Clinical Document Architecture
2.0.1-sd - release

This page is part of the CDA: Clinical Document Architecture (v2.0.1-sd: CDA 2.0 - Informative) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Terminology

This page lists all the ValueSets and CodeSystems used by CDA

Value Sets

These value sets are used in this implementation guide:

Value Set Sources:

Row # Value Set Profiles Where Used Source
1 ActClassClinicalDocument ParentDocument THO
2 ActClassDocument ExternalDocument THO
3 ActClassProcedure Procedure, ExternalProcedure THO
4 ActClassROI RegionOfInterest THO
5 ActClassRecordOrganizer Section, NonXMLBody, StructuredBody THO
6 ActClassSupply Supply THO
7 ActEncounterCode EncompassingEncounter, Encounter THO
8 ActMoodPredicate Criterion, ObservationRange THO
9 ActPriority Procedure, Observation, Encounter, Order, Act, Supply, SubstanceAdministration THO
10 ActRelationshipFulfills InFulfillmentOf, InFulfillmentOf1 THO
11 ActRelationshipHasComponent Component, OrganizerComponent, ComponentOf THO
12 ActStatus Procedure, Observation, Encounter, Consent, Act, AlternateIdentification, Organizer, Supply, ClinicalDocument, SubstanceAdministration THO
13 AdministrableDrugForm SubstanceAdministration THO
14 AdministrativeGender Patient, SubjectPerson THO
15 All Languages ObservationMedia, Procedure, Observation, LanguageCommunication, Act, Section, NonXMLBody, ClinicalDocument, StructuredBody FHIR
16 CDAActClass EncompassingEncounter, Encounter, ExternalAct, Consent, Order, ServiceEvent, ClinicalDocument, SubstanceAdministration CDA
17 CDAActClassObservation ObservationMedia, Observation, ExternalObservation, Criterion, ObservationRange CDA
18 CDAActMood EncompassingEncounter, ExternalObservation, Consent, ParentDocument, NonXMLBody, StructuredBody, ObservationMedia, ExternalProcedure, ExternalAct, Section, RegionOfInterest, ServiceEvent, ExternalDocument, Organizer, ClinicalDocument CDA
19 CDAActMoodIntent Order CDA
20 CDAActRelationshipType Observation, Precondition, DocumentationOf, ObservationRange, Precondition2 CDA
21 CDAActSubstanceAdministrationCode SubstanceAdministration CDA
22 CDABinaryDataEncoding ED CDA
23 CDACompressionAlgorithm ED CDA
24 CDAContextControl Informant, Subject, Participant2, Participant1, Author, RecordTarget, LegalAuthenticator, DataEnterer CDA
25 CDAEntityCode Device, Entity, PlayingEntity, AuthoringDevice CDA
26 CDAEntityNamePartQualifier ENXP CDA
27 CDAEntityNameUse EN, TN, PN, ON CDA
28 CDAInformationRecipientRole IntendedRecipient CDA
29 CDAMaterialEntityClassType Material, CDAEntityCode CDA
30 CDANullFlavor AssignedEntity, Device, ParentDocument, InformationRecipient, Participant2, Participant1, SpecimenRole, IVXB-TS, PatientRole, HealthCareFacility, StructuredBody, SXCM-TS, LanguageCommunication, Patient, INT-POS, AuthoringDevice, ON, DocumentationOf, Custodian, Authenticator, Supply, DataEnterer, Procedure, PreconditionBase, ADXP, PN, PQ, ENXP, Organizer, Specimen, Precondition, Consent, PlayingEntity, RelatedSubject, IVL-TS, Authorization, Act, PQR, II, AD, OrganizerComponent, Informant, BL, InFulfillmentOf, InFulfillmentOf1, AssignedAuthor, SC, NonXMLBody, LegalAuthenticator, ComponentOf, ObservationMedia, ExternalProcedure, ExternalAct, Material, SubstanceAdministration, RelatedDocument, EncompassingEncounter, EntryRelationship, ExternalObservation, CO, EIVL-TS, Author, CR, Person, CS, CustodianOrganization, CV, Organization, IVXB-PQ, AssignedCustodian, ST, RegionOfInterest, CD, ServiceEvent, CE, Entry, SubjectPerson, Reference, Component, Subject, ParticipantRole, Encounter, QTY, TN, Place, PIVL-TS, Birthplace, LabeledDrug, TS, RecordTarget, Criterion, OrganizationPartOf, EN, EncounterParticipant, SXPR-TS, Order, IVL-PQ, IVXB-INT, TEL, IntendedRecipient, IVL-INT, Section, Guardian, MO, ED, Performer1, Performer2, ClinicalDocument, ManufacturedProduct, Entity, RTO-PQ-PQ, AssociatedEntity, ObservationRange, Precondition2, Observation, InfrastructureRoot, ExternalDocument, MaintainedEntity, INT, ANY, RelatedEntity, REAL CDA
