Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build United States of America

This page is part of the CCDA: Consolidated CDA Release (v2.1.0-draft1: CCDA 2.1 Draft) based on FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions

Resource Profile: AdvanceDirectivesSectionentriesrequired - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.22.2.21.1 resource profile.

Guidance on how to interpret the contents of this table can be found here.

1. Section
2. Section.nullFlavor
Requirements

MAY contain zero or one [0..1] @nullFlavor="NI" No information (CodeSystem: HL7NullFlavor urn:oid:2.16.840.1.113883.5.1008) (CONF:1198-32800).

Pattern ValueNI
3. Section.templateId
SlicingThis element introduces a set of slices on Section.templateId. The slices are and , and can be differentiated using the following discriminators:
  • @
  • @ ,
4. Section.templateId:secondary
SliceNamesecondary
Control1..1
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-30227) such that it

5. Section.templateId:secondary.root
Control1..1
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.21.1" (CONF:1198-30228).

Pattern Value2.16.840.1.113883.10.20.22.2.21.1
6. Section.templateId:secondary.extension
Control1..1
Requirements

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32512).

Pattern Value2015-08-01
7. Section.code
Requirements

SHALL contain exactly one [1..1] code (CONF:1198-32929).

SHALL contain exactly one [1..1] code (CONF:1198-15340).

8. Section.code.code
Requirements

This code SHALL contain exactly one [1..1] @code="42348-3" Advance Directives (CONF:1198-32930).

This code SHALL contain exactly one [1..1] @code="42348-3" Advance Directives (CONF:1198-15342).

9. Section.code.codeSystem
Requirements

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32931).

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-30812).

10. Section.title
Requirements

SHALL contain exactly one [1..1] title (CONF:1198-32932).

SHALL contain exactly one [1..1] title (CONF:1198-7930).

11. Section.text
Requirements

SHALL contain exactly one [1..1] text (CONF:1198-32933).

SHALL contain exactly one [1..1] text (CONF:1198-7931).

12. Section.entry
Control10..*
Requirements

SHALL contain at least one [1..*] entry (CONF:1198-30235) such that it

InvariantsDefined on this element
1198-32881: This entry **SHALL** contain *EITHER* an Advance Directive Observation (V2) *OR* an Advance Directive Organizer (CONF:1198-32881). (: null)

Guidance on how to interpret the contents of this table can be found here.

1. Section
Definition

Base definition for all types defined in FHIR type system.

Control10..1*
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
2. Section.nullFlavor
Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

MAY contain zero or one [0..1] @nullFlavor="NI" No information (CodeSystem: HL7NullFlavor urn:oid:2.16.840.1.113883.5.1008) (CONF:1198-32800).

Pattern ValueNI
3. Section.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassRecordOrganizer
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueDOCSECT
Fixed ValueDOCSECT
4. Section.moodCode
Control1..1
BindingThe codes SHALL be taken from ActMood
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueEVN
Fixed ValueEVN
5. Section.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
SlicingThis element introduces a set of slices on Section.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ root,
6. Section.templateId:primary
SliceNameprimary
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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-7928) such that it

7. Section.templateId:primary.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.21" (CONF:1198-10376).

Pattern Value2.16.840.1.113883.10.20.22.2.21
8. Section.templateId:primary.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32497).

Pattern Value2015-08-01
9. Section.templateId:secondary
SliceNamesecondary
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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-30227) such that it

10. Section.templateId:secondary.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.21.1" (CONF:1198-30228).

Pattern Value2.16.840.1.113883.10.20.22.2.21.1
11. Section.templateId:secondary.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32512).

Pattern Value2015-08-01
12. Section.code
Control1..1
BindingThe codes SHALL be taken from DocumentSectionType; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

SHALL contain exactly one [1..1] code (CONF:1198-32929).

13. Section.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This code SHALL contain exactly one [1..1] @code="42348-3" Advance Directives (CONF:1198-32930).

