Advance Healthcare Directive Interoperability (cda-adi)
0.1.0 - ci-build

Advance Healthcare Directive Interoperability (cda-adi), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cda-adi/ and changes regularly. See the Directory of published versions

## Logical Model: Personal Advance Care Plan

Official URL: http://hl7.org/cda/us/adi/StructureDefinition/PersonalACPDocument | Version: 0.1.0
Active as of 2026-05-29 | Computable Name: PersonalAdvanceCarePlanDocument

This profile defines the requirements for communicating a Personal Advance Care Plan (ACP) document using a Composition Resource.

Depending on the range of content included, this type of document is known by different names:

- Durable Medical Power of Attorney - healthcare agent appointment only
- Living Will - treatment preferences only
- Living Will and Durable Medical Power of Attorney
- Advance Care Plan - a combined Living Will and Durable Medical Power of Attorney plus additional content regarding relevant care experience preferences

It is a person-generated document, authored by the subject of the document. If care professionals are involved in the creation of the document, their supporting role in the advance care planning process can be represented in the service event associated with the document. If data entry assistance is provided, the person performing the data entry can be represented in the role of a data enterer.

Additionally, the system used to assemble the document can be represented as a participant of the document in the role of Assembler. The Custodian organization responsible for maintaining the source copy of the document must be included.

For a person authored document, the person's signature is required. Notarization or witnessing of the document also should be represented because person-authored documents typically are not considered complete without validation for the person's identity and signature.

The document includes a mandatory source form section to hold a pdf of the original “source form” completed by the person. It also includes a healthcare agent appointment section which is mandatory in all types of PACP documents with the exception of a Living Will. If the person elects not to appoint a healthcare agent, the section includes information about the reason why. This section includes machine processable representations of the healthcare agent information and their powers and limitations to facilitate data resusability as the document is shared between systems.

A Personal ACP document may contain additional textual information from the source form that does not have corresponding encoded entries. In this case, the section.text element is populated without corresponding section.entry elements. For minimum required information, the information in the section.text element will include corresponding section.entry elements and will be linked using the test linking mechanism.

Optionally, the document may contain sections for treatment intervention preferences, care experience preferences, additional documentation, administrative information which includes record of the person's signature, and notary or witness information.

Usages:

- This Logical Model Profile is not used by any profiles in this Specification

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 USRealmHeaderforPatientGeneratedDocument

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ClinicalDocument |  | 1..1 | USRealmHeaderforPatientGeneratedDocument | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
templateId |  | 3..* | II |
Slices for templateId |  |  |  | Content/Rules for all slices
templateId:personal-acp |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.823.1.1.1
@extension |  | 1..1 | st | Required Pattern: 2026-08-28
id |  | 1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991).
Slices for sdtcCategory | S | 1..* | CD | Slice: Unordered, Open by value:code, value:codeSystem
sdtcCategory:ahdDocumentClass |  | 1..1 | CD |
@code |  | 1..1 | cs | Used to categorize the document type as an Advance Healthcare Directive Required Pattern: 42348-3
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 1..1 | st | Required Pattern: LOINC
@displayName |  | 1..1 | st |
sdtcCategory:pacpDocumentClass | S | 0..1 | CD |
@code |  | 1..1 | cs | Used to categorize the document type as a Patient-Authored Consent Document Required Pattern: 59284-0
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 1..1 | st | Required Pattern: LOINC
@displayName |  | 1..1 | st |
code |  | 1..1 | CE | This profile is used to represent a person-authored advance healthcare directive document. A person authored advance healthcare directive document is categorized as a consent document. This sub-category of advance healthcare directive documents expresses the patient’s own preferences as opposed to provider-authored advance healthcare directive documents which establish portable medical orders for the patient. This sub-category of advance healthcare directive document always is authored by the subject of the document (the patient). If care providers are involved in the creation of these types of documents, they may be included as facilitators. The patient (or their representative) is required to sign the document and is represented as an authenticator. Others who sign the document are represented as authenticators with their role such as witness or notary also included. It includes a presentation of the original source form of the completed document. It includes information about the person’s appointed healthcare agent(s), and may additionally include treatment intervention and care experience preferences under potential future health scenarios, administrative and completion information, additional documentation, and witness and notary information. The document always contains the source form in the Source Form section. It may include textual information present in the source form, organized in standard structural sections which may or may not include machine processable encoded entries. Binding: Advance Directive Document Types (required)
sdtcStatusCode |  | 1..1 | CS |
effectiveTime |  | 1..1 | USRealmDateTime | The system origination time
setId |  | 1..1 | II | Identifier a single logical document
versionNumber |  | 1..1 | INT | The distinct version of a logical document
component |  |  |  |
structuredBody |  |  |  |
Slices for component | S | 1..* | InfrastructureRoot | Slice: Unordered, Open by profile:section
component:source-form | S | 1..1 | InfrastructureRoot |
section |  | 1..1 | Witness_And_Notary_Section | Person's signature and Information about Witnesses or Notary required to complete a valid document
component:healthcare-agent-appointment | S | 0..1 | InfrastructureRoot |
section |  | 1..1 | Healthcare_Agent_Appointment_Section | Consent information that appoints healthcare agents
component:treatment-intervention-preferences | S | 0..1 | InfrastructureRoot |
section |  | 1..1 | Treatment_Intervention_Preferences_Section | Persion's conditional treatment intervention preferences
component:care-experience-preferences | S | 0..1 | InfrastructureRoot |
section |  | 1..1 | Care_Experience_Preferences_Section | Person's conditional care experience preferences
component:upon-death-preferences | S | 0..1 | InfrastructureRoot |
component:additional-documentation | S | 0..1 | InfrastructureRoot |
component:administrative-information | S | 0..1 | InfrastructureRoot |
section |  | 1..1 | Administrative_Information_Section | Information collected for administrative reasons
component:completion-information | S | 0..1 | InfrastructureRoot |
component:witness-and-notary | S | 0..1 | InfrastructureRoot |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ClinicalDocument.code | Base | required | Advance Directive Document Types | 📦20240712 | VSAC v0.24

