Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build
United States of America
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 
| Active as of 2023-01-16 |
Definitions for the 2.16.840.1.113883.10.20.22.2.41 resource profile.
Guidance on how to interpret the contents of this table can be found here.
| 1. Section | |
| 2. Section.templateId | |
| Slicing | This element introduces a set of slices on Section.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 3. Section.templateId:primary | |
| SliceName | primary |
| Control | 1..1 |
| Requirements | SHALL contain exactly one [1..1] templateId (CONF:81-9919) such that it |
| 4. Section.templateId:primary.root | |
| Control | 1..1 |
| Requirements | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.41" (CONF:81-10395). |
| Pattern Value | 2.16.840.1.113883.10.20.22.2.41 |
| 5. Section.code | |
| Control | 10..1 |
| Requirements | SHALL contain exactly one [1..1] code (CONF:81-15357). |
| 6. Section.code.code | |
| Control | 1..1 |
| Requirements | This code SHALL contain exactly one [1..1] @code="8653-8" Hospital Discharge Instructions (CONF:81-15358). |
| Pattern Value | 8653-8 |
| 7. Section.code.codeSystem | |
| Control | 1..1 |
| 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:81-26481). |
| Pattern Value | 2.16.840.1.113883.6.1 |
| 8. Section.title | |
| Control | 10..1 |
| Requirements | SHALL contain exactly one [1..1] title (CONF:81-9921). |
| 9. Section.text | |
| Control | 10..1 |
| Requirements | SHALL contain exactly one [1..1] text (CONF:81-9922). |
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. |
| Control | 10..1* |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 2. Section.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActClassRecordOrganizer |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | DOCSECT |
| Fixed Value | DOCSECT |
| 3. Section.moodCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActMood |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | EVN |
| Fixed Value | EVN |
| 4. 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 |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Section.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 5. Section.templateId:primary | |
| SliceName | primary |
| 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 |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/II |
| Requirements | SHALL contain exactly one [1..1] templateId (CONF:81-9919) such that it |
| 6. 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. |
| Control | 1..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Requirements | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.41" (CONF:81-10395). |
| Pattern Value | 2.16.840.1.113883.10.20.22.2.41 |
| 7. Section.code | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from DocumentSectionType; other codes may be used where these codes are not suitable |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE |
| Requirements | SHALL contain exactly one [1..1] code (CONF:81-15357). |
| 8. 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. |
| Control | 1..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Requirements | This code SHALL contain exactly one [1..1] @code="8653-8" Hospital Discharge Instructions (CONF:81-15358). |
| Pattern Value | 8653-8 |
| 9. Section.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 1..1 |
| Type | string |
| XML Representation | In 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:81-26481). |
| Pattern Value | 2.16.840.1.113883.6.1 |
| 10. Section.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CR |
| 11. Section.title | |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ST |
| Requirements | SHALL contain exactly one [1..1] title (CONF:81-9921). |
| 12. Section.text | |
| Control | 1..1 |
| Type | xhtml |
| Must Support | true |
| XML Representation | This property is represented as CDA Text in the XML. |
| Requirements | SHALL contain exactly one [1..1] text (CONF:81-9922). |
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. |
| Control | 1..1 |
| 2. Section.ID | |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 3. Section.nullFlavor | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 4. Section.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActClassRecordOrganizer |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | DOCSECT |
| Fixed Value | DOCSECT |
| 5. Section.moodCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActMood |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | EVN |
| Fixed Value | EVN |
| 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 |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Section.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 7. Section.templateId:primary | |
| SliceName | primary |
| 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 |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/II |
| Requirements | SHALL contain exactly one [1..1] templateId (CONF:81-9919) 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. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code |
| XML Representation | In 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In 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). |
| Control | 0..1 |
| Type | boolean |
| XML Representation | In 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. |
| Control | 1..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Requirements | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.41" (CONF:81-10395). |
| Pattern Value | 2.16.840.1.113883.10.20.22.2.41 |
| 12. Section.templateId:primary.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 13. Section.id | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/II |
| 14. Section.code | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from DocumentSectionType; other codes may be used where these codes are not suitable |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE |
| Requirements | SHALL contain exactly one [1..1] code (CONF:81-15357). |
| 15. Section.code.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 16. 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. |
| Control | 1..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Requirements | This code SHALL contain exactly one [1..1] @code="8653-8" Hospital Discharge Instructions (CONF:81-15358). |
| Pattern Value | 8653-8 |
| 17. Section.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 1..1 |
| Type | string |
| XML Representation | In 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:81-26481). |
| Pattern Value | 2.16.840.1.113883.6.1 |
