Clinical Document Architecture
2.0.0-sd - release

Clinical Document Architecture, published by Health Level 7. This guide is not an authorized publication; it is the continuous build for version 2.0.0-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 - JSON Profile

Active as of 2024-10-25

JSON representation of the Subject logical model.

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{
  "resourceType" : "StructureDefinition",
  "id" : "Subject",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <p>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.</p>\n      <p>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.</p>\n    </div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
      "_valueBoolean" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "not-applicable"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
      "valueUri" : "urn:hl7-org:v3"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
      "valueString" : "subject"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-container",
      "valueUri" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/type-profile-style",
      "valueUri" : "cda"
    }
  ],
  "url" : "http://hl7.org/cda/stds/core/StructureDefinition/Subject",
  "version" : "2.0.0-sd",
  "name" : "Subject",
  "title" : "Subject (CDA Class)",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-10-25T20:25:09+00:00",
  "publisher" : "Health Level 7",
  "contact" : [
    {
      "name" : "HL7 International - Structured Documents",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/structure"
        },
        {
          "system" : "email",
          "value" : "structdog@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "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.\n\nThe 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.",
  "fhirVersion" : "5.0.0",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    }
  ],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://hl7.org/cda/stds/core/StructureDefinition/Subject",
  "baseDefinition" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [
      {
        "id" : "Subject",
        "path" : "Subject",
        "short" : "Base for all types and resources",
        "definition" : "Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "Base",
          "min" : 0,
          "max" : "*"
        },
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Subject.nullFlavor",
        "path" : "Subject.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Subject.realmCode",
        "path" : "Subject.realmCode",
        "definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.realmCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ]
      },
      {
        "id" : "Subject.typeId",
        "path" : "Subject.typeId",
        "definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "InfrastructureRoot.typeId",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Subject.typeId.nullFlavor",
        "path" : "Subject.typeId.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Subject.typeId.assigningAuthorityName",
        "path" : "Subject.typeId.assigningAuthorityName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Assigning Authority Name",
        "definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.assigningAuthorityName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Subject.typeId.displayable",
        "path" : "Subject.typeId.displayable",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Displayable",
        "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.displayable",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id" : "Subject.typeId.root",
        "path" : "Subject.typeId.root",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Root",
        "definition" : "Identifies the type as an HL7 Registered model",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.root",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/oid"🔗 ,
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid"🔗 ,
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ],
        "fixedString" : "2.16.840.1.113883.1.3"
      },
      {
        "id" : "Subject.typeId.extension",
        "path" : "Subject.typeId.extension",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Extension",
        "definition" : "A character string as a unique identifier within the scope of the identifier root.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Subject.templateId",
        "path" : "Subject.templateId",
        "definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.templateId",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Subject.typeCode",
        "path" : "Subject.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Subject.typeCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "fixedCode" : "SBJ",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"
        }
      },
      {
        "id" : "Subject.contextControlCode",
        "path" : "Subject.contextControlCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Subject.contextControlCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "fixedCode" : "OP",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"
        }
      },
      {
        "id" : "Subject.awarenessCode",
        "path" : "Subject.awarenessCode",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Subject.awarenessCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-TargetAwareness"
        }
      },
      {
        "id" : "Subject.relatedSubject",
        "path" : "Subject.relatedSubject",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Subject.relatedSubject",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/RelatedSubject"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Subject.typeCode",
        "path" : "Subject.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "code",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "fixedCode" : "SBJ",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"
        }
      },
      {
        "id" : "Subject.contextControlCode",
        "path" : "Subject.contextControlCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "code",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "fixedCode" : "OP",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"
        }
      },
      {
        "id" : "Subject.awarenessCode",
        "path" : "Subject.awarenessCode",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-TargetAwareness"
        }
      },
      {
        "id" : "Subject.relatedSubject",
        "path" : "Subject.relatedSubject",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/RelatedSubject"
          }
        ]
      }
    ]
  }
}