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ClinicalDocument | C | 1..1 | USRealmHeaderforPatientGeneratedDocument | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@classCode |  | 0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
realmCode |  | 1..1 | CS |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: US
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
typeId | C | 1..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 | Fixed Value: POCD_HD000040
Slices for templateId |  | 3..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:us-realm |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.1
@extension |  | 1..1 | st | Required Pattern: 2024-05-01
templateId:us-patient-gen-doc |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.29.1
@extension |  | 1..1 | st | Required Pattern: 2024-05-01
templateId:personal-acp |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.823.1.1.1
@extension |  | 1..1 | st | Required Pattern: 2026-08-28
id |  | 1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991).
Slices for sdtcCategory | S | 1..* | CD | XML Namespace: urn:hl7-org:sdtc Slice: Unordered, Open by value:code, value:codeSystem XML: category (urn:hl7-org:sdtc)
sdtcCategory:ahdDocumentClass |  | 1..1 | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Used to categorize the document type as an Advance Healthcare Directive Required Pattern: 42348-3
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 1..1 | st | Required Pattern: LOINC
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 1..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
sdtcCategory:pacpDocumentClass | S | 0..1 | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Used to categorize the document type as a Patient-Authored Consent Document Required Pattern: 59284-0
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 1..1 | st | Required Pattern: LOINC
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 1..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
code |  | 1..1 | CE | This profile is used to represent a person-authored advance healthcare directive document. A person authored advance healthcare directive document is categorized as a consent document. This sub-category of advance healthcare directive documents expresses the patient’s own preferences as opposed to provider-authored advance healthcare directive documents which establish portable medical orders for the patient. This sub-category of advance healthcare directive document always is authored by the subject of the document (the patient). If care providers are involved in the creation of these types of documents, they may be included as facilitators. The patient (or their representative) is required to sign the document and is represented as an authenticator. Others who sign the document are represented as authenticators with their role such as witness or notary also included. It includes a presentation of the original source form of the completed document. It includes information about the person’s appointed healthcare agent(s), and may additionally include treatment intervention and care experience preferences under potential future health scenarios, administrative and completion information, additional documentation, and witness and notary information. The document always contains the source form in the Source Form section. It may include textual information present in the source form, organized in standard structural sections which may or may not include machine processable encoded entries. Binding: Advance Directive Document Types (required)
@code |  | 1..1 | cs |
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
title |  | 1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
sdtcStatusCode |  | 1..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (3.0.0) (required)
effectiveTime |  | 1..1 | USRealmDateTime | The system origination time
confidentialityCode |  | 1..1 | CE | Controls the disclosure of information in this document
@code |  | 1..1 | cs | Binding: HL7 BasicConfidentialityKind (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
languageCode |  | 1..1 | CS | Human language of character data Binding: AllLanguages (required)
setId | C | 1..1 | II | Identifier a single logical document
versionNumber | C | 1..1 | INT | The distinct version of a logical document
copyTime |  | 0..1 | TS | Deprecated - use is discouraged
recordTarget |  | 1..1 | RecordTarget | The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RCT
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
patientRole |  | 1..1 | PatientRole |
@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 |  | 0..1 | cs | Binding: RoleClassRelationshipFormal (3.0.0) (required) Fixed Value: PAT
id |  | 1..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr |  | 1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address
telecom | C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
patient | C | 1..1 | Patient | Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication, should-languageCommunication
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 0..1 | II |
name |  | 1..* | USRealmPatientNamePTNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
administrativeGenderCode |  | 0..1 | CE | Binding: AdministrativeGender (3.0.0) (example)
birthTime | C | 1..1 | TS | 𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) Constraints: ts-shall-year, ts-should-day
sdtcDeceasedInd |  | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc)
sdtcDeceasedTime | C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) Constraints: should-value-att, ts-shall-year, ts-should-day
sdtcMultipleBirthInd |  | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc)
sdtcMultipleBirthOrderNumber |  | 0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc)
maritalStatusCode | C | 0..1 | CE | SHOULD contain maritalStatusCode Binding: Marital Status (required)
religiousAffiliationCode |  | 0..1 | CE | Binding: Religious Affiliation (required)
raceCode |  | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race - raceCode SHALL contain only the OMB race category; detailed race values go in translation. Additional race categories are conveyed using sdtc:raceCode, following the same pattern (OMB category in root; details in translation). Binding: Race Categories (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs |
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation | C | 0..* | CD | Binding: Race Value Set (preferred) Constraints: race-not-category
sdtcRaceCode | C | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Detailed race including absence reasons. (required) Constraints: sdtc-race-not-detail
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs |
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation | C | 0..* | CD | Binding: Race Value Set (preferred) Constraints: race-not-category
ethnicGroupCode |  | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity Categories (required)
sdtcEthnicGroupCode |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity Including Absence Reasons (required)
guardian | C | 0..* | Guardian | Constraints: should-us-code, should-us-addr, should-us-telecom, should-id, should-code
@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 |  | 0..1 | cs | Binding: RoleClassAgent (3.0.0) (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: Personal And Legal Relationship Role Type (required)
addr |  | 0..* | USRealmAddress |
telecom | C | 0..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
guardianPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
guardianOrganization |  | 0..1 | Organization |
birthplace |  | 0..1 | Birthplace |
@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 |  | 0..1 | cs | Binding: RoleClassPassive (3.0.0) (required) Fixed Value: BIRTHPL
place |  | 1..1 | Place |
@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 |  | 0..1 | cs | Binding: EntityClassPlace (3.0.0) (required) Fixed Value: PLC
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 0..1 | EN |
addr | C | 1..1 | AD | Constraints: 4537-5402, 4537-5403, should-country
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@isNotOrdered |  | 0..1 | bl |
@use |  | 0..* | cs | Binding: CDAPostalAddressUse (required)
item | C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance Constraints: AD-1
(Choice of one) |  | 1..1 |  |
delimiter | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DEL
country | C | 0..1 | ADXP | Binding: Country2 (3.0.0) (required) Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CNT
state | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STA
county | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CPA
city | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CTY
postalCode | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: ZIP
streetAddressLine | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: SAL
houseNumber | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: BNR
houseNumberNumeric | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: BNN
direction | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DIR
streetName | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STR
streetNameBase | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STB
streetNameType | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STTYP
additionalLocator | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: ADL
unitID | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: UNID
unitType | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: UNIT
careOf | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CAR
censusTract | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CEN
deliveryAddressLine | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DAL
deliveryInstallationType | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DINST
deliveryInstallationArea | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DINSTA
deliveryInstallationQualifier | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DINSTQ
deliveryMode | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DMOD
deliveryModeIdentifier | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DMODID
buildingNumberSuffix | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: BNS
postBox | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: POB
precinct | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: PRE
xmlText |  | 0..1 | st | Allows for mixed text content
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
languageCommunication | C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language Constraints: should-proficiencyLevelCode, should-preferenceInd
@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 |
languageCode |  | 1..1 | CS | Binding: AllLanguages (required)
modeCode |  | 0..1 | CE | Binding: LanguageAbilityMode (required)
proficiencyLevelCode | C | 0..1 | CE | SHOULD contain proficiencyLevelCode Binding: LanguageAbilityProficiency (required)
preferenceInd | C | 0..1 | BL | Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1.
providerOrganization |  | 0..1 | Organization | If present, this organization represents the provider organization where the person is claiming to be a patient.
@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 |  | 0..1 | cs | Binding: EntityClassOrganization (3.0.0) (required) Fixed Value: ORG
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 1..* | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
name |  | 1..* | ON |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
addr |  | 1..* | USRealmAddress |
standardIndustryClassCode |  | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (3.0.0) (example)
asOrganizationPartOf |  | 0..1 | OrganizationPartOf |
author |  | 1..* | Author | The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUT
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
functionCode |  | 0..1 | CE |
time |  | 1..1 | USRealmDateTime |
assignedAuthor | C | 1..1 | AssignedAuthor | Constraints: 4537-16790, should-id-npi, should-us-code, should-code
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
Slices for id |  | 1..* | II | Slice: Unordered, Open by value:root
id:npi | C | 0..1 | II | Constraints: should-extension
@nullFlavor |  | 0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient. Binding: CDARoleCode (example)
@code |  | 1..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
(Choice of one) |  | 1..1 |  |
assignedPerson |  | 0..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
assignedAuthoringDevice |  | 0..1 | AuthoringDevice |
@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 |  | 0..1 | cs | Binding: EntityClassDevice (3.0.0) (required) Fixed Value: DEV
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
code |  | 0..1 | CE | Binding: CDAEntityCode (example)
manufacturerModelName |  | 1..1 | SC | Binding: ManufacturerModelNameExample (2.0.0) (example)
softwareName |  | 1..1 | SC | Binding: SoftwareNameExample (2.0.0) (example)
asMaintainedEntity |  | 0..* | MaintainedEntity |
representedOrganization |  | 0..1 | Organization |
dataEnterer |  | 0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: ENT
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
time |  | 0..1 | USRealmDateTime |
assignedEntity |  | 1..1 | AssignedEntity |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
Slices for informant |  | 0..* | Informant | Person that provides relevant information Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity
informant:provider |  | 0..* | Informant | The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
assignedEntity |  | 1..1 | AssignedEntity |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946).
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom |  | 0..* | TEL |
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
informant:non-provider |  | 0..* | Informant | The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
relatedEntity |  | 1..1 | RelatedEntity |
@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 | Binding: CDARoleClassMutualRelationship (required)
code | C | 0..1 | CE | Binding: PersonalRelationshipRoleType (3.0.0) (example) Constraints: should-us-code-attr
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
effectiveTime |  | 0..1 | IVL_TS |
relatedPerson |  | 0..1 | Person |
custodian |  | 1..1 | Custodian | The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST
assignedCustodian |  | 1..1 | AssignedCustodian |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
representedCustodianOrganization |  | 1..1 | CustodianOrganization | The representedCustodianOrganization may be the person when the document is not maintained by an organization.
@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 |  | 0..1 | cs | Binding: EntityClassOrganization (3.0.0) (required) Fixed Value: ORG
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 1..* | II | The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
name |  | 1..1 | ON |
telecom | C | 1..1 | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
sdtcTelecom |  | 0..* | TEL | XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc)
addr |  | 1..1 | USRealmAddress |
informationRecipient |  | 0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart.
@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 |  | 0..1 | cs | Binding: XInformationRecipient (2.0.0) (required)
intendedRecipient | C | 1..1 | IntendedRecipient | Constraints: should-id
@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 |  | 0..1 | cs | Binding: CDAInformationRecipientRole (required)
id | C | 0..* | II | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. Constraints: should-root
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 0..1 | oid, uuid, ruid | For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document.
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
informationRecipient |  | 0..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
receivedOrganization |  | 0..1 | Organization |
@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 |  | 0..1 | cs | Binding: EntityClassOrganization (3.0.0) (required) Fixed Value: ORG
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 0..* | II |
name |  | 1..1 | ON |
telecom |  | 0..* | TEL |
addr |  | 0..* | AD |
standardIndustryClassCode |  | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (3.0.0) (example)
asOrganizationPartOf |  | 0..1 | OrganizationPartOf |
legalAuthenticator | C | 0..1 | LegalAuthenticator | In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LA
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
time |  | 1..1 | USRealmDateTime |
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: S
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity |  | 1..1 | AssignedEntity |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI)
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
authenticator |  | 0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUTHEN
time |  | 1..1 | USRealmDateTime |
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: S
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity | C | 1..1 | AssignedEntity | Constraints: should-code
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Healthcare Provider Taxonomy (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
participant | C | 0..* | Participant1 | The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin) Constraints: 4537-10006, 4537-10007
@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 | Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 Binding: CDAParticipationType (required)
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
functionCode |  | 0..1 | CE |
time |  | 0..1 | USRealmDateTimeInterval |
associatedEntity | C | 1..1 | AssociatedEntity | Constraints: should-code
@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 | Binding: CDARoleClassAssociative (required)
id |  | 0..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
associatedPerson |  | 0..1 | Person |
scopingOrganization |  | 0..1 | Organization |
inFulfillmentOf |  | 0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
@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 |  | 0..1 | cs | Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
order |  | 1..1 | Order |
@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 |  | 0..1 | cs | Binding: CDAActClass (required)
@moodCode |  | 0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO
id |  | 1..* | II | A scheduled appointment or service event in a practice management system may be represented using this id element.
code |  | 0..1 | CE | Binding: ActCode (3.0.0) (example)
priorityCode |  | 0..1 | CE | Binding: ActPriority (3.0.0) (example)
documentationOf |  | 0..* | DocumentationOf | The main Act being documented
@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 |  | 0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: DOC
serviceEvent | C | 1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. Constraints: should-us-performer, should-code, should-performer
@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 |  | 0..1 | cs | Binding: CDAActClass (required)
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
id |  | 0..* | II |
code |  | 0..1 | CE | The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document.
effectiveTime |  | 1..1 | USRealmDateTimeInterval |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: CDASetOperator (required)
low | C | 1..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive |  | 0..1 | bl |
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high | C | 0..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive |  | 0..1 | bl |
performer | C | 0..* | Performer1 | SHOULD contain performer
@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: x_ServiceEventPerformer (required)
functionCode | C | 0..1 | CE | When indicating the performer was the primary care physician, implementers should indicate "PCP" as the functionCode Constraints: should-code-attr
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: ParticipationFunction (required)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
time |  | 0..1 | USRealmDateTimeInterval |
assignedEntity | C | 1..1 | AssignedEntity | Constraints: should-us-code
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set Binding: Personal And Legal Relationship Role Type (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc)
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
assignedPerson |  | 0..1 | Person |
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
relatedDocument |  | 0..* | RelatedDocument | Source of a document revision, addenda, or transformation
authorization |  | 0..* | Authorization | The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document.
@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 |  | 0..1 | cs | Binding: ActRelationshipAuthorizedBy (3.0.0) (required) Fixed Value: AUTH
consent |  | 1..1 | Consent |
@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 |  | 0..1 | cs | Binding: CDAActClass (required) Fixed Value: CONS
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
id |  | 0..* | II |
code |  | 0..1 | CE | The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: ActCode (3.0.0) (example)
statusCode |  | 1..1 | CS | Binding: ActStatus (3.0.0) (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: completed
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
componentOf |  | 0..1 | ComponentOf | The encompassing encounter represents the setting of the clinical encounter during which the document act(s) or ServiceEvent(s) occurred. In order to represent providers associated with a specific encounter, they are recorded within the encompassingEncounter as participants. In a CCD, the encompassingEncounter may be used when documenting a specific encounter and its participants. All relevant encounters in a CCD may be listed in the encounters section.
@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 |  | 0..1 | cs | Binding: ActRelationshipHasComponent (3.0.0) (required) Fixed Value: COMP
encompassingEncounter | C | 1..1 | EncompassingEncounter | Constraints: should-responsibleParty
@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 |  | 0..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
id |  | 1..* | II |
code |  | 0..1 | CE | Binding: Act Encounter Codes (preferred)
effectiveTime |  | 1..1 | USRealmDateTimeInterval |
sdtcAdmissionReferralSourceCode |  | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc)
dischargeDispositionCode |  | 0..1 | CE | Binding: USEncounterDischargeDisposition (5.0.0) (example)
responsibleParty |  | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RESP
assignedEntity | C | 1..1 | AssignedEntity | Constraints: 1198-32905
encounterParticipant |  | 0..* | EncounterParticipant |
location |  | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Binding: ParticipationTargetLocation (3.0.0) (required) Fixed Value: LOC
healthCareFacility |  | 1..1 | HealthCareFacility |
@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 |  | 0..1 | cs | Binding: RoleClassServiceDeliveryLocation (3.0.0) (required)
id |  | 0..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: ServiceDeliveryLocationRoleType (3.0.0) (example)
location |  | 0..1 | Place |
@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 |  | 0..1 | cs | Binding: EntityClassPlace (3.0.0) (required) Fixed Value: PLC
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 0..1 | EN |
addr |  | 0..1 | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Facility Address
serviceProviderOrganization |  | 0..1 | Organization |
component |  | 1..1 | Component | Body of the document
@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 |  | 0..1 | cs | Binding: ActRelationshipHasComponent (3.0.0) (required) Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
nonXMLBody |  | 0..1 | NonXMLBody | A body in some format other than XML.
structuredBody |  | 0..1 | StructuredBody | A body comprised of one or more document sections.
@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 |  | 0..1 | cs | Binding: ActClassRecordOrganizer (3.0.0) (required) Fixed Value: DOCBODY
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
confidentialityCode |  | 0..1 | CE |
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
Slices for component | S | 1..* | InfrastructureRoot | Slice: Unordered, Open by profile:section
component:All Slices |  |  |  | Content/Rules for all slices
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:source-form | S | 1..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Witness_And_Notary_Section | Person's signature and Information about Witnesses or Notary required to complete a valid document
component:healthcare-agent-appointment | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Healthcare_Agent_Appointment_Section | Consent information that appoints healthcare agents
component:treatment-intervention-preferences | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Treatment_Intervention_Preferences_Section | Persion's conditional treatment intervention preferences
component:care-experience-preferences | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Care_Experience_Preferences_Section | Person's conditional care experience preferences
component:upon-death-preferences | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:additional-documentation | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:administrative-information | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Administrative_Information_Section | Information collected for administrative reasons
component:completion-information | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:witness-and-notary | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ClinicalDocument.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.classCode | Base | example | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.realmCode.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.templateId:us-realm.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.templateId:us-patient-gen-doc.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.templateId:personal-acp.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.sdtcCategory:ahdDocumentClass.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.sdtcCategory:pacpDocumentClass.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.code | Base | required | Advance Directive Document Types | 📦20240712 | VSAC v0.24
ClinicalDocument.sdtcStatusCode | Base | required | ActStatus | 📍3.0.0 | THO v7.0
ClinicalDocument.confidentialityCode.​code | Base | preferred | HL7 BasicConfidentialityKind | 📦20240606 | VSAC v0.24
ClinicalDocument.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
ClinicalDocument.recordTarget.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.classCode | Base | required | RoleClassRelationshipFormal | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​administrativeGenderCode | Base | example | AdministrativeGender | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​maritalStatusCode | Base | required | Marital Status | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​religiousAffiliationCode | Base | required | Religious Affiliation | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​raceCode | Base | required | Race Categories | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​raceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​raceCode.translation | Base | preferred | Race Value Set | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcRaceCode | Base | required | Detailed race including absence reasons. | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcRaceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcRaceCode.translation | Base | preferred | Race Value Set | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​ethnicGroupCode | Base | required | Ethnicity Categories | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcEthnicGroupCode | Base | required | Detailed Ethnicity Including Absence Reasons | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.classCode | Base | required | RoleClassAgent | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.code | Base | required | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.telecom.use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.classCode | Base | required | RoleClassPassive | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.classCode | Base | required | EntityClassPlace | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​use | Base | required | CDAPostalAddressUse | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.delimiter.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.country | Base | required | Country2 | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.country.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.state.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.county.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.city.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.postalCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetAddressLine.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.houseNumber.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.houseNumberNumeric.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.direction.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetName.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetNameBase.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetNameType.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.additionalLocator.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.unitID.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.unitType.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.careOf.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.censusTract.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryAddressLine.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryInstallationType.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryInstallationArea.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryInstallationQualifier.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryMode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryModeIdentifier.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.buildingNumberSuffix.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.postBox.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.precinct.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​modeCode | Base | required | LanguageAbilityMode | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​proficiencyLevelCode | Base | required | LanguageAbilityProficiency | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​classCode | Base | required | EntityClassOrganization | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​telecom.use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​standardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.id:npi.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.code | Base | example | CDARoleCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.code.​code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.author.​assignedAuthor.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.author.​assignedAuthor.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.author.​assignedAuthor.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​classCode | Base | required | EntityClassDevice | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​code | Base | example | CDAEntityCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​manufacturerModelName | Base | example | Manufacturer Model Name Example | 📍2.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​softwareName | Base | example | Software Name Example | 📍2.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.dataEnterer.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.dataEnterer.​assignedEntity.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:provider.​assignedEntity.code | Base | preferred | Healthcare Provider Taxonomy | 📦20240606 | VSAC v0.24