| 18. Section.code.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 19. Section.code.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 20. Section.code.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| 21. 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In 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. |
| 22. 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In 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. |
| 23. Section.code.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED |
| 24. Section.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CR |
| 25. Section.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD |
| XML Representation | The type of this property is determined using the xsi:type attribute. |
| 26. Section.title | |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ST |
| Requirements | SHALL contain exactly one [1..1] title (CONF:81-9921). |
| 27. Section.text | |
| Control | 1..1 |
| Type | xhtml |
| Must Support | true |
| XML Representation | This property is represented as CDA Text in the XML. |
| Requirements | SHALL contain exactly one [1..1] text (CONF:81-9922). |
| 28. Section.confidentialityCode | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE |
| 29. Section.languageCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from HumanLanguage |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS |
| 30. Section.subject | |
| Control | 0..1 |
| Type | Element |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 31. 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 32. 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. |
| Control | 0..* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, 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. |
| Invariants | Defined 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()) |
| Slicing | This element introduces a set of slices on Section.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 33. Section.subject.typeCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ParticipationTargetSubject |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | SBJ |
| Fixed Value | SBJ |
| 34. Section.subject.contextControlCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | OP |
| Fixed Value | OP |
| 35. Section.subject.awarenessCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable |
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE |
| 36. Section.subject.relatedSubject | |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject |
| 37. Section.author | |
| Control | 0..* |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Author |
| 38. Section.informant | |
| Control | 0..* |
| Type | Element |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 39. 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 40. 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. |
| Control | 0..* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, 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. |
| Invariants | Defined 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()) |
| Slicing | This element introduces a set of slices on Section.informant.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 41. Section.informant.typeCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ParticipationInformationGenerator |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | INF |
| Fixed Value | INF |
| 42. Section.informant.contextControlCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | OP |
| Fixed Value | OP |
| 43. Section.informant.assignedEntity | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity |
| 44. Section.informant.relatedEntity | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity |
| 45. Section.entry | |
| Control | 0..* |
| Type | Element |
| Invariants | Defined 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) |
| 46. Section.entry.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 47. Section.entry.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. |
| Control | 0..* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, 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. |
| Invariants | Defined 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()) |
| Slicing | This element introduces a set of slices on Section.entry.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 48. Section.entry.typeCode | |
| Control | 1..1 |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | COMP |
| 49. Section.entry.contextConductionInd | |
| Control | 1..1 |
| Type | boolean |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | true |
| 50. Section.entry.observation | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Observation |
| 51. Section.entry.regionOfInterest | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest |
| 52. Section.entry.observationMedia | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia |
| 53. Section.entry.substanceAdministration | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration |
| 54. Section.entry.supply | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Supply |
| 55. Section.entry.procedure | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure |
| 56. Section.entry.encounter | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter |
| 57. Section.entry.organizer | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer |
| 58. Section.entry.act | |
| Control | 0..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Act |
| 59. Section.component | |
| Control | 0..* |
| Type | Element |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 60. 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. |
| Control | 0..1 |
| Type | string |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 61. 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. |
| Control | 0..* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, 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. |
| Invariants | Defined 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()) |
| Slicing | This element introduces a set of slices on Section.component.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 62. Section.component.typeCode | |
| Definition | Drawn from concept domain DocumentSectionType |
| Control | 1..1 |
| Type | code |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | COMP |
| Fixed Value | COMP |
| 63. Section.component.contextConductionInd | |
| Control | 1..1 |
| Type | boolean |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Default Value | true |
| 64. Section.component.section | |
| Control | 1..1 |
| Type | http://hl7.org/fhir/cda/StructureDefinition/Section |
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#2.1.0-draft1 based on FHIR 5.0.0-snapshot3. Generated 2023-01-16
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