Clinical Document Architecture
2.0.0-sd-ballot - ballot
Clinical Document Architecture
2.0.0-sd-ballot - ballot
Clinical Document Architecture, published by Health Level 7. This guide is not an authorized publication; it is the continuous build for version 2.0.0-sd-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/cda-core-2.0/ and changes regularly. See the Directory of published versions
| Active as of 2024-03-04 |
JSON representation of the Entry logical model.
{
"resourceType" : "StructureDefinition",
"id" : "Entry",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>CDA entries represent the structured computer-processable components within a document section. Each section can contain zero to many entries.</p>\n <p>Clinical documents contain a wide breadth of content, requiring much of the RIM to enable a full and complete encoding. The current set of CDA entries have been developed in response to identified requirements and scenarios that are in CDA's scope. Rather than creating specific entries for each scenario, similar requirements are merged to create broader entries, which can then be constrained within a particular realm or implementation. This approach is consistent with the approach taken by CEN, DICOM, and OpenEHR.</p>\n <p>The model for CDA entries is derived from the shared HL7 Clinical Statement model, which is a collaborative project between several committees striving to provide a consistent representation of clinical observations and acts across various V3 specifications.</p>\n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
"_valueBoolean" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "not-applicable"
}
]
}
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:v3"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "entry"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-container",
"valueUri" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/type-profile-style",
"valueUri" : "cda"
}
],
"url" : "http://hl7.org/cda/stds/core/StructureDefinition/Entry",
"version" : "2.0.0-sd-ballot",
"name" : "Entry",
"title" : "Entry (CDA Class)",
"status" : "active",
"experimental" : false,
"date" : "2024-03-04T16:15:02+00:00",
"publisher" : "Health Level 7",
"contact" : [
{
"name" : "HL7 International - Structured Documents",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/structure"
},
{
"system" : "email",
"value" : "structdog@lists.HL7.org"
}
]
}
],
"description" : "CDA entries represent the structured computer-processable components within a document section. Each section can contain zero to many entries.",
"fhirVersion" : "5.0.0",
"mapping" : [
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}
],
"kind" : "logical",
"abstract" : false,
"type" : "http://hl7.org/cda/stds/core/StructureDefinition/Entry",
"baseDefinition" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot",
"derivation" : "specialization",
"snapshot" : {
"element" : [
{
"id" : "Entry",
"path" : "Entry",
"short" : "Base for all types and resources",
"definition" : "Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "entry-only-one",
"severity" : "error",
"human" : "SHALL have no more than one of act, encounter, observation, observationMedia, organizer, procedure, regionOfInterest, substanceAdministration, or supply.",
"expression" : "(act | encounter | observation | observationMedia | organizer | procedure | regionOfInterest | substanceAdministration | supply).count() = 1"
}
],
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Entry.nullFlavor",
"path" : "Entry.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Entry.realmCode",
"path" : "Entry.realmCode",
"definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "Entry.typeId",
"path" : "Entry.typeId",
"definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Entry.typeId.nullFlavor",
"path" : "Entry.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "Entry.typeId.assigningAuthorityName",
"path" : "Entry.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Entry.typeId.displayable",
"path" : "Entry.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "Entry.typeId.root",
"path" : "Entry.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/oid"🔗 ,
"http://hl7.org/cda/stds/core/StructureDefinition/uuid"🔗 ,
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "Entry.typeId.extension",
"path" : "Entry.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "Entry.templateId",
"path" : "Entry.templateId",
"definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "Entry.typeCode",
"path" : "Entry.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Entry.typeCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"defaultValueCode" : "COMP",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry"
}
},
{
"id" : "Entry.contextConductionInd",
"path" : "Entry.contextConductionInd",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Entry.contextConductionInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
],
"fixedBoolean" : true
},
{
"id" : "Entry.act",
"path" : "Entry.act",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Entry.act",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Act"
}
]
},
{
"id" : "Entry.encounter",
"path" : "Entry.encounter",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Entry.encounter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
}
]
},
{
"id" : "Entry.observation",
"path" : "Entry.observation",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Entry.observation",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation"
}
]
},
{
"id" : "Entry.observationMedia",
"path" : "Entry.observationMedia",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Entry.observationMedia",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"
}
]
},
{
"id" : "Entry.organizer",
"path" : "Entry.organizer",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Entry.organizer",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Organizer"
}
]
},
{
"id" : "Entry.procedure",
"path" : "Entry.procedure",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Entry.procedure",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Procedure"
}
]
},
{
"id" : "Entry.regionOfInterest",
"path" : "Entry.regionOfInterest",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Entry.regionOfInterest",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"
}
]
},
{
"id" : "Entry.substanceAdministration",
"path" : "Entry.substanceAdministration",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Entry.substanceAdministration",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id" : "Entry.supply",
"path" : "Entry.supply",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Entry.supply",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Supply"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Entry",
"path" : "Entry",
"min" : 1,
"max" : "*",
"constraint" : [
{
"key" : "entry-only-one",
"severity" : "error",
"human" : "SHALL have no more than one of act, encounter, observation, observationMedia, organizer, procedure, regionOfInterest, substanceAdministration, or supply.",
"expression" : "(act | encounter | observation | observationMedia | organizer | procedure | regionOfInterest | substanceAdministration | supply).count() = 1"
}
]
},
{
"id" : "Entry.typeCode",
"path" : "Entry.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"defaultValueCode" : "COMP",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry"
}
},
{
"id" : "Entry.contextConductionInd",
"path" : "Entry.contextConductionInd",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
],
"fixedBoolean" : true
},
{
"id" : "Entry.act",
"path" : "Entry.act",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Act"
}
]
},
{
"id" : "Entry.encounter",
"path" : "Entry.encounter",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
}
]
},
{
"id" : "Entry.observation",
"path" : "Entry.observation",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Observation"
}
]
},
{
"id" : "Entry.observationMedia",
"path" : "Entry.observationMedia",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"
}
]
},
{
"id" : "Entry.organizer",
"path" : "Entry.organizer",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Organizer"
}
]
},
{
"id" : "Entry.procedure",
"path" : "Entry.procedure",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Procedure"
}
]
},
{
"id" : "Entry.regionOfInterest",
"path" : "Entry.regionOfInterest",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"
}
]
},
{
"id" : "Entry.substanceAdministration",
"path" : "Entry.substanceAdministration",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id" : "Entry.supply",
"path" : "Entry.supply",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Supply"
}
]
}
]
}
}
IG © 2019+ Health Level 7. Package hl7.cda.uv.core#2.0.0-sd-ballot based on FHIR 5.0.0. Generated 2024-03-04
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