ClinicalDocument.informant:provider.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.classCode | Base | required | CDARoleClassMutualRelationship | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.code | Base | example | PersonalRelationshipRoleType | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:non-provider.​relatedEntity.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.code.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.custodian.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​classCode | Base | required | EntityClassOrganization | 📍3.0.0 | THO v7.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​telecom.use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.informationRecipient.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​typeCode | Base | required | x_InformationRecipient | 📍2.0.0 | THO v5.2
ClinicalDocument.informationRecipient.​intendedRecipient.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.classCode | Base | required | CDAInformationRecipientRole | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.id.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​classCode | Base | required | EntityClassOrganization | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​standardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​signatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​signatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.code | Base | preferred | Healthcare Provider Taxonomy | 📦20240606 | VSAC v0.24
ClinicalDocument.legalAuthenticator.​assignedEntity.code.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.code.​code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.legalAuthenticator.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.legalAuthenticator.​assignedEntity.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​signatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​signatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.authenticator.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.authenticator.​assignedEntity.code.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.code.​code | Base | preferred | Healthcare Provider Taxonomy | 📦20240606 | VSAC v0.24
ClinicalDocument.authenticator.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.authenticator.​assignedEntity.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.classCode | Base | required | CDARoleClassAssociative | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.participant.​associatedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.inFulfillmentOf.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​typeCode | Base | required | ActRelationshipFulfills | 📍2.0.0 | THO v5.2
ClinicalDocument.inFulfillmentOf.​order.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.moodCode | Base | required | CDAActMoodIntent | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
ClinicalDocument.inFulfillmentOf.​order.priorityCode | Base | example | ActPriority | 📍3.0.0 | THO v7.0
ClinicalDocument.documentationOf.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​typeCode | Base | required | CDAActRelationshipType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​operator | Base | required | CDASetOperator | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​low.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​high.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​typeCode | Base | required | x_ServiceEventPerformer | 📦20240606 | VSAC v0.24
ClinicalDocument.documentationOf.​serviceEvent.performer.​functionCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​functionCode.code | Base | required | ParticipationFunction | 📦20240605 | VSAC v0.24
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.authorization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​typeCode | Base | required | ActRelationshipAuthorizedBy | 📍3.0.0 | THO v7.0
ClinicalDocument.authorization.​consent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
ClinicalDocument.authorization.​consent.statusCode | Base | required | ActStatus | 📍3.0.0 | THO v7.0
ClinicalDocument.authorization.​consent.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​typeCode | Base | required | ActRelationshipHasComponent | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​code | Base | preferred | Act Encounter Codes | 📦20231012 | VSAC v0.24
ClinicalDocument.componentOf.​encompassingEncounter.​dischargeDispositionCode | Base | example | USEncounterDischargeDisposition | 📍5.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​responsibleParty.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​responsibleParty.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​responsibleParty.typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.typeCode | Base | required | ParticipationTargetLocation | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​classCode | Base | required | RoleClassServiceDeliveryLocation | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​code | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.classCode | Base | required | EntityClassPlace | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.component.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​typeCode | Base | required | ActRelationshipHasComponent | 📍3.0.0 | THO v7.0
ClinicalDocument.component.​structuredBody.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.classCode | Base | required | ActClassRecordOrganizer | 📍3.0.0 | THO v7.0
ClinicalDocument.component.​structuredBody.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
ClinicalDocument.component.​structuredBody.component.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:source-form.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:source-form.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:healthcare-agent-appointment.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:healthcare-agent-appointment.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:treatment-intervention-preferences.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:treatment-intervention-preferences.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:care-experience-preferences.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:care-experience-preferences.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:upon-death-preferences.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:upon-death-preferences.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:additional-documentation.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:additional-documentation.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:administrative-information.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:administrative-information.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:completion-information.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:completion-information.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:witness-and-notary.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:witness-and-notary.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). | `assignedPerson.exists() or representedOrganization.exists()`
4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). | `nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://terminology.hl7.org/ValueSet/USPS-State'))`
4537-5403 | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). | `nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`
4537-6380 | error | ClinicalDocument | If setId is present versionNumber **SHALL** be present (CONF:4537-6380). | `setId.exists() implies versionNumber.exists()`
4537-6387 | error | ClinicalDocument | If versionNumber is present setId **SHALL** be present (CONF:4537-6387). | `versionNumber.exists() implies setId.exists()`
4537-10006 | error | ClinicalDocument.participant | **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). | `associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()`
4537-10007 | warning | ClinicalDocument.participant | When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). | `typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')`
4537-16790 | error | ClinicalDocument.author.assignedAuthor | There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). | `(assignedPerson | assignedAuthoringDevice).count() = 1`
4537-21000 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true | `sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')`
4537-32993 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). | `sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()`
AD-1 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item | Can only have only one of the possible item elements in each choice | `(delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1`
II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.informant:non-provider.relatedEntity.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.participant.associatedEntity.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.location.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.structuredBody.typeId, ClinicalDocument.component.structuredBody.component.typeId, ClinicalDocument.component.structuredBody.component:source-form.typeId, ClinicalDocument.component.structuredBody.component:healthcare-agent-appointment.typeId, ClinicalDocument.component.structuredBody.component:treatment-intervention-preferences.typeId, ClinicalDocument.component.structuredBody.component:care-experience-preferences.typeId, ClinicalDocument.component.structuredBody.component:upon-death-preferences.typeId, ClinicalDocument.component.structuredBody.component:additional-documentation.typeId, ClinicalDocument.component.structuredBody.component:administrative-information.typeId, ClinicalDocument.component.structuredBody.component:completion-information.typeId, ClinicalDocument.component.structuredBody.component:witness-and-notary.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
race-not-category | error | ClinicalDocument.recordTarget.patientRole.patient.raceCode.translation, ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode.translation | Translation SHALL NOT be used to convey additional race categories. Multiple categories must be conveyed in multiple raceCode elements. | `(code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1')).not()`
sdtc-race-not-detail | error | ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | When using translation to convey race details, the base code SHALL be a race category. | `translation.exists(codeSystem = '2.16.840.1.113883.6.238') implies (code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1'))`
should-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.authenticator.assignedEntity, ClinicalDocument.participant.associatedEntity, ClinicalDocument.documentationOf.serviceEvent | SHOULD contain code | `code.exists()`
should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code | `code.exists()`
should-country | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | SHOULD contain country | `nullFlavor.exists() or item.country.exists()`
should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension | `extension.exists()`
should-id | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.informationRecipient.intendedRecipient | SHOULD contain id | `id.exists()`
should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) | `id.where(root = '2.16.840.1.113883.4.6')`
should-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication | `languageCommunication.exists()`
should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator | `legalAuthenticator.exists()`
should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode | `maritalStatusCode.exists()`
should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI | `$this = '2.16.840.1.113883.4.6'`
should-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer | `performer.exists()`
should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd | `preferenceInd.exists()`
should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode | `proficiencyLevelCode.exists()`
should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant | `participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()`
should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty | `responsibleParty.exists()`
should-root | warning | ClinicalDocument.informationRecipient.intendedRecipient.id | SHOULD contain @root | `root.exists()`
should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr | `addr.exists()`
should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | SHOULD contain code | `code.exists()`
should-us-code-attr | warning | ClinicalDocument.informant:non-provider.relatedEntity.code | SHOULD contain @code | `code.exists()`
should-us-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication | `languageCommunication.exists()`
should-us-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer | `performer.exists()`
should-us-telecom | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain telecom | `telecom.exists()`
should-use | warning | ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecom | SHOULD contain @use | `nullFlavor.exists() or use.exists()`
should-value-att | warning | ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | SHOULD contain @value | `value.exists()`
signature | warning | ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode | CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. | `code.exists() implies code != 'X'`
text-null | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct | xmlText and nullFlavor are mutually exclusive (one must be present) | `(xmlText | nullFlavor).count() = 1`
ts-shall-day | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high | **SHALL** be precise to at least the day | `nullFlavor.exists() or value.toString().length() >= 10`
ts-shall-year | error | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHALL** be precise to at least the year | `nullFlavor.exists() or value.toString().length() >= 4`
ts-should-day | warning | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHOULD** be precise to at least the day | `nullFlavor.exists() or value.toString().length() >= 10`
ts-should-minute | warning | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high | **SHOULD** be precise to at least the minute | `nullFlavor.exists() or value.toString().length() > 10`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ClinicalDocument | C | 1..1 | USRealmHeaderforPatientGeneratedDocument | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@classCode |  | 0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
realmCode |  | 1..1 | CS |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: US
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
typeId | C | 1..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 | Fixed Value: POCD_HD000040
Slices for templateId |  | 3..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:us-realm |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.1
@extension |  | 1..1 | st | Required Pattern: 2024-05-01
templateId:us-patient-gen-doc |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.29.1
@extension |  | 1..1 | st | Required Pattern: 2024-05-01
templateId:personal-acp |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.823.1.1.1
@extension |  | 1..1 | st | Required Pattern: 2026-08-28
id |  | 1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991).
Slices for sdtcCategory | S | 1..* | CD | XML Namespace: urn:hl7-org:sdtc Slice: Unordered, Open by value:code, value:codeSystem XML: category (urn:hl7-org:sdtc)
sdtcCategory:ahdDocumentClass |  | 1..1 | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Used to categorize the document type as an Advance Healthcare Directive Required Pattern: 42348-3
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 1..1 | st | Required Pattern: LOINC
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 1..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
sdtcCategory:pacpDocumentClass | S | 0..1 | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Used to categorize the document type as a Patient-Authored Consent Document Required Pattern: 59284-0
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 1..1 | st | Required Pattern: LOINC
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 1..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
code |  | 1..1 | CE | This profile is used to represent a person-authored advance healthcare directive document. A person authored advance healthcare directive document is categorized as a consent document. This sub-category of advance healthcare directive documents expresses the patient’s own preferences as opposed to provider-authored advance healthcare directive documents which establish portable medical orders for the patient. This sub-category of advance healthcare directive document always is authored by the subject of the document (the patient). If care providers are involved in the creation of these types of documents, they may be included as facilitators. The patient (or their representative) is required to sign the document and is represented as an authenticator. Others who sign the document are represented as authenticators with their role such as witness or notary also included. It includes a presentation of the original source form of the completed document. It includes information about the person’s appointed healthcare agent(s), and may additionally include treatment intervention and care experience preferences under potential future health scenarios, administrative and completion information, additional documentation, and witness and notary information. The document always contains the source form in the Source Form section. It may include textual information present in the source form, organized in standard structural sections which may or may not include machine processable encoded entries. Binding: Advance Directive Document Types (required)
@code |  | 1..1 | cs |
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
title |  | 1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
sdtcStatusCode |  | 1..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (3.0.0) (required)
effectiveTime |  | 1..1 | USRealmDateTime | The system origination time
confidentialityCode |  | 1..1 | CE | Controls the disclosure of information in this document
@code |  | 1..1 | cs | Binding: HL7 BasicConfidentialityKind (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
languageCode |  | 1..1 | CS | Human language of character data Binding: AllLanguages (required)
setId | C | 1..1 | II | Identifier a single logical document
versionNumber | C | 1..1 | INT | The distinct version of a logical document
copyTime |  | 0..1 | TS | Deprecated - use is discouraged
recordTarget |  | 1..1 | RecordTarget | The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RCT
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
patientRole |  | 1..1 | PatientRole |
@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 |  | 0..1 | cs | Binding: RoleClassRelationshipFormal (3.0.0) (required) Fixed Value: PAT
id |  | 1..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr |  | 1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address
telecom | C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
patient | C | 1..1 | Patient | Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication, should-languageCommunication
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 0..1 | II |
name |  | 1..* | USRealmPatientNamePTNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
administrativeGenderCode |  | 0..1 | CE | Binding: AdministrativeGender (3.0.0) (example)
birthTime | C | 1..1 | TS | 𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) Constraints: ts-shall-year, ts-should-day
sdtcDeceasedInd |  | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc)
sdtcDeceasedTime | C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) Constraints: should-value-att, ts-shall-year, ts-should-day
sdtcMultipleBirthInd |  | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc)
sdtcMultipleBirthOrderNumber |  | 0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc)
maritalStatusCode | C | 0..1 | CE | SHOULD contain maritalStatusCode Binding: Marital Status (required)
religiousAffiliationCode |  | 0..1 | CE | Binding: Religious Affiliation (required)
raceCode |  | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race - raceCode SHALL contain only the OMB race category; detailed race values go in translation. Additional race categories are conveyed using sdtc:raceCode, following the same pattern (OMB category in root; details in translation). Binding: Race Categories (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs |
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation | C | 0..* | CD | Binding: Race Value Set (preferred) Constraints: race-not-category
sdtcRaceCode | C | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Detailed race including absence reasons. (required) Constraints: sdtc-race-not-detail
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs |
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation | C | 0..* | CD | Binding: Race Value Set (preferred) Constraints: race-not-category
ethnicGroupCode |  | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity Categories (required)
sdtcEthnicGroupCode |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity Including Absence Reasons (required)
guardian | C | 0..* | Guardian | Constraints: should-us-code, should-us-addr, should-us-telecom, should-id, should-code
@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 |  | 0..1 | cs | Binding: RoleClassAgent (3.0.0) (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: Personal And Legal Relationship Role Type (required)
addr |  | 0..* | USRealmAddress |
telecom | C | 0..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
guardianPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
guardianOrganization |  | 0..1 | Organization |
birthplace |  | 0..1 | Birthplace |
@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 |  | 0..1 | cs | Binding: RoleClassPassive (3.0.0) (required) Fixed Value: BIRTHPL
place |  | 1..1 | Place |
@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 |  | 0..1 | cs | Binding: EntityClassPlace (3.0.0) (required) Fixed Value: PLC
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 0..1 | EN |
addr | C | 1..1 | AD | Constraints: 4537-5402, 4537-5403, should-country
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@isNotOrdered |  | 0..1 | bl |
@use |  | 0..* | cs | Binding: CDAPostalAddressUse (required)
item | C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance Constraints: AD-1
(Choice of one) |  | 1..1 |  |
delimiter | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DEL
country | C | 0..1 | ADXP | Binding: Country2 (3.0.0) (required) Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CNT
state | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STA
county | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CPA
city | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CTY
postalCode | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: ZIP
streetAddressLine | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: SAL
houseNumber | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: BNR
houseNumberNumeric | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: BNN
direction | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DIR
streetName | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STR
streetNameBase | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STB
streetNameType | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STTYP
additionalLocator | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: ADL
unitID | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: UNID
unitType | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: UNIT
careOf | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CAR
censusTract | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CEN
deliveryAddressLine | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DAL
deliveryInstallationType | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DINST
deliveryInstallationArea | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DINSTA
deliveryInstallationQualifier | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DINSTQ
deliveryMode | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DMOD
deliveryModeIdentifier | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DMODID
buildingNumberSuffix | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: BNS
postBox | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: POB
precinct | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: PRE
xmlText |  | 0..1 | st | Allows for mixed text content
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
languageCommunication | C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language Constraints: should-proficiencyLevelCode, should-preferenceInd
@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 |
languageCode |  | 1..1 | CS | Binding: AllLanguages (required)
modeCode |  | 0..1 | CE | Binding: LanguageAbilityMode (required)
proficiencyLevelCode | C | 0..1 | CE | SHOULD contain proficiencyLevelCode Binding: LanguageAbilityProficiency (required)
preferenceInd | C | 0..1 | BL | Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1.
providerOrganization |  | 0..1 | Organization | If present, this organization represents the provider organization where the person is claiming to be a patient.
@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 |  | 0..1 | cs | Binding: EntityClassOrganization (3.0.0) (required) Fixed Value: ORG
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 1..* | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
name |  | 1..* | ON |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
addr |  | 1..* | USRealmAddress |
standardIndustryClassCode |  | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (3.0.0) (example)
asOrganizationPartOf |  | 0..1 | OrganizationPartOf |
author |  | 1..* | Author | The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUT
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
functionCode |  | 0..1 | CE |
time |  | 1..1 | USRealmDateTime |
assignedAuthor | C | 1..1 | AssignedAuthor | Constraints: 4537-16790, should-id-npi, should-us-code, should-code
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
Slices for id |  | 1..* | II | Slice: Unordered, Open by value:root
id:npi | C | 0..1 | II | Constraints: should-extension
@nullFlavor |  | 0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient. Binding: CDARoleCode (example)
@code |  | 1..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
(Choice of one) |  | 1..1 |  |
assignedPerson |  | 0..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
assignedAuthoringDevice |  | 0..1 | AuthoringDevice |
@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 |  | 0..1 | cs | Binding: EntityClassDevice (3.0.0) (required) Fixed Value: DEV
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
code |  | 0..1 | CE | Binding: CDAEntityCode (example)
manufacturerModelName |  | 1..1 | SC | Binding: ManufacturerModelNameExample (2.0.0) (example)
softwareName |  | 1..1 | SC | Binding: SoftwareNameExample (2.0.0) (example)
asMaintainedEntity |  | 0..* | MaintainedEntity |
representedOrganization |  | 0..1 | Organization |
dataEnterer |  | 0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: ENT
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
time |  | 0..1 | USRealmDateTime |
assignedEntity |  | 1..1 | AssignedEntity |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
Slices for informant |  | 0..* | Informant | Person that provides relevant information Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity
informant:provider |  | 0..* | Informant | The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
assignedEntity |  | 1..1 | AssignedEntity |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946).
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom |  | 0..* | TEL |
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
informant:non-provider |  | 0..* | Informant | The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
relatedEntity |  | 1..1 | RelatedEntity |
@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 | Binding: CDARoleClassMutualRelationship (required)
code | C | 0..1 | CE | Binding: PersonalRelationshipRoleType (3.0.0) (example) Constraints: should-us-code-attr
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
effectiveTime |  | 0..1 | IVL_TS |
relatedPerson |  | 0..1 | Person |
custodian |  | 1..1 | Custodian | The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST
assignedCustodian |  | 1..1 | AssignedCustodian |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
representedCustodianOrganization |  | 1..1 | CustodianOrganization | The representedCustodianOrganization may be the person when the document is not maintained by an organization.
@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 |  | 0..1 | cs | Binding: EntityClassOrganization (3.0.0) (required) Fixed Value: ORG
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 1..* | II | The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
name |  | 1..1 | ON |
telecom | C | 1..1 | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
sdtcTelecom |  | 0..* | TEL | XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc)
addr |  | 1..1 | USRealmAddress |
informationRecipient |  | 0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart.
@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 |  | 0..1 | cs | Binding: XInformationRecipient (2.0.0) (required)
intendedRecipient | C | 1..1 | IntendedRecipient | Constraints: should-id