31 CDAObservationInterpretation Observation, ObservationRange CDA
32 CDAParticipationType EncompassingEncounter, Informant, Specimen, Participant2, Participant1, Custodian, Author, Authenticator, Authorization, LegalAuthenticator, DataEnterer, RecordTarget, SubstanceAdministration CDA
33 CDAPostalAddressUse AD CDA
34 CDARoleClass AlternateIdentification CDA
35 CDARoleClassAssociative AssociatedEntity CDA
36 CDARoleClassMutualRelationship RelatedEntity CDA
37 CDARoleClassRoot ParticipantRole CDA
38 CDARoleCode AssignedEntity, ParticipantRole, AssignedAuthor, Guardian, AssociatedEntity, OrganizationPartOf CDA
39 CDASetOperator SXCM-TS, PIVL-TS, SXPR-TS, IVL-PQ, IVL-INT, EIVL-TS, IVL-TS CDA
40 CDASignatureCode Authenticator, LegalAuthenticator CDA
41 DocumentSectionType Section THO
42 EntityClassDevice Device, AuthoringDevice THO
43 EntityClassLivingSubject Patient, Person, SubjectPerson THO
44 EntityClassManufacturedMaterial LabeledDrug, Material THO
45 EntityClassOrganization CustodianOrganization, Organization THO
46 EntityClassPlace Place THO
47 EntityClassRoot Entity, PlayingEntity THO
48 EntityDeterminer Place, Patient, Device, Entity, PlayingEntity, AuthoringDevice, Person, SubjectPerson, CustodianOrganization, Organization THO
49 EntityDeterminerDetermined LabeledDrug, Material THO
50 EntityNamePartType ENXP THO
51 Ethnicity Patient THO
52 FHIR Document Type Codes ParentDocument, ExternalDocument, ClinicalDocument FHIR
53 IntegrityCheckAlgorithm ED THO
54 LanguageAbilityMode LanguageCommunication THO
55 LanguageAbilityProficiency LanguageCommunication THO
56 Manufacturer Model Name Example Device, AuthoringDevice THO
57 MaritalStatus Patient THO
58 MediaType ED THO
59 ObservationMethod Observation THO
60 ObservationType Observation THO
61 OrganizationIndustryClassNAICS Organization THO
62 ParticipationPhysicalPerformer Performer2 THO
63 ParticipationTargetDirect Supply THO
64 ParticipationTargetLocation EncompassingEncounter THO
65 ParticipationTargetSubject Subject THO
66 PersonalRelationshipRoleType RelatedSubject, RelatedEntity THO
67 ROIOverlayShape RegionOfInterest THO
68 Race Patient THO
69 RelationshipConjunction ObservationRange, Precondition2 THO
70 ReligiousAffiliation Patient THO
71 RoleClassAgent Guardian THO
72 RoleClassAssignedEntity AssignedEntity, AssignedCustodian, AssignedAuthor THO
73 RoleClassManufacturedProduct ManufacturedProduct THO
74 RoleClassPartitive OrganizationPartOf THO
75 RoleClassPassive Birthplace, MaintainedEntity THO
76 RoleClassRelationshipFormal PatientRole THO
77 RoleClassServiceDeliveryLocation HealthCareFacility THO
78 RoleClassSpecimen SpecimenRole THO
79 RoleLinkType IdentifiedBy THO
80 RouteOfAdministration SubstanceAdministration THO
81 ServiceDeliveryLocationRoleType HealthCareFacility THO
82 Software Name Example Device, AuthoringDevice THO
83 TargetAwareness Subject THO
84 TelecommunicationAddressUse TEL THO
85 USEncounterDischargeDisposition EncompassingEncounter THO
86 v3 Code System ActCode ExternalObservation, ExternalProcedure, ExternalAct, Consent, Order, Act, Organizer, Criterion, Supply, ObservationRange THO
87 v3 Value Set ActSite SubstanceAdministration THO
88 x_ActClassDocumentEntryAct Act THO
89 x_ActClassDocumentEntryOrganizer Organizer THO
90 x_ActMoodDocumentObservation Observation THO
91 x_ActRelationshipDocument RelatedDocument THO
92 x_ActRelationshipEntry Entry THO
93 x_ActRelationshipEntryRelationship EntryRelationship THO
94 x_ActRelationshipExternalReference Reference THO
95 x_DocumentActMood Act THO
96 x_DocumentEncounterMood Encounter THO
97 x_DocumentProcedureMood Procedure THO
98 x_DocumentSubstanceMood Supply, SubstanceAdministration THO
99 x_EncounterParticipant EncounterParticipant THO
100 x_InformationRecipient InformationRecipient THO
101 x_ServiceEventPerformer Performer1 THO

