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 LegalAuthenticator logical model.
{
"resourceType" : "StructureDefinition",
"id" : "LegalAuthenticator",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Represents a participant who has legally authenticated the document.</p>\n <p>The CDA is a standard that specifies the structure of exchanged clinical documents. In the case where a local document is transformed into a CDA document for exchange, authentication occurs on the local document, and that fact is reflected in the exchanged CDA document. A CDA document can reflect the unauthenticated, authenticated, or legally authenticated state. The unauthenticated state exists when no authentication information has been recorded (i.e., it is the absence of being either authenticated or legally authenticated).</p>\n <p>While electronic signatures are not captured in a CDA document, both authentication and legal authentication require that a document has been signed manually or electronically by the responsible individual. A legalAuthenticator has a required legalAuthenticator.time indicating the time of authentication, and a required legalAuthenticator.signatureCode, indicating that a signature has been obtained and is on file.</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" : "legalAuthenticator"
},
{
"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/LegalAuthenticator",
"version" : "2.0.0-sd-ballot",
"name" : "LegalAuthenticator",
"title" : "LegalAuthenticator (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" : "Represents a participant who has legally authenticated the document. The CDA is a standard that specifies the structure of exchanged clinical documents. In the case where a local document is transformed into a CDA document for exchange, authentication occurs on the local document, and that fact is reflected in the exchanged CDA document. A CDA document can reflect the unauthenticated, authenticated, or legally authenticated state. The unauthenticated state exists when no authentication information has been recorded (i.e., it is the absence of being either authenticated or legally authenticated). While electronic signatures are not captured in a CDA document, both authentication and legal authentication require that a document has been signed manually or electronically by the responsible individual. A legalAuthenticator has a required legalAuthenticator.time indicating the time of authentication, and a required legalAuthenticator.signatureCode, indicating that a signature has been obtained and is on file.",
"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/LegalAuthenticator",
"baseDefinition" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot",
"derivation" : "specialization",
"snapshot" : {
"element" : [
{
"id" : "LegalAuthenticator",
"path" : "LegalAuthenticator",
"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" : "1",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "LegalAuthenticator.nullFlavor",
"path" : "LegalAuthenticator.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" : "LegalAuthenticator.realmCode",
"path" : "LegalAuthenticator.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" : "LegalAuthenticator.typeId",
"path" : "LegalAuthenticator.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" : "LegalAuthenticator.typeId.nullFlavor",
"path" : "LegalAuthenticator.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" : "LegalAuthenticator.typeId.assigningAuthorityName",
"path" : "LegalAuthenticator.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" : "LegalAuthenticator.typeId.displayable",
"path" : "LegalAuthenticator.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" : "LegalAuthenticator.typeId.root",
"path" : "LegalAuthenticator.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" : "LegalAuthenticator.typeId.extension",
"path" : "LegalAuthenticator.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" : "LegalAuthenticator.templateId",
"path" : "LegalAuthenticator.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" : "LegalAuthenticator.typeCode",
"path" : "LegalAuthenticator.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "LegalAuthenticator.typeCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "LA",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationType"
}
},
{
"id" : "LegalAuthenticator.contextControlCode",
"path" : "LegalAuthenticator.contextControlCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "LegalAuthenticator.contextControlCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "OP",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ContextControl"
}
},
{
"id" : "LegalAuthenticator.time",
"path" : "LegalAuthenticator.time",
"min" : 1,
"max" : "1",
"base" : {
"path" : "LegalAuthenticator.time",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
}
]
},
{
"id" : "LegalAuthenticator.signatureCode",
"path" : "LegalAuthenticator.signatureCode",
"min" : 1,
"max" : "1",
"base" : {
"path" : "LegalAuthenticator.signatureCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
],
"constraint" : [
{
"key" : "signature",
"severity" : "warning",
"human" : "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'.",
"expression" : "code.exists() implies code != 'X'"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode"
}
},
{
"id" : "LegalAuthenticator.sdtcSignatureText",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "signatureText"
}
],
"path" : "LegalAuthenticator.sdtcSignatureText",
"definition" : "A textual or multimedia depiction of the signature by which the participant endorses his or her participation in the Act as specified in the Participation.typeCode and that he or she agrees to assume the associated accountability.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "LegalAuthenticator.sdtcSignatureText",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id" : "LegalAuthenticator.assignedEntity",
"path" : "LegalAuthenticator.assignedEntity",
"min" : 1,
"max" : "1",
"base" : {
"path" : "LegalAuthenticator.assignedEntity",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "LegalAuthenticator",
"path" : "LegalAuthenticator",
"min" : 1,
"max" : "1"
},
{
"id" : "LegalAuthenticator.typeCode",
"path" : "LegalAuthenticator.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "LA",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationType"
}
},
{
"id" : "LegalAuthenticator.contextControlCode",
"path" : "LegalAuthenticator.contextControlCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code",
"profile" : [
🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "OP",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ContextControl"
}
},
{
"id" : "LegalAuthenticator.time",
"path" : "LegalAuthenticator.time",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
}
]
},
{
"id" : "LegalAuthenticator.signatureCode",
"path" : "LegalAuthenticator.signatureCode",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
],
"constraint" : [
{
"key" : "signature",
"severity" : "warning",
"human" : "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'.",
"expression" : "code.exists() implies code != 'X'"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode"
}
},
{
"id" : "LegalAuthenticator.sdtcSignatureText",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "signatureText"
}
],
"path" : "LegalAuthenticator.sdtcSignatureText",
"definition" : "A textual or multimedia depiction of the signature by which the participant endorses his or her participation in the Act as specified in the Participation.typeCode and that he or she agrees to assume the associated accountability.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id" : "LegalAuthenticator.assignedEntity",
"path" : "LegalAuthenticator.assignedEntity",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity"
}
]
}
]
}
}
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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