@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 |  | 0..1 | cs | Binding: CDAInformationRecipientRole (required)
id | C | 0..* | II | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. Constraints: should-root
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 0..1 | oid, uuid, ruid | For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document.
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
informationRecipient |  | 0..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
receivedOrganization |  | 0..1 | Organization |
@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 |  | 0..1 | cs | Binding: EntityClassOrganization (3.0.0) (required) Fixed Value: ORG
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 0..* | II |
name |  | 1..1 | ON |
telecom |  | 0..* | TEL |
addr |  | 0..* | AD |
standardIndustryClassCode |  | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (3.0.0) (example)
asOrganizationPartOf |  | 0..1 | OrganizationPartOf |
legalAuthenticator | C | 0..1 | LegalAuthenticator | In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LA
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
time |  | 1..1 | USRealmDateTime |
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: S
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity |  | 1..1 | AssignedEntity |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI)
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
authenticator |  | 0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUTHEN
time |  | 1..1 | USRealmDateTime |
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: S
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity | C | 1..1 | AssignedEntity | Constraints: should-code
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Healthcare Provider Taxonomy (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
participant | C | 0..* | Participant1 | The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin) Constraints: 4537-10006, 4537-10007
@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 | Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 Binding: CDAParticipationType (required)
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
functionCode |  | 0..1 | CE |
time |  | 0..1 | USRealmDateTimeInterval |
associatedEntity | C | 1..1 | AssociatedEntity | Constraints: should-code
@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 | Binding: CDARoleClassAssociative (required)
id |  | 0..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
associatedPerson |  | 0..1 | Person |
scopingOrganization |  | 0..1 | Organization |
inFulfillmentOf |  | 0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
@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 |  | 0..1 | cs | Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
order |  | 1..1 | Order |
@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 |  | 0..1 | cs | Binding: CDAActClass (required)
@moodCode |  | 0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO
id |  | 1..* | II | A scheduled appointment or service event in a practice management system may be represented using this id element.
code |  | 0..1 | CE | Binding: ActCode (3.0.0) (example)
priorityCode |  | 0..1 | CE | Binding: ActPriority (3.0.0) (example)
documentationOf |  | 0..* | DocumentationOf | The main Act being documented
@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 |  | 0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: DOC
serviceEvent | C | 1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. Constraints: should-us-performer, should-code, should-performer
@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 |  | 0..1 | cs | Binding: CDAActClass (required)
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
id |  | 0..* | II |
code |  | 0..1 | CE | The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document.
effectiveTime |  | 1..1 | USRealmDateTimeInterval |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: CDASetOperator (required)
low | C | 1..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive |  | 0..1 | bl |
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high | C | 0..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive |  | 0..1 | bl |
performer | C | 0..* | Performer1 | SHOULD contain performer
@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: x_ServiceEventPerformer (required)
functionCode | C | 0..1 | CE | When indicating the performer was the primary care physician, implementers should indicate "PCP" as the functionCode Constraints: should-code-attr
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: ParticipationFunction (required)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
time |  | 0..1 | USRealmDateTimeInterval |
assignedEntity | C | 1..1 | AssignedEntity | Constraints: should-us-code
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set Binding: Personal And Legal Relationship Role Type (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc)
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
assignedPerson |  | 0..1 | Person |
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
relatedDocument |  | 0..* | RelatedDocument | Source of a document revision, addenda, or transformation
authorization |  | 0..* | Authorization | The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document.
@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 |  | 0..1 | cs | Binding: ActRelationshipAuthorizedBy (3.0.0) (required) Fixed Value: AUTH
consent |  | 1..1 | Consent |
@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 |  | 0..1 | cs | Binding: CDAActClass (required) Fixed Value: CONS
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
id |  | 0..* | II |
code |  | 0..1 | CE | The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: ActCode (3.0.0) (example)
statusCode |  | 1..1 | CS | Binding: ActStatus (3.0.0) (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: completed
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
componentOf |  | 0..1 | ComponentOf | The encompassing encounter represents the setting of the clinical encounter during which the document act(s) or ServiceEvent(s) occurred. In order to represent providers associated with a specific encounter, they are recorded within the encompassingEncounter as participants. In a CCD, the encompassingEncounter may be used when documenting a specific encounter and its participants. All relevant encounters in a CCD may be listed in the encounters section.
@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 |  | 0..1 | cs | Binding: ActRelationshipHasComponent (3.0.0) (required) Fixed Value: COMP
encompassingEncounter | C | 1..1 | EncompassingEncounter | Constraints: should-responsibleParty
@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 |  | 0..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
id |  | 1..* | II |
code |  | 0..1 | CE | Binding: Act Encounter Codes (preferred)
effectiveTime |  | 1..1 | USRealmDateTimeInterval |
sdtcAdmissionReferralSourceCode |  | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc)
dischargeDispositionCode |  | 0..1 | CE | Binding: USEncounterDischargeDisposition (5.0.0) (example)
responsibleParty |  | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RESP
assignedEntity | C | 1..1 | AssignedEntity | Constraints: 1198-32905
encounterParticipant |  | 0..* | EncounterParticipant |
location |  | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Binding: ParticipationTargetLocation (3.0.0) (required) Fixed Value: LOC
healthCareFacility |  | 1..1 | HealthCareFacility |
@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 |  | 0..1 | cs | Binding: RoleClassServiceDeliveryLocation (3.0.0) (required)
id |  | 0..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: ServiceDeliveryLocationRoleType (3.0.0) (example)
location |  | 0..1 | Place |
@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 |  | 0..1 | cs | Binding: EntityClassPlace (3.0.0) (required) Fixed Value: PLC
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 0..1 | EN |
addr |  | 0..1 | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Facility Address
serviceProviderOrganization |  | 0..1 | Organization |
component |  | 1..1 | Component | Body of the document
@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 |  | 0..1 | cs | Binding: ActRelationshipHasComponent (3.0.0) (required) Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
nonXMLBody |  | 0..1 | NonXMLBody | A body in some format other than XML.
structuredBody |  | 0..1 | StructuredBody | A body comprised of one or more document sections.
@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 |  | 0..1 | cs | Binding: ActClassRecordOrganizer (3.0.0) (required) Fixed Value: DOCBODY
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
confidentialityCode |  | 0..1 | CE |
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
Slices for component | S | 1..* | InfrastructureRoot | Slice: Unordered, Open by profile:section
component:All Slices |  |  |  | Content/Rules for all slices
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:source-form | S | 1..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Witness_And_Notary_Section | Person's signature and Information about Witnesses or Notary required to complete a valid document
component:healthcare-agent-appointment | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Healthcare_Agent_Appointment_Section | Consent information that appoints healthcare agents
component:treatment-intervention-preferences | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Treatment_Intervention_Preferences_Section | Persion's conditional treatment intervention preferences
component:care-experience-preferences | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Care_Experience_Preferences_Section | Person's conditional care experience preferences
component:upon-death-preferences | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:additional-documentation | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:administrative-information | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Administrative_Information_Section | Information collected for administrative reasons
component:completion-information | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:witness-and-notary | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ClinicalDocument.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.classCode | Base | example | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.realmCode.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.templateId:us-realm.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.templateId:us-patient-gen-doc.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.templateId:personal-acp.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.sdtcCategory:ahdDocumentClass.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.sdtcCategory:pacpDocumentClass.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.code | Base | required | Advance Directive Document Types | 📦20240712 | VSAC v0.24
ClinicalDocument.sdtcStatusCode | Base | required | ActStatus | 📍3.0.0 | THO v7.0
ClinicalDocument.confidentialityCode.​code | Base | preferred | HL7 BasicConfidentialityKind | 📦20240606 | VSAC v0.24
ClinicalDocument.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
ClinicalDocument.recordTarget.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.classCode | Base | required | RoleClassRelationshipFormal | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​administrativeGenderCode | Base | example | AdministrativeGender | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​maritalStatusCode | Base | required | Marital Status | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​religiousAffiliationCode | Base | required | Religious Affiliation | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​raceCode | Base | required | Race Categories | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​raceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​raceCode.translation | Base | preferred | Race Value Set | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcRaceCode | Base | required | Detailed race including absence reasons. | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcRaceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcRaceCode.translation | Base | preferred | Race Value Set | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​ethnicGroupCode | Base | required | Ethnicity Categories | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcEthnicGroupCode | Base | required | Detailed Ethnicity Including Absence Reasons | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.classCode | Base | required | RoleClassAgent | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.code | Base | required | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.telecom.use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.classCode | Base | required | RoleClassPassive | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.classCode | Base | required | EntityClassPlace | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​use | Base | required | CDAPostalAddressUse | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.delimiter.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.country | Base | required | Country2 | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.country.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.state.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.county.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.city.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.postalCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetAddressLine.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.houseNumber.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.houseNumberNumeric.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.direction.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetName.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetNameBase.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetNameType.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.additionalLocator.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.unitID.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.unitType.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.careOf.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.censusTract.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryAddressLine.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryInstallationType.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryInstallationArea.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryInstallationQualifier.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryMode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryModeIdentifier.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.buildingNumberSuffix.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.postBox.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.precinct.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​modeCode | Base | required | LanguageAbilityMode | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​proficiencyLevelCode | Base | required | LanguageAbilityProficiency | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​classCode | Base | required | EntityClassOrganization | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​telecom.use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​standardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.id:npi.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.code | Base | example | CDARoleCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.code.​code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.author.​assignedAuthor.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.author.​assignedAuthor.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.author.​assignedAuthor.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​classCode | Base | required | EntityClassDevice | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​code | Base | example | CDAEntityCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​manufacturerModelName | Base | example | Manufacturer Model Name Example | 📍2.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​softwareName | Base | example | Software Name Example | 📍2.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.dataEnterer.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.dataEnterer.​assignedEntity.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:provider.​assignedEntity.code | Base | preferred | Healthcare Provider Taxonomy | 📦20240606 | VSAC v0.24
ClinicalDocument.informant:provider.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.classCode | Base | required | CDARoleClassMutualRelationship | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.code | Base | example | PersonalRelationshipRoleType | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:non-provider.​relatedEntity.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.code.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.custodian.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​classCode | Base | required | EntityClassOrganization | 📍3.0.0 | THO v7.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​telecom.use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.informationRecipient.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​typeCode | Base | required | x_InformationRecipient | 📍2.0.0 | THO v5.2
ClinicalDocument.informationRecipient.​intendedRecipient.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.classCode | Base | required | CDAInformationRecipientRole | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.id.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​classCode | Base | required | EntityClassOrganization | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​standardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​signatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​signatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.code | Base | preferred | Healthcare Provider Taxonomy | 📦20240606 | VSAC v0.24
ClinicalDocument.legalAuthenticator.​assignedEntity.code.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.code.​code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.legalAuthenticator.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.legalAuthenticator.​assignedEntity.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​signatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​signatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.authenticator.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.authenticator.​assignedEntity.code.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.code.​code | Base | preferred | Healthcare Provider Taxonomy | 📦20240606 | VSAC v0.24
ClinicalDocument.authenticator.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.authenticator.​assignedEntity.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.classCode | Base | required | CDARoleClassAssociative | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.participant.​associatedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.inFulfillmentOf.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​typeCode | Base | required | ActRelationshipFulfills | 📍2.0.0 | THO v5.2
ClinicalDocument.inFulfillmentOf.​order.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.moodCode | Base | required | CDAActMoodIntent | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
ClinicalDocument.inFulfillmentOf.​order.priorityCode | Base | example | ActPriority | 📍3.0.0 | THO v7.0
ClinicalDocument.documentationOf.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​typeCode | Base | required | CDAActRelationshipType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​operator | Base | required | CDASetOperator | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​low.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​high.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​typeCode | Base | required | x_ServiceEventPerformer | 📦20240606 | VSAC v0.24
ClinicalDocument.documentationOf.​serviceEvent.performer.​functionCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​functionCode.code | Base | required | ParticipationFunction | 📦20240605 | VSAC v0.24
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.authorization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​typeCode | Base | required | ActRelationshipAuthorizedBy | 📍3.0.0 | THO v7.0
ClinicalDocument.authorization.​consent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
ClinicalDocument.authorization.​consent.statusCode | Base | required | ActStatus | 📍3.0.0 | THO v7.0
ClinicalDocument.authorization.​consent.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​typeCode | Base | required | ActRelationshipHasComponent | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​code | Base | preferred | Act Encounter Codes | 📦20231012 | VSAC v0.24
ClinicalDocument.componentOf.​encompassingEncounter.​dischargeDispositionCode | Base | example | USEncounterDischargeDisposition | 📍5.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​responsibleParty.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​responsibleParty.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​responsibleParty.typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.typeCode | Base | required | ParticipationTargetLocation | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​classCode | Base | required | RoleClassServiceDeliveryLocation | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​code | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.classCode | Base | required | EntityClassPlace | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.component.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​typeCode | Base | required | ActRelationshipHasComponent | 📍3.0.0 | THO v7.0
ClinicalDocument.component.​structuredBody.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.classCode | Base | required | ActClassRecordOrganizer | 📍3.0.0 | THO v7.0
ClinicalDocument.component.​structuredBody.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
ClinicalDocument.component.​structuredBody.component.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:source-form.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:source-form.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:healthcare-agent-appointment.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:healthcare-agent-appointment.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:treatment-intervention-preferences.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:treatment-intervention-preferences.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:care-experience-preferences.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:care-experience-preferences.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:upon-death-preferences.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:upon-death-preferences.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:additional-documentation.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:additional-documentation.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:administrative-information.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:administrative-information.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:completion-information.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:completion-information.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:witness-and-notary.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:witness-and-notary.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). | `assignedPerson.exists() or representedOrganization.exists()`
4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). | `nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://terminology.hl7.org/ValueSet/USPS-State'))`
4537-5403 | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). | `nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`
4537-6380 | error | ClinicalDocument | If setId is present versionNumber **SHALL** be present (CONF:4537-6380). | `setId.exists() implies versionNumber.exists()`
4537-6387 | error | ClinicalDocument | If versionNumber is present setId **SHALL** be present (CONF:4537-6387). | `versionNumber.exists() implies setId.exists()`
4537-10006 | error | ClinicalDocument.participant | **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). | `associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()`
4537-10007 | warning | ClinicalDocument.participant | When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). | `typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')`
4537-16790 | error | ClinicalDocument.author.assignedAuthor | There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). | `(assignedPerson | assignedAuthoringDevice).count() = 1`
4537-21000 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true | `sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')`
4537-32993 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). | `sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()`
AD-1 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item | Can only have only one of the possible item elements in each choice | `(delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1`
II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.informant:non-provider.relatedEntity.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.participant.associatedEntity.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.location.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.structuredBody.typeId, ClinicalDocument.component.structuredBody.component.typeId, ClinicalDocument.component.structuredBody.component:source-form.typeId, ClinicalDocument.component.structuredBody.component:healthcare-agent-appointment.typeId, ClinicalDocument.component.structuredBody.component:treatment-intervention-preferences.typeId, ClinicalDocument.component.structuredBody.component:care-experience-preferences.typeId, ClinicalDocument.component.structuredBody.component:upon-death-preferences.typeId, ClinicalDocument.component.structuredBody.component:additional-documentation.typeId, ClinicalDocument.component.structuredBody.component:administrative-information.typeId, ClinicalDocument.component.structuredBody.component:completion-information.typeId, ClinicalDocument.component.structuredBody.component:witness-and-notary.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
race-not-category | error | ClinicalDocument.recordTarget.patientRole.patient.raceCode.translation, ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode.translation | Translation SHALL NOT be used to convey additional race categories. Multiple categories must be conveyed in multiple raceCode elements. | `(code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1')).not()`
sdtc-race-not-detail | error | ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | When using translation to convey race details, the base code SHALL be a race category. | `translation.exists(codeSystem = '2.16.840.1.113883.6.238') implies (code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1'))`
should-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.authenticator.assignedEntity, ClinicalDocument.participant.associatedEntity, ClinicalDocument.documentationOf.serviceEvent | SHOULD contain code | `code.exists()`
should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code | `code.exists()`
should-country | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | SHOULD contain country | `nullFlavor.exists() or item.country.exists()`
should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension | `extension.exists()`
should-id | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.informationRecipient.intendedRecipient | SHOULD contain id | `id.exists()`
should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) | `id.where(root = '2.16.840.1.113883.4.6')`
should-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication | `languageCommunication.exists()`
should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator | `legalAuthenticator.exists()`
should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode | `maritalStatusCode.exists()`
should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI | `$this = '2.16.840.1.113883.4.6'`
should-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer | `performer.exists()`
should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd | `preferenceInd.exists()`
should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode | `proficiencyLevelCode.exists()`
should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant | `participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()`
should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty | `responsibleParty.exists()`
should-root | warning | ClinicalDocument.informationRecipient.intendedRecipient.id | SHOULD contain @root | `root.exists()`
should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr | `addr.exists()`
should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | SHOULD contain code | `code.exists()`
should-us-code-attr | warning | ClinicalDocument.informant:non-provider.relatedEntity.code | SHOULD contain @code | `code.exists()`
should-us-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication | `languageCommunication.exists()`
should-us-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer | `performer.exists()`
should-us-telecom | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain telecom | `telecom.exists()`
should-use | warning | ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecom | SHOULD contain @use | `nullFlavor.exists() or use.exists()`
should-value-att | warning | ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | SHOULD contain @value | `value.exists()`
signature | warning | ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode | CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. | `code.exists() implies code != 'X'`
text-null | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct | xmlText and nullFlavor are mutually exclusive (one must be present) | `(xmlText | nullFlavor).count() = 1`
ts-shall-day | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high | **SHALL** be precise to at least the day | `nullFlavor.exists() or value.toString().length() >= 10`
ts-shall-year | error | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHALL** be precise to at least the year | `nullFlavor.exists() or value.toString().length() >= 4`
ts-should-day | warning | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHOULD** be precise to at least the day | `nullFlavor.exists() or value.toString().length() >= 10`
ts-should-minute | warning | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high | **SHOULD** be precise to at least the minute | `nullFlavor.exists() or value.toString().length() > 10`