Code Systems

These code systems are used in this implementation guide:

Code System Sources:

Row # Code System Code System URI Value Sets Where Used Source
1 ActClass http://terminology.hl7.org/CodeSystem/v3-ActClass ValueSet/v3-ActClassProcedure
ValueSet/v3-xActClassDocumentEntryOrganizer
ValueSet/v3-ActClassClinicalDocument
ValueSet/v3-ActClassROI
ValueSet/CDAActClassObservation
ValueSet/v3-ActClassRecordOrganizer
ValueSet/CDAActClass
ValueSet/v3-ActClassDocument
ValueSet/v3-xActClassDocumentEntryAct
ValueSet/v3-ActClassSupply
THO
2 ActCode http://terminology.hl7.org/CodeSystem/v3-ActCode ValueSet/CDAActSubstanceAdministrationCode
ValueSet/v3-ObservationType
ValueSet/v3-ActCode
ValueSet/v3-ActEncounterCode
ValueSet/v3-ROIOverlayShape
THO
3 ActMood http://terminology.hl7.org/CodeSystem/v3-ActMood ValueSet/v3-xDocumentSubstanceMood
ValueSet/v3-ActMoodPredicate
ValueSet/v3-xActMoodDocumentObservation
ValueSet/v3-xDocumentProcedureMood
ValueSet/CDAActMoodIntent
ValueSet/CDAActMood
ValueSet/v3-xDocumentActMood
ValueSet/v3-xDocumentEncounterMood
THO
4 ActPriority http://terminology.hl7.org/CodeSystem/v3-ActPriority ValueSet/v3-ActPriority THO
5 ActRelationshipType http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType ValueSet/CDAActRelationshipType
ValueSet/v3-xActRelationshipEntry
ValueSet/v3-xActRelationshipExternalReference
ValueSet/v3-ActRelationshipFulfills
ValueSet/v3-xActRelationshipDocument
ValueSet/v3-xActRelationshipEntryRelationship
ValueSet/v3-ActRelationshipHasComponent
THO
6 ActSite http://terminology.hl7.org/CodeSystem/v3-ActSite ValueSet/v3-ActSite THO
7 ActStatus http://terminology.hl7.org/CodeSystem/v3-ActStatus ValueSet/v3-ActStatus THO
8 AddressUse http://terminology.hl7.org/CodeSystem/v3-AddressUse ValueSet/CDAPostalAddressUse
ValueSet/v3-TelecommunicationAddressUse
THO
9 AdministrativeGender http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender ValueSet/v3-AdministrativeGender THO
10 Binary Data Encoding Code System http://hl7.org/cda/stds/core/CodeSystem/BinaryDataEncoding ValueSet/BinaryDataEncoding CDA
11 CompressionAlgorithm http://terminology.hl7.org/CodeSystem/v3-CompressionAlgorithm ValueSet/CDACompressionAlgorithm THO
12 ContextControl http://terminology.hl7.org/CodeSystem/v3-ContextControl ValueSet/CDAContextControl THO
13 EntityClass http://terminology.hl7.org/CodeSystem/v3-EntityClass ValueSet/v3-EntityClassLivingSubject
ValueSet/v3-EntityClassRoot
ValueSet/v3-EntityClassManufacturedMaterial
ValueSet/v3-EntityClassPlace
ValueSet/v3-EntityClassDevice
ValueSet/v3-EntityClassOrganization
THO
14 EntityCode http://terminology.hl7.org/CodeSystem/v3-EntityCode ValueSet/CDAMaterialEntityClassType
ValueSet/CDAEntityCode
THO