Pattern Value42348-3
14. Section.code.codeSystem
Definition

Specifies the code system that defines the code.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32931).

Pattern Value2.16.840.1.113883.6.1
15. Section.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
16. Section.title
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ST
Requirements

SHALL contain exactly one [1..1] title (CONF:1198-32932).

17. Section.text
Control1..1
Typexhtml
Must Supporttrue
XML RepresentationThis property is represented as CDA Text in the XML.
Requirements

SHALL contain exactly one [1..1] text (CONF:1198-32933).

18. Section.entry
Control1..*
TypeElement
Requirements

SHALL contain at least one [1..*] entry (CONF:1198-30235) such that it

InvariantsDefined on this element
1198-32881: This entry **SHALL** contain *EITHER* an Advance Directive Observation (V2) *OR* an Advance Directive Organizer (CONF:1198-32881). (: null)
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
only-one-statement: SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
SlicingThis element introduces a set of slices on Section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • exists @ *
19. Section.entry:observation
SliceNameobservation
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entry (CONF:1198-7957) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
only-one-statement: SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
20. Section.entry:observation.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueCOMP
21. Section.entry:observation.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
22. Section.entry:observation.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(AdvanceDirectiveObservation)
Requirements

SHALL contain exactly one [1..1] Advance Directive Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.48:2015-08-01) (CONF:1198-15443).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
23. Section.entry:observation.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
24. Section.entry:observation.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
25. Section.entry:observation.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
26. Section.entry:observation.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
27. Section.entry:observation.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
28. Section.entry:observation.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
29. Section.entry:observation.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
30. Section.entry:observation.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
31. Section.entry:organizer
SliceNameorganizer
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entry (CONF:1198-32891) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
only-one-statement: SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
32. Section.entry:organizer.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueCOMP
33. Section.entry:organizer.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
34. Section.entry:organizer.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
35. Section.entry:organizer.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
36. Section.entry:organizer.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
37. Section.entry:organizer.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
38. Section.entry:organizer.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
39. Section.entry:organizer.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
40. Section.entry:organizer.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
41. Section.entry:organizer.organizer
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer(AdvanceDirectiveOrganizer)
Requirements

SHALL contain exactly one [1..1] Advance Directive Organizer (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.108:2015-08-01) (CONF:1198-32892).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
42. Section.entry:organizer.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act

Guidance on how to interpret the contents of this table can be found here.

1. Section
Definition

Base definition for all types defined in FHIR type system.

Control1..1
2. Section.ID
Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
3. Section.nullFlavor
Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

MAY contain zero or one [0..1] @nullFlavor="NI" No information (CodeSystem: HL7NullFlavor urn:oid:2.16.840.1.113883.5.1008) (CONF:1198-32800).

Pattern ValueNI
4. Section.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassRecordOrganizer
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueDOCSECT
Fixed ValueDOCSECT
5. Section.moodCode
Control1..1
BindingThe codes SHALL be taken from ActMood
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueEVN
Fixed ValueEVN
6. Section.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
SlicingThis element introduces a set of slices on Section.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ root,
7. Section.templateId:primary
SliceNameprimary
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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-7928) such that it

8. Section.templateId:primary.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
9. Section.templateId:primary.assigningAuthorityName
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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
10. Section.templateId:primary.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
11. Section.templateId:primary.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.21" (CONF:1198-10376).

Pattern Value2.16.840.1.113883.10.20.22.2.21
12. Section.templateId:primary.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32497).

Pattern Value2015-08-01
13. Section.templateId:secondary
SliceNamesecondary
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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-30227) such that it

14. Section.templateId:secondary.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
15. Section.templateId:secondary.assigningAuthorityName
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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
16. Section.templateId:secondary.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
17. Section.templateId:secondary.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.21.1" (CONF:1198-30228).