This structure is derived from USRealmHeaderforPatientGeneratedDocument

Summary

Mandatory: 12 elements(5 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

- Witness And Notary Section (http://hl7.org/cda/us/adi/StructureDefinition/WitnessAndNotarySection)
- Healthcare Agent Appointment Section (http://hl7.org/cda/us/adi/StructureDefinition/HealthcareAgentAppointmentSection)
- Treatment Intervention Preferences Section (http://hl7.org/cda/us/adi/StructureDefinition/TreatmentInterventionPreferencesSection)
- Care Experience Preferences Section (http://hl7.org/cda/us/adi/StructureDefinition/CareExperiencePreferencesSection)
- Administrative Information Section (http://hl7.org/cda/us/adi/StructureDefinition/AdministrativeInformationSection)

Slices

This structure defines the following Slices:

- The element 2 is sliced based on the values of ClinicalDocument.sdtcCategory
- The element 1 is sliced based on the value of ClinicalDocument.component.structuredBody.component

Differential View

This structure is derived from USRealmHeaderforPatientGeneratedDocument

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ClinicalDocument |  | 1..1 | USRealmHeaderforPatientGeneratedDocument | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
templateId |  | 3..* | II |
Slices for templateId |  |  |  | Content/Rules for all slices
templateId:personal-acp |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.823.1.1.1
@extension |  | 1..1 | st | Required Pattern: 2026-08-28
id |  | 1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991).
Slices for sdtcCategory | S | 1..* | CD | Slice: Unordered, Open by value:code, value:codeSystem
sdtcCategory:ahdDocumentClass |  | 1..1 | CD |
@code |  | 1..1 | cs | Used to categorize the document type as an Advance Healthcare Directive Required Pattern: 42348-3
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 1..1 | st | Required Pattern: LOINC
@displayName |  | 1..1 | st |
sdtcCategory:pacpDocumentClass | S | 0..1 | CD |
@code |  | 1..1 | cs | Used to categorize the document type as a Patient-Authored Consent Document Required Pattern: 59284-0
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 1..1 | st | Required Pattern: LOINC
@displayName |  | 1..1 | st |
code |  | 1..1 | CE | This profile is used to represent a person-authored advance healthcare directive document. A person authored advance healthcare directive document is categorized as a consent document. This sub-category of advance healthcare directive documents expresses the patient’s own preferences as opposed to provider-authored advance healthcare directive documents which establish portable medical orders for the patient. This sub-category of advance healthcare directive document always is authored by the subject of the document (the patient). If care providers are involved in the creation of these types of documents, they may be included as facilitators. The patient (or their representative) is required to sign the document and is represented as an authenticator. Others who sign the document are represented as authenticators with their role such as witness or notary also included. It includes a presentation of the original source form of the completed document. It includes information about the person’s appointed healthcare agent(s), and may additionally include treatment intervention and care experience preferences under potential future health scenarios, administrative and completion information, additional documentation, and witness and notary information. The document always contains the source form in the Source Form section. It may include textual information present in the source form, organized in standard structural sections which may or may not include machine processable encoded entries. Binding: Advance Directive Document Types (required)
sdtcStatusCode |  | 1..1 | CS |
effectiveTime |  | 1..1 | USRealmDateTime | The system origination time
setId |  | 1..1 | II | Identifier a single logical document
versionNumber |  | 1..1 | INT | The distinct version of a logical document
component |  |  |  |
structuredBody |  |  |  |
Slices for component | S | 1..* | InfrastructureRoot | Slice: Unordered, Open by profile:section
component:source-form | S | 1..1 | InfrastructureRoot |
section |  | 1..1 | Witness_And_Notary_Section | Person's signature and Information about Witnesses or Notary required to complete a valid document
component:healthcare-agent-appointment | S | 0..1 | InfrastructureRoot |
section |  | 1..1 | Healthcare_Agent_Appointment_Section | Consent information that appoints healthcare agents
component:treatment-intervention-preferences | S | 0..1 | InfrastructureRoot |
section |  | 1..1 | Treatment_Intervention_Preferences_Section | Persion's conditional treatment intervention preferences
component:care-experience-preferences | S | 0..1 | InfrastructureRoot |
section |  | 1..1 | Care_Experience_Preferences_Section | Person's conditional care experience preferences
component:upon-death-preferences | S | 0..1 | InfrastructureRoot |
component:additional-documentation | S | 0..1 | InfrastructureRoot |
component:administrative-information | S | 0..1 | InfrastructureRoot |
section |  | 1..1 | Administrative_Information_Section | Information collected for administrative reasons
component:completion-information | S | 0..1 | InfrastructureRoot |
component:witness-and-notary | S | 0..1 | InfrastructureRoot |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ClinicalDocument.code | Base | required | Advance Directive Document Types | 📦20240712 | VSAC v0.24