15 EntityDeterminer http://terminology.hl7.org/CodeSystem/v3-EntityDeterminer ValueSet/v3-EntityDeterminer
ValueSet/v3-EntityDeterminerDetermined
THO
16 EntityNamePartQualifier http://terminology.hl7.org/CodeSystem/v3-EntityNamePartQualifier ValueSet/CDAEntityNamePartQualifier THO
17 EntityNamePartType http://terminology.hl7.org/CodeSystem/v3-EntityNamePartType ValueSet/v3-EntityNamePartType THO
18 EntityNameUse http://terminology.hl7.org/CodeSystem/v3-EntityNameUse ValueSet/CDAEntityNameUse
ValueSet/CDAPostalAddressUse
THO
19 Ethnicity http://terminology.hl7.org/CodeSystem/v3-Ethnicity ValueSet/v3-Ethnicity THO
20 IntegrityCheckAlgorithm http://terminology.hl7.org/CodeSystem/v3-IntegrityCheckAlgorithm ValueSet/v3-IntegrityCheckAlgorithm THO
21 LanguageAbilityMode http://terminology.hl7.org/CodeSystem/v3-LanguageAbilityMode ValueSet/v3-LanguageAbilityMode THO
22 LanguageAbilityProficiency http://terminology.hl7.org/CodeSystem/v3-LanguageAbilityProficiency ValueSet/v3-LanguageAbilityProficiency THO
23 Logical Observation Identifiers http://loinc.org LOINC provides a set of universal names and ID codes for identifying laboratory and clinical test results.1
2 LOINC facilitates the exchange and pooling of results
such as blood hemoglobin
serum potassium
or vital signs
for clinical care
outcomes management
and research. LOINC's universal identifiers (names and codes) can be used in the context of order and observation exchanges between information systems that use syntax standards such as HL73
CEN TC251
ISO TC215
ASTM4
and DICOM. Specifically
the identifier can be used as the coded value for an observation in any other standard that uses the observation/observation value paradigm
whether messages
documents
application programming interface (API)
etc. For example
LOINC codes are used widely in the OBX segment Observation Identifier field (OBX-3) of an ORU HL7 (HL7 version 2.x or ASTM 1238-9410) message that may be sent between a Clinical Laboratory Information Management Systems (LIMS) and Electronic Health Record Systems (EHR).5
6 In this way
LOINC codes provide universal identifiers that allow the exchange of clinical data between heterogeneous computing environments.
LOINC
24 ManufacturerModelNameExample http://terminology.hl7.org/CodeSystem/v3-ManufacturerModelNameExample ValueSet/v3-ManufacturerModelNameExample THO
25 MaritalStatus http://terminology.hl7.org/CodeSystem/v3-MaritalStatus ValueSet/v3-MaritalStatus THO
26 Media Type http://terminology.hl7.org/CodeSystem/v3-mediaType ValueSet/v3-MediaType THO
27 National Uniform Billing Council http://terminology.hl7.org/CodeSystem/nubc-UB92 National Uniform Billing Council
UB 92
THO
28 North American Industry Classification System http://terminology.hl7.org/CodeSystem/naics ValueSet/v3-OrganizationIndustryClassNAICS THO