Pattern Value2.16.840.1.113883.10.20.22.2.21.1
18. Section.templateId:secondary.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32512).

Pattern Value2015-08-01
19. Section.id
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
20. Section.code
Control1..1
BindingThe codes SHALL be taken from DocumentSectionType; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

SHALL contain exactly one [1..1] code (CONF:1198-32929).

21. Section.code.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
22. Section.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This code SHALL contain exactly one [1..1] @code="42348-3" Advance Directives (CONF:1198-32930).

Pattern Value42348-3
23. Section.code.codeSystem
Definition

Specifies the code system that defines the code.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32931).

Pattern Value2.16.840.1.113883.6.1
24. Section.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
25. Section.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
26. Section.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
27. Section.code.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSet.
28. Section.code.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSetVersion.
29. Section.code.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
30. Section.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
31. Section.code.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
32. Section.title
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ST
Requirements

SHALL contain exactly one [1..1] title (CONF:1198-32932).

33. Section.text
Control1..1
Typexhtml
Must Supporttrue
XML RepresentationThis property is represented as CDA Text in the XML.
Requirements

SHALL contain exactly one [1..1] text (CONF:1198-32933).

34. Section.confidentialityCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
35. Section.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
36. Section.subject
Control0..1
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
37. Section.subject.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
38. Section.subject.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Section.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
39. Section.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueSBJ
Fixed ValueSBJ
40. Section.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
41. Section.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
42. Section.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
43. Section.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
44. Section.informant
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
45. Section.informant.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
46. Section.informant.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Section.informant.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
47. Section.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINF
Fixed ValueINF
48. Section.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
49. Section.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
50. Section.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
51. Section.entry
Control1..*
TypeElement
Requirements

SHALL contain at least one [1..*] entry (CONF:1198-30235) such that it

InvariantsDefined on this element
1198-32881: This entry **SHALL** contain *EITHER* an Advance Directive Observation (V2) *OR* an Advance Directive Organizer (CONF:1198-32881). (: )
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
only-one-statement: SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
SlicingThis element introduces a set of slices on Section.entry. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • exists @ *
52. Section.entry:observation
SliceNameobservation
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entry (CONF:1198-7957) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
only-one-statement: SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
53. Section.entry:observation.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
54. Section.entry:observation.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Section.entry.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
55. Section.entry:observation.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueCOMP
56. Section.entry:observation.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
57. Section.entry:observation.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(AdvanceDirectiveObservation)
Requirements

SHALL contain exactly one [1..1] Advance Directive Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.48:2015-08-01) (CONF:1198-15443).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
58. Section.entry:observation.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
59. Section.entry:observation.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
60. Section.entry:observation.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
61. Section.entry:observation.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
62. Section.entry:observation.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
63. Section.entry:observation.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
64. Section.entry:observation.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
65. Section.entry:observation.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
66. Section.entry:organizer
SliceNameorganizer
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entry (CONF:1198-32891) such that it

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
only-one-statement: SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
67. Section.entry:organizer.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
68. Section.entry:organizer.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Section.entry.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
69. Section.entry:organizer.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueCOMP
70. Section.entry:organizer.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
71. Section.entry:organizer.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
72. Section.entry:organizer.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
73. Section.entry:organizer.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
74. Section.entry:organizer.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
75. Section.entry:organizer.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
76. Section.entry:organizer.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
77. Section.entry:organizer.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
78. Section.entry:organizer.organizer
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer(AdvanceDirectiveOrganizer)
Requirements

SHALL contain exactly one [1..1] Advance Directive Organizer (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.108:2015-08-01) (CONF:1198-32892).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
79. Section.entry:organizer.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
80. Section.component
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
81. Section.component.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
82. Section.component.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Section.component.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
83. Section.component.typeCode
Definition

Drawn from concept domain DocumentSectionType

Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueCOMP
Fixed ValueCOMP
84. Section.component.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
85. Section.component.section
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Section