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ClinicalDocument | C | 1..1 | USRealmHeaderforPatientGeneratedDocument | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@classCode |  | 0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
realmCode |  | 1..1 | CS |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: US
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
typeId | C | 1..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 | Fixed Value: POCD_HD000040
Slices for templateId |  | 3..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:us-realm |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.1
@extension |  | 1..1 | st | Required Pattern: 2024-05-01
templateId:us-patient-gen-doc |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.29.1
@extension |  | 1..1 | st | Required Pattern: 2024-05-01
templateId:personal-acp |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.823.1.1.1
@extension |  | 1..1 | st | Required Pattern: 2026-08-28
id |  | 1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991).
Slices for sdtcCategory | S | 1..* | CD | XML Namespace: urn:hl7-org:sdtc Slice: Unordered, Open by value:code, value:codeSystem XML: category (urn:hl7-org:sdtc)
sdtcCategory:ahdDocumentClass |  | 1..1 | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Used to categorize the document type as an Advance Healthcare Directive Required Pattern: 42348-3
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 1..1 | st | Required Pattern: LOINC
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 1..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
sdtcCategory:pacpDocumentClass | S | 0..1 | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Used to categorize the document type as a Patient-Authored Consent Document Required Pattern: 59284-0
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 1..1 | st | Required Pattern: LOINC
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 1..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
code |  | 1..1 | CE | This profile is used to represent a person-authored advance healthcare directive document. A person authored advance healthcare directive document is categorized as a consent document. This sub-category of advance healthcare directive documents expresses the patient’s own preferences as opposed to provider-authored advance healthcare directive documents which establish portable medical orders for the patient. This sub-category of advance healthcare directive document always is authored by the subject of the document (the patient). If care providers are involved in the creation of these types of documents, they may be included as facilitators. The patient (or their representative) is required to sign the document and is represented as an authenticator. Others who sign the document are represented as authenticators with their role such as witness or notary also included. It includes a presentation of the original source form of the completed document. It includes information about the person’s appointed healthcare agent(s), and may additionally include treatment intervention and care experience preferences under potential future health scenarios, administrative and completion information, additional documentation, and witness and notary information. The document always contains the source form in the Source Form section. It may include textual information present in the source form, organized in standard structural sections which may or may not include machine processable encoded entries. Binding: Advance Directive Document Types (required)
@code |  | 1..1 | cs |
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
title |  | 1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
sdtcStatusCode |  | 1..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (3.0.0) (required)
effectiveTime |  | 1..1 | USRealmDateTime | The system origination time
confidentialityCode |  | 1..1 | CE | Controls the disclosure of information in this document
@code |  | 1..1 | cs | Binding: HL7 BasicConfidentialityKind (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
languageCode |  | 1..1 | CS | Human language of character data Binding: AllLanguages (required)
setId | C | 1..1 | II | Identifier a single logical document
versionNumber | C | 1..1 | INT | The distinct version of a logical document
copyTime |  | 0..1 | TS | Deprecated - use is discouraged
recordTarget |  | 1..1 | RecordTarget | The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RCT
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
patientRole |  | 1..1 | PatientRole |
@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 |  | 0..1 | cs | Binding: RoleClassRelationshipFormal (3.0.0) (required) Fixed Value: PAT
id |  | 1..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr |  | 1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address
telecom | C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
patient | C | 1..1 | Patient | Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication, should-languageCommunication
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 0..1 | II |
name |  | 1..* | USRealmPatientNamePTNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
administrativeGenderCode |  | 0..1 | CE | Binding: AdministrativeGender (3.0.0) (example)
birthTime | C | 1..1 | TS | 𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) Constraints: ts-shall-year, ts-should-day
sdtcDeceasedInd |  | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc)
sdtcDeceasedTime | C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) Constraints: should-value-att, ts-shall-year, ts-should-day
sdtcMultipleBirthInd |  | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc)
sdtcMultipleBirthOrderNumber |  | 0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc)
maritalStatusCode | C | 0..1 | CE | SHOULD contain maritalStatusCode Binding: Marital Status (required)
religiousAffiliationCode |  | 0..1 | CE | Binding: Religious Affiliation (required)
raceCode |  | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race - raceCode SHALL contain only the OMB race category; detailed race values go in translation. Additional race categories are conveyed using sdtc:raceCode, following the same pattern (OMB category in root; details in translation). Binding: Race Categories (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs |
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation | C | 0..* | CD | Binding: Race Value Set (preferred) Constraints: race-not-category
sdtcRaceCode | C | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Detailed race including absence reasons. (required) Constraints: sdtc-race-not-detail
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs |
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation | C | 0..* | CD | Binding: Race Value Set (preferred) Constraints: race-not-category
ethnicGroupCode |  | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity Categories (required)
sdtcEthnicGroupCode |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity Including Absence Reasons (required)
guardian | C | 0..* | Guardian | Constraints: should-us-code, should-us-addr, should-us-telecom, should-id, should-code
@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 |  | 0..1 | cs | Binding: RoleClassAgent (3.0.0) (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: Personal And Legal Relationship Role Type (required)
addr |  | 0..* | USRealmAddress |
telecom | C | 0..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
guardianPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
guardianOrganization |  | 0..1 | Organization |
birthplace |  | 0..1 | Birthplace |
@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 |  | 0..1 | cs | Binding: RoleClassPassive (3.0.0) (required) Fixed Value: BIRTHPL
place |  | 1..1 | Place |
@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 |  | 0..1 | cs | Binding: EntityClassPlace (3.0.0) (required) Fixed Value: PLC
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 0..1 | EN |
addr | C | 1..1 | AD | Constraints: 4537-5402, 4537-5403, should-country
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@isNotOrdered |  | 0..1 | bl |
@use |  | 0..* | cs | Binding: CDAPostalAddressUse (required)
item | C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance Constraints: AD-1
(Choice of one) |  | 1..1 |  |
delimiter | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DEL
country | C | 0..1 | ADXP | Binding: Country2 (3.0.0) (required) Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CNT
state | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STA
county | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CPA
city | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CTY
postalCode | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: ZIP
streetAddressLine | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: SAL
houseNumber | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: BNR
houseNumberNumeric | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: BNN
direction | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DIR
streetName | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STR
streetNameBase | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STB
streetNameType | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STTYP
additionalLocator | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: ADL
unitID | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: UNID
unitType | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: UNIT
careOf | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CAR
censusTract | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CEN
deliveryAddressLine | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DAL
deliveryInstallationType | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DINST
deliveryInstallationArea | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DINSTA
deliveryInstallationQualifier | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DINSTQ
deliveryMode | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DMOD
deliveryModeIdentifier | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DMODID
buildingNumberSuffix | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: BNS
postBox | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: POB
precinct | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: PRE
xmlText |  | 0..1 | st | Allows for mixed text content
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
languageCommunication | C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language Constraints: should-proficiencyLevelCode, should-preferenceInd
@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 |
languageCode |  | 1..1 | CS | Binding: AllLanguages (required)
modeCode |  | 0..1 | CE | Binding: LanguageAbilityMode (required)
proficiencyLevelCode | C | 0..1 | CE | SHOULD contain proficiencyLevelCode Binding: LanguageAbilityProficiency (required)
preferenceInd | C | 0..1 | BL | Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1.
providerOrganization |  | 0..1 | Organization | If present, this organization represents the provider organization where the person is claiming to be a patient.
@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 |  | 0..1 | cs | Binding: EntityClassOrganization (3.0.0) (required) Fixed Value: ORG
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 1..* | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
name |  | 1..* | ON |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
addr |  | 1..* | USRealmAddress |
standardIndustryClassCode |  | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (3.0.0) (example)
asOrganizationPartOf |  | 0..1 | OrganizationPartOf |
author |  | 1..* | Author | The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUT
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
functionCode |  | 0..1 | CE |
time |  | 1..1 | USRealmDateTime |
assignedAuthor | C | 1..1 | AssignedAuthor | Constraints: 4537-16790, should-id-npi, should-us-code, should-code
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
Slices for id |  | 1..* | II | Slice: Unordered, Open by value:root
id:npi | C | 0..1 | II | Constraints: should-extension
@nullFlavor |  | 0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient. Binding: CDARoleCode (example)
@code |  | 1..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
(Choice of one) |  | 1..1 |  |
assignedPerson |  | 0..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
assignedAuthoringDevice |  | 0..1 | AuthoringDevice |
@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 |  | 0..1 | cs | Binding: EntityClassDevice (3.0.0) (required) Fixed Value: DEV
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
code |  | 0..1 | CE | Binding: CDAEntityCode (example)
manufacturerModelName |  | 1..1 | SC | Binding: ManufacturerModelNameExample (2.0.0) (example)
softwareName |  | 1..1 | SC | Binding: SoftwareNameExample (2.0.0) (example)
asMaintainedEntity |  | 0..* | MaintainedEntity |
representedOrganization |  | 0..1 | Organization |
dataEnterer |  | 0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: ENT
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
time |  | 0..1 | USRealmDateTime |
assignedEntity |  | 1..1 | AssignedEntity |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
Slices for informant |  | 0..* | Informant | Person that provides relevant information Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity
informant:provider |  | 0..* | Informant | The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
assignedEntity |  | 1..1 | AssignedEntity |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946).
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom |  | 0..* | TEL |
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
informant:non-provider |  | 0..* | Informant | The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
relatedEntity |  | 1..1 | RelatedEntity |
@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 | Binding: CDARoleClassMutualRelationship (required)
code | C | 0..1 | CE | Binding: PersonalRelationshipRoleType (3.0.0) (example) Constraints: should-us-code-attr
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
effectiveTime |  | 0..1 | IVL_TS |
relatedPerson |  | 0..1 | Person |
custodian |  | 1..1 | Custodian | The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST
assignedCustodian |  | 1..1 | AssignedCustodian |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
representedCustodianOrganization |  | 1..1 | CustodianOrganization | The representedCustodianOrganization may be the person when the document is not maintained by an organization.
@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 |  | 0..1 | cs | Binding: EntityClassOrganization (3.0.0) (required) Fixed Value: ORG
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 1..* | II | The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
name |  | 1..1 | ON |
telecom | C | 1..1 | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
sdtcTelecom |  | 0..* | TEL | XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc)
addr |  | 1..1 | USRealmAddress |
informationRecipient |  | 0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart.
@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 |  | 0..1 | cs | Binding: XInformationRecipient (2.0.0) (required)
intendedRecipient | C | 1..1 | IntendedRecipient | Constraints: should-id
@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 |  | 0..1 | cs | Binding: CDAInformationRecipientRole (required)
id | C | 0..* | II | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. Constraints: should-root
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 0..1 | oid, uuid, ruid | For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document.
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
informationRecipient |  | 0..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
receivedOrganization |  | 0..1 | Organization |
@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 |  | 0..1 | cs | Binding: EntityClassOrganization (3.0.0) (required) Fixed Value: ORG
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 0..* | II |
name |  | 1..1 | ON |
telecom |  | 0..* | TEL |
addr |  | 0..* | AD |
standardIndustryClassCode |  | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (3.0.0) (example)
asOrganizationPartOf |  | 0..1 | OrganizationPartOf |
legalAuthenticator | C | 0..1 | LegalAuthenticator | In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LA
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
time |  | 1..1 | USRealmDateTime |
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: S
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity |  | 1..1 | AssignedEntity |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI)
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
authenticator |  | 0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUTHEN
time |  | 1..1 | USRealmDateTime |
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: S
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity | C | 1..1 | AssignedEntity | Constraints: should-code
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Healthcare Provider Taxonomy (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
participant | C | 0..* | Participant1 | The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin) Constraints: 4537-10006, 4537-10007
@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 | Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 Binding: CDAParticipationType (required)
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
functionCode |  | 0..1 | CE |
time |  | 0..1 | USRealmDateTimeInterval |
associatedEntity | C | 1..1 | AssociatedEntity | Constraints: should-code
@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 | Binding: CDARoleClassAssociative (required)
id |  | 0..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
associatedPerson |  | 0..1 | Person |
scopingOrganization |  | 0..1 | Organization |
inFulfillmentOf |  | 0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
@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 |  | 0..1 | cs | Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
order |  | 1..1 | Order |
@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 |  | 0..1 | cs | Binding: CDAActClass (required)
@moodCode |  | 0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO
id |  | 1..* | II | A scheduled appointment or service event in a practice management system may be represented using this id element.
code |  | 0..1 | CE | Binding: ActCode (3.0.0) (example)
priorityCode |  | 0..1 | CE | Binding: ActPriority (3.0.0) (example)
documentationOf |  | 0..* | DocumentationOf | The main Act being documented
@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 |  | 0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: DOC
serviceEvent | C | 1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. Constraints: should-us-performer, should-code, should-performer
@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 |  | 0..1 | cs | Binding: CDAActClass (required)
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
id |  | 0..* | II |
code |  | 0..1 | CE | The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document.
effectiveTime |  | 1..1 | USRealmDateTimeInterval |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: CDASetOperator (required)
low | C | 1..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive |  | 0..1 | bl |
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high | C | 0..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive |  | 0..1 | bl |
performer | C | 0..* | Performer1 | SHOULD contain performer
@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: x_ServiceEventPerformer (required)
functionCode | C | 0..1 | CE | When indicating the performer was the primary care physician, implementers should indicate "PCP" as the functionCode Constraints: should-code-attr
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: ParticipationFunction (required)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
time |  | 0..1 | USRealmDateTimeInterval |
assignedEntity | C | 1..1 | AssignedEntity | Constraints: should-us-code
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set Binding: Personal And Legal Relationship Role Type (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc)
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
assignedPerson |  | 0..1 | Person |
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
relatedDocument |  | 0..* | RelatedDocument | Source of a document revision, addenda, or transformation
authorization |  | 0..* | Authorization | The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document.
@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 |  | 0..1 | cs | Binding: ActRelationshipAuthorizedBy (3.0.0) (required) Fixed Value: AUTH
consent |  | 1..1 | Consent |
@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 |  | 0..1 | cs | Binding: CDAActClass (required) Fixed Value: CONS
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
id |  | 0..* | II |
code |  | 0..1 | CE | The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: ActCode (3.0.0) (example)
statusCode |  | 1..1 | CS | Binding: ActStatus (3.0.0) (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: completed
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
componentOf |  | 0..1 | ComponentOf | The encompassing encounter represents the setting of the clinical encounter during which the document act(s) or ServiceEvent(s) occurred. In order to represent providers associated with a specific encounter, they are recorded within the encompassingEncounter as participants. In a CCD, the encompassingEncounter may be used when documenting a specific encounter and its participants. All relevant encounters in a CCD may be listed in the encounters section.
@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 |  | 0..1 | cs | Binding: ActRelationshipHasComponent (3.0.0) (required) Fixed Value: COMP
encompassingEncounter | C | 1..1 | EncompassingEncounter | Constraints: should-responsibleParty
@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 |  | 0..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
id |  | 1..* | II |
code |  | 0..1 | CE | Binding: Act Encounter Codes (preferred)
effectiveTime |  | 1..1 | USRealmDateTimeInterval |
sdtcAdmissionReferralSourceCode |  | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc)
dischargeDispositionCode |  | 0..1 | CE | Binding: USEncounterDischargeDisposition (5.0.0) (example)
responsibleParty |  | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RESP
assignedEntity | C | 1..1 | AssignedEntity | Constraints: 1198-32905
encounterParticipant |  | 0..* | EncounterParticipant |
location |  | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Binding: ParticipationTargetLocation (3.0.0) (required) Fixed Value: LOC
healthCareFacility |  | 1..1 | HealthCareFacility |
@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 |  | 0..1 | cs | Binding: RoleClassServiceDeliveryLocation (3.0.0) (required)
id |  | 0..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: ServiceDeliveryLocationRoleType (3.0.0) (example)
location |  | 0..1 | Place |
@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 |  | 0..1 | cs | Binding: EntityClassPlace (3.0.0) (required) Fixed Value: PLC
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 0..1 | EN |
addr |  | 0..1 | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Facility Address
serviceProviderOrganization |  | 0..1 | Organization |
component |  | 1..1 | Component | Body of the document
@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 |  | 0..1 | cs | Binding: ActRelationshipHasComponent (3.0.0) (required) Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
nonXMLBody |  | 0..1 | NonXMLBody | A body in some format other than XML.
structuredBody |  | 0..1 | StructuredBody | A body comprised of one or more document sections.
@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 |  | 0..1 | cs | Binding: ActClassRecordOrganizer (3.0.0) (required) Fixed Value: DOCBODY
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
confidentialityCode |  | 0..1 | CE |
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
Slices for component | S | 1..* | InfrastructureRoot | Slice: Unordered, Open by profile:section
component:All Slices |  |  |  | Content/Rules for all slices
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:source-form | S | 1..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Witness_And_Notary_Section | Person's signature and Information about Witnesses or Notary required to complete a valid document
component:healthcare-agent-appointment | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Healthcare_Agent_Appointment_Section | Consent information that appoints healthcare agents
component:treatment-intervention-preferences | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Treatment_Intervention_Preferences_Section | Persion's conditional treatment intervention preferences
component:care-experience-preferences | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Care_Experience_Preferences_Section | Person's conditional care experience preferences
component:upon-death-preferences | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:additional-documentation | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:administrative-information | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Administrative_Information_Section | Information collected for administrative reasons
component:completion-information | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:witness-and-notary | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ClinicalDocument.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.classCode | Base | example | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.realmCode.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.templateId:us-realm.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.templateId:us-patient-gen-doc.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.templateId:personal-acp.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.sdtcCategory:ahdDocumentClass.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.sdtcCategory:pacpDocumentClass.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.code | Base | required | Advance Directive Document Types | 📦20240712 | VSAC v0.24
ClinicalDocument.sdtcStatusCode | Base | required | ActStatus | 📍3.0.0 | THO v7.0
ClinicalDocument.confidentialityCode.​code | Base | preferred | HL7 BasicConfidentialityKind | 📦20240606 | VSAC v0.24
ClinicalDocument.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
ClinicalDocument.recordTarget.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.classCode | Base | required | RoleClassRelationshipFormal | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​administrativeGenderCode | Base | example | AdministrativeGender | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​maritalStatusCode | Base | required | Marital Status | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​religiousAffiliationCode | Base | required | Religious Affiliation | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​raceCode | Base | required | Race Categories | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​raceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​raceCode.translation | Base | preferred | Race Value Set | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcRaceCode | Base | required | Detailed race including absence reasons. | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcRaceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcRaceCode.translation | Base | preferred | Race Value Set | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​ethnicGroupCode | Base | required | Ethnicity Categories | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcEthnicGroupCode | Base | required | Detailed Ethnicity Including Absence Reasons | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.classCode | Base | required | RoleClassAgent | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.code | Base | required | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.telecom.use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.classCode | Base | required | RoleClassPassive | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.classCode | Base | required | EntityClassPlace | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​use | Base | required | CDAPostalAddressUse | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.delimiter.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.country | Base | required | Country2 | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.country.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.state.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.county.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.city.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.postalCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetAddressLine.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.houseNumber.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.houseNumberNumeric.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.direction.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetName.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetNameBase.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetNameType.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.additionalLocator.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.unitID.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.unitType.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.careOf.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.censusTract.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryAddressLine.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryInstallationType.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryInstallationArea.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryInstallationQualifier.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryMode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryModeIdentifier.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.buildingNumberSuffix.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.postBox.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.precinct.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​modeCode | Base | required | LanguageAbilityMode | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​proficiencyLevelCode | Base | required | LanguageAbilityProficiency | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​classCode | Base | required | EntityClassOrganization | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​telecom.use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​standardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.id:npi.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.code | Base | example | CDARoleCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.code.​code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.author.​assignedAuthor.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.author.​assignedAuthor.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.author.​assignedAuthor.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​classCode | Base | required | EntityClassDevice | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​code | Base | example | CDAEntityCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​manufacturerModelName | Base | example | Manufacturer Model Name Example | 📍2.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​softwareName | Base | example | Software Name Example | 📍2.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.dataEnterer.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.dataEnterer.​assignedEntity.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:provider.​assignedEntity.code | Base | preferred | Healthcare Provider Taxonomy | 📦20240606 | VSAC v0.24
ClinicalDocument.informant:provider.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.classCode | Base | required | CDARoleClassMutualRelationship | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.code | Base | example | PersonalRelationshipRoleType | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:non-provider.​relatedEntity.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.code.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.custodian.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​classCode | Base | required | EntityClassOrganization | 📍3.0.0 | THO v7.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​telecom.use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.informationRecipient.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​typeCode | Base | required | x_InformationRecipient | 📍2.0.0 | THO v5.2
