: FHIRDocumentTypeCodes (example)
... text 0..1 ED
... setId 0..1 II
... versionNumber 0..1 INT

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
II-1 error ParentDocument.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(1 nested mandatory element)
Fixed: 2 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel