Clinical Document Architecture
2.0.0-sd - release

This page is part of the CDA: Clinical Document Architecture (v2.0.0-sd: CDA2 - Informative) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

Logical Model: CR - XML Profile

Active as of 2024-05-17

XML representation of the CR logical model.

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="CR"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>A concept qualifier code with optionally named role. Both qualifier role and value codes must be defined by the coding system. For example, if SNOMED RT defines a concept &quot;leg&quot;, a role relation &quot;has-laterality&quot;, and another concept &quot;left&quot;, the concept role relation allows to add the qualifier &quot;has-laterality: left&quot; to a primary code &quot;leg&quot; to construct the meaning &quot;left leg&quot;.</p>
    </div>
  </text>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/logical-target">
    <valueBoolean>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
        <valueCode value="not-applicable"/>
      </extension>
    </valueBoolean>
  </extension>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
    <valueUri value="urn:hl7-org:v3"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/logical-container">
    <valueUri
              value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
  </extension>
  <url value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
  <version value="2.0.0-sd"/>
  <name value="CR"/>
  <title value="CR: ConceptRole (V3 Data Type)"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-05-17T05:59:32+10:00"/>
  <publisher value="Health Level 7"/>
  <contact>
    <name value="HL7 International - Structured Documents"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/structure"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="structdog@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="A concept qualifier code with optionally named role. Both qualifier role and value codes must be defined by the coding system of the CD containing the concept qualifier. For example, if SNOMED RT defines a concept &quot;leg&quot;, a role relation &quot;has-laterality&quot;, and another concept &quot;left&quot;, the concept role relation allows to add the qualifier &quot;has-laterality: left&quot; to a primary code &quot;leg&quot; to construct the meaning &quot;left leg&quot;."/>
  <fhirVersion value="5.0.0"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="http://hl7.org/cda/stds/core/StructureDefinition/CR"/>
  <baseDefinition
                  value="http://hl7.org/cda/stds/core/StructureDefinition/ANY"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="CR">
      <path value="CR"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="A concept qualifier code with optionally named role. Both qualifier role and value codes must be defined by the coding system. For example, if SNOMED RT defines a concept &quot;leg&quot;, a role relation &quot;has-laterality&quot;, and another concept &quot;left&quot;, the concept role relation allows to add the qualifier &quot;has-laterality: left&quot; to a primary code &quot;leg&quot; to construct the meaning &quot;left leg&quot;."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="value-null-cr"/>
        <severity value="error"/>
        <human
               value="Must contain value or nullFlavor. If nullFlavor is present, name and value must not be present."/>
        <expression
                    value="(value.exists() or nullFlavor.exists()) and (nullFlavor.exists() implies (name | value).empty())"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="CR.nullFlavor">
      <path value="CR.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="CR.inverted">
      <path value="CR.inverted"/>
      <representation value="xmlAttr"/>
      <label value="Inversion Indicator"/>
      <definition
                  value="Indicates if the sense of the role name is inverted. This can be used in cases where the underlying code system defines inversion but does not provide reciprocal pairs of role names. By default, inverted is false."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CR.inverted"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bn"/>
      </type>
    </element>
    <element id="CR.name">
      <path value="CR.name"/>
      <label value="Name"/>
      <definition
                  value="Specifies the manner in which the concept role value contributes to the meaning of a code phrase. For example, if SNOMED RT defines a concept &quot;leg&quot;, a role relation &quot;has-laterality&quot;, and another concept &quot;left&quot;, the concept role relation allows to add the qualifier &quot;has-laterality: left&quot; to a primary code &quot;leg&quot; to construct the meaning &quot;left leg&quot;. In this example &quot;has-laterality&quot; is the CR.name."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CR.name"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CV"/>
      </type>
    </element>
    <element id="CR.value">
      <path value="CR.value"/>
      <label value="Value"/>
      <definition
                  value="The concept that modifies the primary code of a code phrase through the role relation. For example, if SNOMED RT defines a concept &quot;leg&quot;, a role relation &quot;has-laterality&quot;, and another concept &quot;left&quot;, the concept role relation allows adding the qualifier &quot;has-laterality: left&quot; to a primary code &quot;leg&quot; to construct the meaning &quot;left leg&quot;. In this example &quot;left&quot; is the CR.value."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CR.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="CR">
      <path value="CR"/>
      <definition
                  value="A concept qualifier code with optionally named role. Both qualifier role and value codes must be defined by the coding system. For example, if SNOMED RT defines a concept &quot;leg&quot;, a role relation &quot;has-laterality&quot;, and another concept &quot;left&quot;, the concept role relation allows to add the qualifier &quot;has-laterality: left&quot; to a primary code &quot;leg&quot; to construct the meaning &quot;left leg&quot;."/>
      <min value="1"/>
      <max value="*"/>
      <constraint>
        <key value="value-null-cr"/>
        <severity value="error"/>
        <human
               value="Must contain value or nullFlavor. If nullFlavor is present, name and value must not be present."/>
        <expression
                    value="(value.exists() or nullFlavor.exists()) and (nullFlavor.exists() implies (name | value).empty())"/>
      </constraint>
    </element>
    <element id="CR.inverted">
      <path value="CR.inverted"/>
      <representation value="xmlAttr"/>
      <label value="Inversion Indicator"/>
      <definition
                  value="Indicates if the sense of the role name is inverted. This can be used in cases where the underlying code system defines inversion but does not provide reciprocal pairs of role names. By default, inverted is false."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
        <profile value="http://hl7.org/cda/stds/core/StructureDefinition/bn"/>
      </type>
    </element>
    <element id="CR.name">
      <path value="CR.name"/>
      <label value="Name"/>
      <definition
                  value="Specifies the manner in which the concept role value contributes to the meaning of a code phrase. For example, if SNOMED RT defines a concept &quot;leg&quot;, a role relation &quot;has-laterality&quot;, and another concept &quot;left&quot;, the concept role relation allows to add the qualifier &quot;has-laterality: left&quot; to a primary code &quot;leg&quot; to construct the meaning &quot;left leg&quot;. In this example &quot;has-laterality&quot; is the CR.name."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CV"/>
      </type>
    </element>
    <element id="CR.value">
      <path value="CR.value"/>
      <label value="Value"/>
      <definition
                  value="The concept that modifies the primary code of a code phrase through the role relation. For example, if SNOMED RT defines a concept &quot;leg&quot;, a role relation &quot;has-laterality&quot;, and another concept &quot;left&quot;, the concept role relation allows adding the qualifier &quot;has-laterality: left&quot; to a primary code &quot;leg&quot; to construct the meaning &quot;left leg&quot;. In this example &quot;left&quot; is the CR.value."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
  </differential>
</StructureDefinition>