ClinicalDocument.informationRecipient.​intendedRecipient.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.classCode | Base | required | CDAInformationRecipientRole | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.id.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​classCode | Base | required | EntityClassOrganization | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​standardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​signatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​signatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.code | Base | preferred | Healthcare Provider Taxonomy | 📦20240606 | VSAC v0.24
ClinicalDocument.legalAuthenticator.​assignedEntity.code.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.code.​code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.legalAuthenticator.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.legalAuthenticator.​assignedEntity.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​signatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​signatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.authenticator.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.authenticator.​assignedEntity.code.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.code.​code | Base | preferred | Healthcare Provider Taxonomy | 📦20240606 | VSAC v0.24
ClinicalDocument.authenticator.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.authenticator.​assignedEntity.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.classCode | Base | required | CDARoleClassAssociative | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.participant.​associatedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.inFulfillmentOf.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​typeCode | Base | required | ActRelationshipFulfills | 📍2.0.0 | THO v5.2
ClinicalDocument.inFulfillmentOf.​order.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.moodCode | Base | required | CDAActMoodIntent | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
ClinicalDocument.inFulfillmentOf.​order.priorityCode | Base | example | ActPriority | 📍3.0.0 | THO v7.0
ClinicalDocument.documentationOf.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​typeCode | Base | required | CDAActRelationshipType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​operator | Base | required | CDASetOperator | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​low.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​high.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​typeCode | Base | required | x_ServiceEventPerformer | 📦20240606 | VSAC v0.24
ClinicalDocument.documentationOf.​serviceEvent.performer.​functionCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​functionCode.code | Base | required | ParticipationFunction | 📦20240605 | VSAC v0.24
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.authorization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​typeCode | Base | required | ActRelationshipAuthorizedBy | 📍3.0.0 | THO v7.0
ClinicalDocument.authorization.​consent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
ClinicalDocument.authorization.​consent.statusCode | Base | required | ActStatus | 📍3.0.0 | THO v7.0
ClinicalDocument.authorization.​consent.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​typeCode | Base | required | ActRelationshipHasComponent | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​code | Base | preferred | Act Encounter Codes | 📦20231012 | VSAC v0.24
ClinicalDocument.componentOf.​encompassingEncounter.​dischargeDispositionCode | Base | example | USEncounterDischargeDisposition | 📍5.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​responsibleParty.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​responsibleParty.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​responsibleParty.typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.typeCode | Base | required | ParticipationTargetLocation | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​classCode | Base | required | RoleClassServiceDeliveryLocation | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​code | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.classCode | Base | required | EntityClassPlace | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.component.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​typeCode | Base | required | ActRelationshipHasComponent | 📍3.0.0 | THO v7.0
ClinicalDocument.component.​structuredBody.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.classCode | Base | required | ActClassRecordOrganizer | 📍3.0.0 | THO v7.0
ClinicalDocument.component.​structuredBody.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
ClinicalDocument.component.​structuredBody.component.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:source-form.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:source-form.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:healthcare-agent-appointment.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:healthcare-agent-appointment.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:treatment-intervention-preferences.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:treatment-intervention-preferences.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:care-experience-preferences.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:care-experience-preferences.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:upon-death-preferences.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:upon-death-preferences.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:additional-documentation.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:additional-documentation.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:administrative-information.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:administrative-information.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:completion-information.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:completion-information.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:witness-and-notary.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:witness-and-notary.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). | `assignedPerson.exists() or representedOrganization.exists()`
4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). | `nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://terminology.hl7.org/ValueSet/USPS-State'))`
4537-5403 | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). | `nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`
4537-6380 | error | ClinicalDocument | If setId is present versionNumber **SHALL** be present (CONF:4537-6380). | `setId.exists() implies versionNumber.exists()`
4537-6387 | error | ClinicalDocument | If versionNumber is present setId **SHALL** be present (CONF:4537-6387). | `versionNumber.exists() implies setId.exists()`
4537-10006 | error | ClinicalDocument.participant | **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). | `associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()`
4537-10007 | warning | ClinicalDocument.participant | When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). | `typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')`
4537-16790 | error | ClinicalDocument.author.assignedAuthor | There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). | `(assignedPerson | assignedAuthoringDevice).count() = 1`
4537-21000 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true | `sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')`
4537-32993 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). | `sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()`
AD-1 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item | Can only have only one of the possible item elements in each choice | `(delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1`
II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.informant:non-provider.relatedEntity.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.participant.associatedEntity.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.location.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.structuredBody.typeId, ClinicalDocument.component.structuredBody.component.typeId, ClinicalDocument.component.structuredBody.component:source-form.typeId, ClinicalDocument.component.structuredBody.component:healthcare-agent-appointment.typeId, ClinicalDocument.component.structuredBody.component:treatment-intervention-preferences.typeId, ClinicalDocument.component.structuredBody.component:care-experience-preferences.typeId, ClinicalDocument.component.structuredBody.component:upon-death-preferences.typeId, ClinicalDocument.component.structuredBody.component:additional-documentation.typeId, ClinicalDocument.component.structuredBody.component:administrative-information.typeId, ClinicalDocument.component.structuredBody.component:completion-information.typeId, ClinicalDocument.component.structuredBody.component:witness-and-notary.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
race-not-category | error | ClinicalDocument.recordTarget.patientRole.patient.raceCode.translation, ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode.translation | Translation SHALL NOT be used to convey additional race categories. Multiple categories must be conveyed in multiple raceCode elements. | `(code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1')).not()`
sdtc-race-not-detail | error | ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | When using translation to convey race details, the base code SHALL be a race category. | `translation.exists(codeSystem = '2.16.840.1.113883.6.238') implies (code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1'))`
should-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.authenticator.assignedEntity, ClinicalDocument.participant.associatedEntity, ClinicalDocument.documentationOf.serviceEvent | SHOULD contain code | `code.exists()`
should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code | `code.exists()`
should-country | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | SHOULD contain country | `nullFlavor.exists() or item.country.exists()`
should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension | `extension.exists()`
should-id | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.informationRecipient.intendedRecipient | SHOULD contain id | `id.exists()`
should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) | `id.where(root = '2.16.840.1.113883.4.6')`
should-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication | `languageCommunication.exists()`
should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator | `legalAuthenticator.exists()`
should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode | `maritalStatusCode.exists()`
should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI | `$this = '2.16.840.1.113883.4.6'`
should-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer | `performer.exists()`
should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd | `preferenceInd.exists()`
should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode | `proficiencyLevelCode.exists()`
should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant | `participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()`
should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty | `responsibleParty.exists()`
should-root | warning | ClinicalDocument.informationRecipient.intendedRecipient.id | SHOULD contain @root | `root.exists()`
should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr | `addr.exists()`
should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | SHOULD contain code | `code.exists()`
should-us-code-attr | warning | ClinicalDocument.informant:non-provider.relatedEntity.code | SHOULD contain @code | `code.exists()`
should-us-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication | `languageCommunication.exists()`
should-us-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer | `performer.exists()`
should-us-telecom | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain telecom | `telecom.exists()`
should-use | warning | ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecom | SHOULD contain @use | `nullFlavor.exists() or use.exists()`
should-value-att | warning | ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | SHOULD contain @value | `value.exists()`
signature | warning | ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode | CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. | `code.exists() implies code != 'X'`
text-null | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct | xmlText and nullFlavor are mutually exclusive (one must be present) | `(xmlText | nullFlavor).count() = 1`
ts-shall-day | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high | **SHALL** be precise to at least the day | `nullFlavor.exists() or value.toString().length() >= 10`
ts-shall-year | error | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHALL** be precise to at least the year | `nullFlavor.exists() or value.toString().length() >= 4`
ts-should-day | warning | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHOULD** be precise to at least the day | `nullFlavor.exists() or value.toString().length() >= 10`
ts-should-minute | warning | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high | **SHOULD** be precise to at least the minute | `nullFlavor.exists() or value.toString().length() > 10`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ClinicalDocument | C | 1..1 | USRealmHeaderforPatientGeneratedDocument | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@classCode |  | 0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
realmCode |  | 1..1 | CS |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: US
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
typeId | C | 1..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 | Fixed Value: POCD_HD000040
Slices for templateId |  | 3..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:us-realm |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.1
@extension |  | 1..1 | st | Required Pattern: 2024-05-01
templateId:us-patient-gen-doc |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.29.1
@extension |  | 1..1 | st | Required Pattern: 2024-05-01
templateId:personal-acp |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.823.1.1.1
@extension |  | 1..1 | st | Required Pattern: 2026-08-28
id |  | 1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991).
Slices for sdtcCategory | S | 1..* | CD | XML Namespace: urn:hl7-org:sdtc Slice: Unordered, Open by value:code, value:codeSystem XML: category (urn:hl7-org:sdtc)
sdtcCategory:ahdDocumentClass |  | 1..1 | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Used to categorize the document type as an Advance Healthcare Directive Required Pattern: 42348-3
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 1..1 | st | Required Pattern: LOINC
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 1..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
sdtcCategory:pacpDocumentClass | S | 0..1 | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Used to categorize the document type as a Patient-Authored Consent Document Required Pattern: 59284-0
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 1..1 | st | Required Pattern: LOINC
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 1..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
code |  | 1..1 | CE | This profile is used to represent a person-authored advance healthcare directive document. A person authored advance healthcare directive document is categorized as a consent document. This sub-category of advance healthcare directive documents expresses the patient’s own preferences as opposed to provider-authored advance healthcare directive documents which establish portable medical orders for the patient. This sub-category of advance healthcare directive document always is authored by the subject of the document (the patient). If care providers are involved in the creation of these types of documents, they may be included as facilitators. The patient (or their representative) is required to sign the document and is represented as an authenticator. Others who sign the document are represented as authenticators with their role such as witness or notary also included. It includes a presentation of the original source form of the completed document. It includes information about the person’s appointed healthcare agent(s), and may additionally include treatment intervention and care experience preferences under potential future health scenarios, administrative and completion information, additional documentation, and witness and notary information. The document always contains the source form in the Source Form section. It may include textual information present in the source form, organized in standard structural sections which may or may not include machine processable encoded entries. Binding: Advance Directive Document Types (required)
@code |  | 1..1 | cs |
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
title |  | 1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
sdtcStatusCode |  | 1..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (3.0.0) (required)
effectiveTime |  | 1..1 | USRealmDateTime | The system origination time
confidentialityCode |  | 1..1 | CE | Controls the disclosure of information in this document
@code |  | 1..1 | cs | Binding: HL7 BasicConfidentialityKind (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
languageCode |  | 1..1 | CS | Human language of character data Binding: AllLanguages (required)
setId | C | 1..1 | II | Identifier a single logical document
versionNumber | C | 1..1 | INT | The distinct version of a logical document
copyTime |  | 0..1 | TS | Deprecated - use is discouraged
recordTarget |  | 1..1 | RecordTarget | The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RCT
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
patientRole |  | 1..1 | PatientRole |
@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 |  | 0..1 | cs | Binding: RoleClassRelationshipFormal (3.0.0) (required) Fixed Value: PAT
id |  | 1..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr |  | 1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address
telecom | C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
patient | C | 1..1 | Patient | Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication, should-languageCommunication
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 0..1 | II |
name |  | 1..* | USRealmPatientNamePTNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
administrativeGenderCode |  | 0..1 | CE | Binding: AdministrativeGender (3.0.0) (example)
birthTime | C | 1..1 | TS | 𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) Constraints: ts-shall-year, ts-should-day
sdtcDeceasedInd |  | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc)
sdtcDeceasedTime | C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) Constraints: should-value-att, ts-shall-year, ts-should-day
sdtcMultipleBirthInd |  | 0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc)
sdtcMultipleBirthOrderNumber |  | 0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc)
maritalStatusCode | C | 0..1 | CE | SHOULD contain maritalStatusCode Binding: Marital Status (required)
religiousAffiliationCode |  | 0..1 | CE | Binding: Religious Affiliation (required)
raceCode |  | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race - raceCode SHALL contain only the OMB race category; detailed race values go in translation. Additional race categories are conveyed using sdtc:raceCode, following the same pattern (OMB category in root; details in translation). Binding: Race Categories (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs |
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation | C | 0..* | CD | Binding: Race Value Set (preferred) Constraints: race-not-category
sdtcRaceCode | C | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Detailed race including absence reasons. (required) Constraints: sdtc-race-not-detail
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs |
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation | C | 0..* | CD | Binding: Race Value Set (preferred) Constraints: race-not-category
ethnicGroupCode |  | 1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity Categories (required)
sdtcEthnicGroupCode |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity Including Absence Reasons (required)
guardian | C | 0..* | Guardian | Constraints: should-us-code, should-us-addr, should-us-telecom, should-id, should-code
@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 |  | 0..1 | cs | Binding: RoleClassAgent (3.0.0) (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: Personal And Legal Relationship Role Type (required)
addr |  | 0..* | USRealmAddress |
telecom | C | 0..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
guardianPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
guardianOrganization |  | 0..1 | Organization |
birthplace |  | 0..1 | Birthplace |
@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 |  | 0..1 | cs | Binding: RoleClassPassive (3.0.0) (required) Fixed Value: BIRTHPL
place |  | 1..1 | Place |
@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 |  | 0..1 | cs | Binding: EntityClassPlace (3.0.0) (required) Fixed Value: PLC
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 0..1 | EN |
addr | C | 1..1 | AD | Constraints: 4537-5402, 4537-5403, should-country
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@isNotOrdered |  | 0..1 | bl |
@use |  | 0..* | cs | Binding: CDAPostalAddressUse (required)
item | C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance Constraints: AD-1
(Choice of one) |  | 1..1 |  |
delimiter | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DEL
country | C | 0..1 | ADXP | Binding: Country2 (3.0.0) (required) Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CNT
state | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STA
county | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CPA
city | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CTY
postalCode | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: ZIP
streetAddressLine | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: SAL
houseNumber | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: BNR
houseNumberNumeric | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: BNN
direction | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DIR
streetName | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STR
streetNameBase | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STB
streetNameType | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: STTYP
additionalLocator | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: ADL
unitID | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: UNID
unitType | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: UNIT
careOf | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CAR
censusTract | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: CEN
deliveryAddressLine | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DAL
deliveryInstallationType | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DINST
deliveryInstallationArea | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DINSTA
deliveryInstallationQualifier | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DINSTQ
deliveryMode | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DMOD
deliveryModeIdentifier | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: DMODID
buildingNumberSuffix | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: BNS
postBox | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: POB
precinct | C | 0..1 | ADXP | Constraints: text-null
(Choice of one) |  | 1..1 |  |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
xmlText |  | 0..1 | st | Allows for mixed text content
@representation |  | 0..1 | cs | Fixed Value: TXT
@mediaType |  | 0..1 | cs | Fixed Value: text/plain
@language |  | 0..1 | cs |
@partType |  | 0..1 | cs | Fixed Value: PRE
xmlText |  | 0..1 | st | Allows for mixed text content
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
languageCommunication | C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language Constraints: should-proficiencyLevelCode, should-preferenceInd
@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 |
languageCode |  | 1..1 | CS | Binding: AllLanguages (required)
modeCode |  | 0..1 | CE | Binding: LanguageAbilityMode (required)
proficiencyLevelCode | C | 0..1 | CE | SHOULD contain proficiencyLevelCode Binding: LanguageAbilityProficiency (required)
preferenceInd | C | 0..1 | BL | Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1.
providerOrganization |  | 0..1 | Organization | If present, this organization represents the provider organization where the person is claiming to be a patient.
@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 |  | 0..1 | cs | Binding: EntityClassOrganization (3.0.0) (required) Fixed Value: ORG
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 1..* | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
name |  | 1..* | ON |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
addr |  | 1..* | USRealmAddress |
standardIndustryClassCode |  | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (3.0.0) (example)
asOrganizationPartOf |  | 0..1 | OrganizationPartOf |
author |  | 1..* | Author | The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUT
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
functionCode |  | 0..1 | CE |
time |  | 1..1 | USRealmDateTime |
assignedAuthor | C | 1..1 | AssignedAuthor | Constraints: 4537-16790, should-id-npi, should-us-code, should-code
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
Slices for id |  | 1..* | II | Slice: Unordered, Open by value:root
id:npi | C | 0..1 | II | Constraints: should-extension
@nullFlavor |  | 0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient. Binding: CDARoleCode (example)
@code |  | 1..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
(Choice of one) |  | 1..1 |  |
assignedPerson |  | 0..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
assignedAuthoringDevice |  | 0..1 | AuthoringDevice |
@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 |  | 0..1 | cs | Binding: EntityClassDevice (3.0.0) (required) Fixed Value: DEV
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
code |  | 0..1 | CE | Binding: CDAEntityCode (example)
manufacturerModelName |  | 1..1 | SC | Binding: ManufacturerModelNameExample (2.0.0) (example)
softwareName |  | 1..1 | SC | Binding: SoftwareNameExample (2.0.0) (example)
asMaintainedEntity |  | 0..* | MaintainedEntity |
representedOrganization |  | 0..1 | Organization |
dataEnterer |  | 0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: ENT
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
time |  | 0..1 | USRealmDateTime |
assignedEntity |  | 1..1 | AssignedEntity |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
Slices for informant |  | 0..* | Informant | Person that provides relevant information Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity
informant:provider |  | 0..* | Informant | The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
assignedEntity |  | 1..1 | AssignedEntity |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946).
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom |  | 0..* | TEL |
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
informant:non-provider |  | 0..* | Informant | The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
relatedEntity |  | 1..1 | RelatedEntity |
@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 | Binding: CDARoleClassMutualRelationship (required)
code | C | 0..1 | CE | Binding: PersonalRelationshipRoleType (3.0.0) (example) Constraints: should-us-code-attr
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
effectiveTime |  | 0..1 | IVL_TS |
relatedPerson |  | 0..1 | Person |
custodian |  | 1..1 | Custodian | The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST
assignedCustodian |  | 1..1 | AssignedCustodian |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
representedCustodianOrganization |  | 1..1 | CustodianOrganization | The representedCustodianOrganization may be the person when the document is not maintained by an organization.
@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 |  | 0..1 | cs | Binding: EntityClassOrganization (3.0.0) (required) Fixed Value: ORG
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 1..* | II | The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
name |  | 1..1 | ON |
telecom | C | 1..1 | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
sdtcTelecom |  | 0..* | TEL | XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc)
addr |  | 1..1 | USRealmAddress |
informationRecipient |  | 0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart.
@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 |  | 0..1 | cs | Binding: XInformationRecipient (2.0.0) (required)
intendedRecipient | C | 1..1 | IntendedRecipient | Constraints: should-id
@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 |  | 0..1 | cs | Binding: CDAInformationRecipientRole (required)
id | C | 0..* | II | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. Constraints: should-root
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 0..1 | oid, uuid, ruid | For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document.
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
informationRecipient |  | 0..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
receivedOrganization |  | 0..1 | Organization |
@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 |  | 0..1 | cs | Binding: EntityClassOrganization (3.0.0) (required) Fixed Value: ORG
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
id |  | 0..* | II |
name |  | 1..1 | ON |
telecom |  | 0..* | TEL |
addr |  | 0..* | AD |
standardIndustryClassCode |  | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (3.0.0) (example)
asOrganizationPartOf |  | 0..1 | OrganizationPartOf |
legalAuthenticator | C | 0..1 | LegalAuthenticator | In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LA
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
time |  | 1..1 | USRealmDateTime |
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: S
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity |  | 1..1 | AssignedEntity |
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI)
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
authenticator |  | 0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUTHEN
time |  | 1..1 | USRealmDateTime |
signatureCode | C | 1..1 | CS | Binding: CDASignatureCode (required) Constraints: signature
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: S
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity | C | 1..1 | AssignedEntity | Constraints: should-code
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: Healthcare Provider Taxonomy (preferred)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 1..* | USRealmAddress |
telecom | C | 1..* | TEL | Constraints: should-use
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | url |
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
@use |  | 0..1 | cs | Binding: Telecom Use (US Realm Header) (required)
assignedPerson |  | 1..1 | Person |
@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 |  | 0..1 | cs | Binding: EntityClassLivingSubject (3.0.0) (required) Fixed Value: PSN
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 1..* | USRealmPersonNamePNUSFIELDED |
sdtcDesc |  | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship |  | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (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 | Fixed Value: PRS
@determinerCode |  | 0..1 | cs | Fixed Value: INSTANCE
code |  | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
participant | C | 0..* | Participant1 | The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin) Constraints: 4537-10006, 4537-10007
@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 | Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 Binding: CDAParticipationType (required)
@contextControlCode |  | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP
functionCode |  | 0..1 | CE |
time |  | 0..1 | USRealmDateTimeInterval |
associatedEntity | C | 1..1 | AssociatedEntity | Constraints: should-code
@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 | Binding: CDARoleClassAssociative (required)
id |  | 0..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc) Binding: PracticeSettingCodeValueSet (preferred)
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
