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: Subject (CDA Class)

Official URL: http://hl7.org/cda/stds/core/StructureDefinition/Subject Version: 2.0.1-sd
Active as of 2025-04-04 Computable Name: Subject

The subject participant represents the primary target of the entries recorded in the document. Most of the time the subject is the same as the recordTarget, but need not be, for instance when the subject is a fetus observed in an obstetrical ultrasound.

The subject participant can be ascribed to a CDA section or a CDA entry. It propagates to nested components, unless overridden. The subject of a document is presumed to be the patient.

Usage:

Formal Views of Template Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Subject 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)
... @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
... @typeCode 0..1 cs Binding: ParticipationTargetSubject (required)
Fixed Value: SBJ
... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
Fixed Value: OP
... awarenessCode 0..1 CE Binding: TargetAwareness (example)
... relatedSubject 1..1 RelatedSubject

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Subject.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
from this IG
Subject.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
from this IG
Subject.typeCoderequiredFixed Value: SBJ
http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject
Subject.contextControlCoderequiredFixed Value: OP
http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
from this IG
Subject.awarenessCodeexampleTargetAwareness
http://terminology.hl7.org/ValueSet/v3-TargetAwareness

Constraints

IdGradePath(s)DetailsRequirements
II-1errorSubject.typeIdAn II instance must have either a root or an nullFlavor.
: root.exists() or nullFlavor.exists()

 

Other representations of profile: CSV, Excel