29 NullFlavor http://terminology.hl7.org/CodeSystem/v3-NullFlavor ValueSet/CDANullFlavor THO
30 ObservationInterpretation http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation ValueSet/CDAObservationInterpretation THO
31 ObservationMethod http://terminology.hl7.org/CodeSystem/v3-ObservationMethod ValueSet/v3-ObservationMethod THO
32 Orderable Drug Form http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm ValueSet/v3-AdministrableDrugForm THO
33 ParticipationSignature http://terminology.hl7.org/CodeSystem/v3-ParticipationSignature ValueSet/CDASignatureCode THO
34 ParticipationType http://terminology.hl7.org/CodeSystem/v3-ParticipationType ValueSet/v3-ParticipationTargetLocation
ValueSet/v3-xInformationRecipient
ValueSet/CDAParticipationType
ValueSet/v3-ParticipationPhysicalPerformer
ValueSet/v3-xServiceEventPerformer
ValueSet/v3-ParticipationTargetSubject
ValueSet/v3-ParticipationTargetDirect
ValueSet/v3-xEncounterParticipant
THO
35 Race http://terminology.hl7.org/CodeSystem/v3-Race ValueSet/v3-Race THO
36 RelationshipConjunction http://terminology.hl7.org/CodeSystem/v3-RelationshipConjunction ValueSet/v3-RelationshipConjunction THO
37 Religious Affiliation http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation ValueSet/v3-ReligiousAffiliation THO
38 RoleClass http://terminology.hl7.org/CodeSystem/v3-RoleClass ValueSet/CDARoleClassAssociative
ValueSet/v3-RoleClassPassive
ValueSet/CDARoleClassRoot
ValueSet/v3-RoleClassManufacturedProduct
ValueSet/CDAInformationRecipientRole
ValueSet/v3-RoleClassAssignedEntity
ValueSet/v3-RoleClassPartitive
ValueSet/v3-RoleClassAgent
ValueSet/v3-RoleClassRelationshipFormal
ValueSet/CDARoleClassMutualRelationship
ValueSet/v3-RoleClassServiceDeliveryLocation
ValueSet/v3-RoleClassSpecimen
ValueSet/CDARoleClass
THO
39 RoleCode http://terminology.hl7.org/CodeSystem/v3-RoleCode ValueSet/v3-PersonalRelationshipRoleType
ValueSet/CDARoleCode
ValueSet/v3-ServiceDeliveryLocationRoleType
THO
40 RoleLinkType http://terminology.hl7.org/CodeSystem/v3-RoleLinkType ValueSet/v3-RoleLinkType THO
41 RouteOfAdministration http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration ValueSet/v3-RouteOfAdministration THO
42 SetOperator http://terminology.hl7.org/CodeSystem/v3-SetOperator ValueSet/CDASetOperator THO
43 SoftwareNameExample http://terminology.hl7.org/CodeSystem/v3-SoftwareNameExample ValueSet/v3-SoftwareNameExample THO
44 SpecimenType http://terminology.hl7.org/CodeSystem/v3-SpecimenType ValueSet/CDAMaterialEntityClassType THO
45 Tags for the Identification of Languages urn:ietf:bcp:47 ValueSet/all-languages Other
46 TargetAwareness http://terminology.hl7.org/CodeSystem/v3-TargetAwareness ValueSet/v3-TargetAwareness THO