associatedPerson |  | 0..1 | Person |
scopingOrganization |  | 0..1 | Organization |
inFulfillmentOf |  | 0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
@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 |  | 0..1 | cs | Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
order |  | 1..1 | Order |
@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 |  | 0..1 | cs | Binding: CDAActClass (required)
@moodCode |  | 0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO
id |  | 1..* | II | A scheduled appointment or service event in a practice management system may be represented using this id element.
code |  | 0..1 | CE | Binding: ActCode (3.0.0) (example)
priorityCode |  | 0..1 | CE | Binding: ActPriority (3.0.0) (example)
documentationOf |  | 0..* | DocumentationOf | The main Act being documented
@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 |  | 0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: DOC
serviceEvent | C | 1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. Constraints: should-us-performer, should-code, should-performer
@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 |  | 0..1 | cs | Binding: CDAActClass (required)
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
id |  | 0..* | II |
code |  | 0..1 | CE | The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document.
effectiveTime |  | 1..1 | USRealmDateTimeInterval |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: CDASetOperator (required)
low | C | 1..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive |  | 0..1 | bl |
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high | C | 0..1 | IVXB_TS | **MAY** be precise to at least the second Constraints: ts-shall-day, ts-should-minute
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive |  | 0..1 | bl |
performer | C | 0..* | Performer1 | SHOULD contain performer
@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: x_ServiceEventPerformer (required)
functionCode | C | 0..1 | CE | When indicating the performer was the primary care physician, implementers should indicate "PCP" as the functionCode Constraints: should-code-attr
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Binding: ParticipationFunction (required)
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
translation |  | 0..* | CD |
time |  | 0..1 | USRealmDateTimeInterval |
assignedEntity | C | 1..1 | AssignedEntity | Constraints: should-us-code
@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 |  | 0..1 | cs | Binding: RoleClassAssignedEntity (3.0.0) (required) Fixed Value: ASSIGNED
id |  | 1..* | II | The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way.
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root | C | 0..1 | oid, uuid, ruid | Constraints: should-npi
@extension |  | 0..1 | st |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set Binding: Personal And Legal Relationship Role Type (preferred)
sdtcSpecialty |  | 0..* | CE | XML Namespace: urn:hl7-org:sdtc XML: specialty (urn:hl7-org:sdtc)
addr |  | 0..* | AD |
telecom |  | 0..* | TEL |
assignedPerson |  | 0..1 | Person |
representedOrganization |  | 0..1 | Organization |
sdtcPatient |  | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id |  | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
relatedDocument |  | 0..* | RelatedDocument | Source of a document revision, addenda, or transformation
authorization |  | 0..* | Authorization | The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document.
@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 |  | 0..1 | cs | Binding: ActRelationshipAuthorizedBy (3.0.0) (required) Fixed Value: AUTH
consent |  | 1..1 | Consent |
@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 |  | 0..1 | cs | Binding: CDAActClass (required) Fixed Value: CONS
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
id |  | 0..* | II |
code |  | 0..1 | CE | The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: ActCode (3.0.0) (example)
statusCode |  | 1..1 | CS | Binding: ActStatus (3.0.0) (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: completed
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
componentOf |  | 0..1 | ComponentOf | The encompassing encounter represents the setting of the clinical encounter during which the document act(s) or ServiceEvent(s) occurred. In order to represent providers associated with a specific encounter, they are recorded within the encompassingEncounter as participants. In a CCD, the encompassingEncounter may be used when documenting a specific encounter and its participants. All relevant encounters in a CCD may be listed in the encounters section.
@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 |  | 0..1 | cs | Binding: ActRelationshipHasComponent (3.0.0) (required) Fixed Value: COMP
encompassingEncounter | C | 1..1 | EncompassingEncounter | Constraints: should-responsibleParty
@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 |  | 0..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
id |  | 1..* | II |
code |  | 0..1 | CE | Binding: Act Encounter Codes (preferred)
effectiveTime |  | 1..1 | USRealmDateTimeInterval |
sdtcAdmissionReferralSourceCode |  | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc)
dischargeDispositionCode |  | 0..1 | CE | Binding: USEncounterDischargeDisposition (5.0.0) (example)
responsibleParty |  | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RESP
assignedEntity | C | 1..1 | AssignedEntity | Constraints: 1198-32905
encounterParticipant |  | 0..* | EncounterParticipant |
location |  | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Binding: ParticipationTargetLocation (3.0.0) (required) Fixed Value: LOC
healthCareFacility |  | 1..1 | HealthCareFacility |
@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 |  | 0..1 | cs | Binding: RoleClassServiceDeliveryLocation (3.0.0) (required)
id |  | 0..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: ServiceDeliveryLocationRoleType (3.0.0) (example)
location |  | 0..1 | Place |
@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 |  | 0..1 | cs | Binding: EntityClassPlace (3.0.0) (required) Fixed Value: PLC
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (3.0.0) (required) Fixed Value: INSTANCE
name |  | 0..1 | EN |
addr |  | 0..1 | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Facility Address
serviceProviderOrganization |  | 0..1 | Organization |
component |  | 1..1 | Component | Body of the document
@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 |  | 0..1 | cs | Binding: ActRelationshipHasComponent (3.0.0) (required) Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
nonXMLBody |  | 0..1 | NonXMLBody | A body in some format other than XML.
structuredBody |  | 0..1 | StructuredBody | A body comprised of one or more document sections.
@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 |  | 0..1 | cs | Binding: ActClassRecordOrganizer (3.0.0) (required) Fixed Value: DOCBODY
@moodCode |  | 0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN
confidentialityCode |  | 0..1 | CE |
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
Slices for component | S | 1..* | InfrastructureRoot | Slice: Unordered, Open by profile:section
component:All Slices |  |  |  | Content/Rules for all slices
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:source-form | S | 1..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Witness_And_Notary_Section | Person's signature and Information about Witnesses or Notary required to complete a valid document
component:healthcare-agent-appointment | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Healthcare_Agent_Appointment_Section | Consent information that appoints healthcare agents
component:treatment-intervention-preferences | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Treatment_Intervention_Preferences_Section | Persion's conditional treatment intervention preferences
component:care-experience-preferences | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Care_Experience_Preferences_Section | Person's conditional care experience preferences
component:upon-death-preferences | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:additional-documentation | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:administrative-information | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Administrative_Information_Section | Information collected for administrative reasons
component:completion-information | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
component:witness-and-notary | S | 0..1 | InfrastructureRoot |
@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 |  | 0..1 | cs | Fixed Value: COMP
@contextConductionInd |  | 0..1 | bl | Fixed Value: true
section |  | 1..1 | Section |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ClinicalDocument.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.classCode | Base | example | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.realmCode.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.templateId:us-realm.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.templateId:us-patient-gen-doc.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.templateId:personal-acp.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.sdtcCategory:ahdDocumentClass.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.sdtcCategory:pacpDocumentClass.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.code | Base | required | Advance Directive Document Types | 📦20240712 | VSAC v0.24
ClinicalDocument.sdtcStatusCode | Base | required | ActStatus | 📍3.0.0 | THO v7.0
ClinicalDocument.confidentialityCode.​code | Base | preferred | HL7 BasicConfidentialityKind | 📦20240606 | VSAC v0.24
ClinicalDocument.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
ClinicalDocument.recordTarget.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.classCode | Base | required | RoleClassRelationshipFormal | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​administrativeGenderCode | Base | example | AdministrativeGender | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​maritalStatusCode | Base | required | Marital Status | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​religiousAffiliationCode | Base | required | Religious Affiliation | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​raceCode | Base | required | Race Categories | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​raceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​raceCode.translation | Base | preferred | Race Value Set | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcRaceCode | Base | required | Detailed race including absence reasons. | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcRaceCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcRaceCode.translation | Base | preferred | Race Value Set | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​ethnicGroupCode | Base | required | Ethnicity Categories | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​sdtcEthnicGroupCode | Base | required | Detailed Ethnicity Including Absence Reasons | 📦20250419 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.classCode | Base | required | RoleClassAgent | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.code | Base | required | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.telecom.use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​guardian.guardianPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.classCode | Base | required | RoleClassPassive | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.classCode | Base | required | EntityClassPlace | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​use | Base | required | CDAPostalAddressUse | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.delimiter.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.country | Base | required | Country2 | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.country.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.state.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.county.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.city.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.postalCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetAddressLine.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.houseNumber.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.houseNumberNumeric.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.direction.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetName.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetNameBase.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.streetNameType.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.additionalLocator.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.unitID.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.unitType.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.careOf.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.censusTract.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryAddressLine.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryInstallationType.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryInstallationArea.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryInstallationQualifier.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryMode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.deliveryModeIdentifier.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.buildingNumberSuffix.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.postBox.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​birthplace.place.addr.​item.precinct.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​modeCode | Base | required | LanguageAbilityMode | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.patient.​languageCommunication.​proficiencyLevelCode | Base | required | LanguageAbilityProficiency | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​classCode | Base | required | EntityClassOrganization | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​telecom.use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.recordTarget.​patientRole.providerOrganization.​standardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.id:npi.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.code | Base | example | CDARoleCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.code.​code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.author.​assignedAuthor.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.author.​assignedAuthor.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.author.​assignedAuthor.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​classCode | Base | required | EntityClassDevice | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​code | Base | example | CDAEntityCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​manufacturerModelName | Base | example | Manufacturer Model Name Example | 📍2.0.0 | THO v7.0
ClinicalDocument.author.​assignedAuthor.assignedAuthoringDevice.​softwareName | Base | example | Software Name Example | 📍2.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.dataEnterer.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.dataEnterer.​assignedEntity.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.dataEnterer.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:provider.​assignedEntity.code | Base | preferred | Healthcare Provider Taxonomy | 📦20240606 | VSAC v0.24
ClinicalDocument.informant:provider.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:provider.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.classCode | Base | required | CDARoleClassMutualRelationship | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.code | Base | example | PersonalRelationshipRoleType | 📍3.0.0 | THO v7.0
ClinicalDocument.informant:non-provider.​relatedEntity.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informant:non-provider.​relatedEntity.code.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.custodian.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​classCode | Base | required | EntityClassOrganization | 📍3.0.0 | THO v7.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​telecom.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.custodian.​assignedCustodian.representedCustodianOrganization.​telecom.use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.informationRecipient.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​typeCode | Base | required | x_InformationRecipient | 📍2.0.0 | THO v5.2
ClinicalDocument.informationRecipient.​intendedRecipient.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.classCode | Base | required | CDAInformationRecipientRole | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.id.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.informationRecipient.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​classCode | Base | required | EntityClassOrganization | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.informationRecipient.​intendedRecipient.receivedOrganization.​standardIndustryClassCode | Base | example | OrganizationIndustryClassNAICS | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​signatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​signatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.code | Base | preferred | Healthcare Provider Taxonomy | 📦20240606 | VSAC v0.24
ClinicalDocument.legalAuthenticator.​assignedEntity.code.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.code.​code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.legalAuthenticator.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.legalAuthenticator.​assignedEntity.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.legalAuthenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​signatureCode | Base | required | CDASignatureCode | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​signatureCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.authenticator.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.authenticator.​assignedEntity.code.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.code.​code | Base | preferred | Healthcare Provider Taxonomy | 📦20240606 | VSAC v0.24
ClinicalDocument.authenticator.​assignedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.authenticator.​assignedEntity.telecom.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.telecom.​use | Base | required | Telecom Use (US Realm Header) | 📦20240606 | VSAC v0.24
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​classCode | Base | required | EntityClassLivingSubject | 📍3.0.0 | THO v7.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authenticator.​assignedEntity.assignedPerson.​sdtcAsPatientRelationship.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​contextControlCode | Base | required | CDAContextControl | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.classCode | Base | required | CDARoleClassAssociative | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.participant.​associatedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.participant.​associatedEntity.sdtcSpecialty | Base | preferred | Practice Setting Code Value Set | 📦5.0.0 | FHIR Std.
ClinicalDocument.inFulfillmentOf.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​typeCode | Base | required | ActRelationshipFulfills | 📍2.0.0 | THO v5.2
ClinicalDocument.inFulfillmentOf.​order.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.moodCode | Base | required | CDAActMoodIntent | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.inFulfillmentOf.​order.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
ClinicalDocument.inFulfillmentOf.​order.priorityCode | Base | example | ActPriority | 📍3.0.0 | THO v7.0
ClinicalDocument.documentationOf.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​typeCode | Base | required | CDAActRelationshipType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​operator | Base | required | CDASetOperator | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​low.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.effectiveTime.​high.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​typeCode | Base | required | x_ServiceEventPerformer | 📦20240606 | VSAC v0.24
ClinicalDocument.documentationOf.​serviceEvent.performer.​functionCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​functionCode.code | Base | required | ParticipationFunction | 📦20240605 | VSAC v0.24
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.classCode | Base | required | RoleClassAssignedEntity | 📍3.0.0 | THO v7.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.id.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.documentationOf.​serviceEvent.performer.​assignedEntity.code | Base | preferred | Personal And Legal Relationship Role Type | 📦20240606 | VSAC v0.24
ClinicalDocument.authorization.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​typeCode | Base | required | ActRelationshipAuthorizedBy | 📍3.0.0 | THO v7.0
ClinicalDocument.authorization.​consent.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.authorization.​consent.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
ClinicalDocument.authorization.​consent.statusCode | Base | required | ActStatus | 📍3.0.0 | THO v7.0
ClinicalDocument.authorization.​consent.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​typeCode | Base | required | ActRelationshipHasComponent | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​classCode | Base | required | CDAActClass | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​code | Base | preferred | Act Encounter Codes | 📦20231012 | VSAC v0.24
ClinicalDocument.componentOf.​encompassingEncounter.​dischargeDispositionCode | Base | example | USEncounterDischargeDisposition | 📍5.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​responsibleParty.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​responsibleParty.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​responsibleParty.typeCode | Base | required | CDAParticipationType | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.typeCode | Base | required | ParticipationTargetLocation | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​classCode | Base | required | RoleClassServiceDeliveryLocation | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​code | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.classCode | Base | required | EntityClassPlace | 📍3.0.0 | THO v7.0
ClinicalDocument.componentOf.​encompassingEncounter.​location.healthCareFacility.​location.determinerCode | Base | required | EntityDeterminer | 📍3.0.0 | THO v7.0
ClinicalDocument.component.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​typeCode | Base | required | ActRelationshipHasComponent | 📍3.0.0 | THO v7.0
ClinicalDocument.component.​structuredBody.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.classCode | Base | required | ActClassRecordOrganizer | 📍3.0.0 | THO v7.0
ClinicalDocument.component.​structuredBody.moodCode | Base | required | CDAActMood | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
ClinicalDocument.component.​structuredBody.component.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:source-form.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:source-form.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:healthcare-agent-appointment.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:healthcare-agent-appointment.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:treatment-intervention-preferences.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:treatment-intervention-preferences.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:care-experience-preferences.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:care-experience-preferences.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:upon-death-preferences.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:upon-death-preferences.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:additional-documentation.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:additional-documentation.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:administrative-information.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:administrative-information.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:completion-information.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:completion-information.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:witness-and-notary.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
ClinicalDocument.component.​structuredBody.component:witness-and-notary.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). | `assignedPerson.exists() or representedOrganization.exists()`
4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). | `nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://terminology.hl7.org/ValueSet/USPS-State'))`
4537-5403 | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). | `nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`
4537-6380 | error | ClinicalDocument | If setId is present versionNumber **SHALL** be present (CONF:4537-6380). | `setId.exists() implies versionNumber.exists()`
4537-6387 | error | ClinicalDocument | If versionNumber is present setId **SHALL** be present (CONF:4537-6387). | `versionNumber.exists() implies setId.exists()`
4537-10006 | error | ClinicalDocument.participant | **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). | `associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()`
4537-10007 | warning | ClinicalDocument.participant | When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). | `typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')`
4537-16790 | error | ClinicalDocument.author.assignedAuthor | There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). | `(assignedPerson | assignedAuthoringDevice).count() = 1`
4537-21000 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true | `sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')`
4537-32993 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). | `sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()`
AD-1 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item | Can only have only one of the possible item elements in each choice | `(delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1`
II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.informant:non-provider.relatedEntity.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.participant.associatedEntity.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.location.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.structuredBody.typeId, ClinicalDocument.component.structuredBody.component.typeId, ClinicalDocument.component.structuredBody.component:source-form.typeId, ClinicalDocument.component.structuredBody.component:healthcare-agent-appointment.typeId, ClinicalDocument.component.structuredBody.component:treatment-intervention-preferences.typeId, ClinicalDocument.component.structuredBody.component:care-experience-preferences.typeId, ClinicalDocument.component.structuredBody.component:upon-death-preferences.typeId, ClinicalDocument.component.structuredBody.component:additional-documentation.typeId, ClinicalDocument.component.structuredBody.component:administrative-information.typeId, ClinicalDocument.component.structuredBody.component:completion-information.typeId, ClinicalDocument.component.structuredBody.component:witness-and-notary.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
race-not-category | error | ClinicalDocument.recordTarget.patientRole.patient.raceCode.translation, ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode.translation | Translation SHALL NOT be used to convey additional race categories. Multiple categories must be conveyed in multiple raceCode elements. | `(code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1')).not()`
sdtc-race-not-detail | error | ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | When using translation to convey race details, the base code SHALL be a race category. | `translation.exists(codeSystem = '2.16.840.1.113883.6.238') implies (code in ('1002-5' | '2028-9' | '2054-5' | '2076-8' | '2106-3' | '2131-1'))`
should-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.authenticator.assignedEntity, ClinicalDocument.participant.associatedEntity, ClinicalDocument.documentationOf.serviceEvent | SHOULD contain code | `code.exists()`
should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code | `code.exists()`
should-country | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | SHOULD contain country | `nullFlavor.exists() or item.country.exists()`
should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension | `extension.exists()`
should-id | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.informationRecipient.intendedRecipient | SHOULD contain id | `id.exists()`
should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) | `id.where(root = '2.16.840.1.113883.4.6')`
should-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication | `languageCommunication.exists()`
should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator | `legalAuthenticator.exists()`
should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode | `maritalStatusCode.exists()`
should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI | `$this = '2.16.840.1.113883.4.6'`
should-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer | `performer.exists()`
should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd | `preferenceInd.exists()`
should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode | `proficiencyLevelCode.exists()`
should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant | `participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()`
should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty | `responsibleParty.exists()`
should-root | warning | ClinicalDocument.informationRecipient.intendedRecipient.id | SHOULD contain @root | `root.exists()`
should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr | `addr.exists()`
should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | SHOULD contain code | `code.exists()`
should-us-code-attr | warning | ClinicalDocument.informant:non-provider.relatedEntity.code | SHOULD contain @code | `code.exists()`
should-us-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication | `languageCommunication.exists()`
should-us-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer | `performer.exists()`
should-us-telecom | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain telecom | `telecom.exists()`
should-use | warning | ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecom | SHOULD contain @use | `nullFlavor.exists() or use.exists()`
should-value-att | warning | ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | SHOULD contain @value | `value.exists()`
signature | warning | ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode | CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. | `code.exists() implies code != 'X'`
text-null | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct | xmlText and nullFlavor are mutually exclusive (one must be present) | `(xmlText | nullFlavor).count() = 1`
ts-shall-day | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high | **SHALL** be precise to at least the day | `nullFlavor.exists() or value.toString().length() >= 10`
ts-shall-year | error | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHALL** be precise to at least the year | `nullFlavor.exists() or value.toString().length() >= 4`
ts-should-day | warning | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHOULD** be precise to at least the day | `nullFlavor.exists() or value.toString().length() >= 10`
ts-should-minute | warning | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high | **SHOULD** be precise to at least the minute | `nullFlavor.exists() or value.toString().length() > 10`

This structure is derived from USRealmHeaderforPatientGeneratedDocument

Summary

Mandatory: 12 elements(5 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

- Witness And Notary Section (http://hl7.org/cda/us/adi/StructureDefinition/WitnessAndNotarySection)
- Healthcare Agent Appointment Section (http://hl7.org/cda/us/adi/StructureDefinition/HealthcareAgentAppointmentSection)
- Treatment Intervention Preferences Section (http://hl7.org/cda/us/adi/StructureDefinition/TreatmentInterventionPreferencesSection)
- Care Experience Preferences Section (http://hl7.org/cda/us/adi/StructureDefinition/CareExperiencePreferencesSection)
- Administrative Information Section (http://hl7.org/cda/us/adi/StructureDefinition/AdministrativeInformationSection)

Slices

This structure defines the following Slices:

- The element 2 is sliced based on the values of ClinicalDocument.sdtcCategory
- The element 1 is sliced based on the value of ClinicalDocument.component.structuredBody.component

Other representations of profile: CSV, Excel