Clinical Document Architecture V2.0.1
2.1.0-draft1 - 1st Draft

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

Logical Model: CDAR2.ClinicalDocument - Detailed Descriptions

Active as of 2023-01-16

Definitions for the ClinicalDocument logical model.

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

1. ClinicalDocument
Control1..1
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:v3.
2. ClinicalDocument.classCode
Control1..1
BindingThe codes SHALL be taken from ActClass; other codes may be used where these codes are not suitable
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueDOCCLIN
Fixed ValueDOCCLIN
3. ClinicalDocument.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
4. ClinicalDocument.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
5. ClinicalDocument.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
6. ClinicalDocument.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
7. ClinicalDocument.id
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
8. ClinicalDocument.code
Control1..1
BindingThe codes SHALL be taken from FHIRDocumentTypeCodes; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
9. ClinicalDocument.title
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ST
10. ClinicalDocument.effectiveTime
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
11. ClinicalDocument.confidentialityCode
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
12. ClinicalDocument.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
13. ClinicalDocument.setId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
14. ClinicalDocument.versionNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
15. ClinicalDocument.copyTime
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
16. ClinicalDocument.recordTarget
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/RecordTarget
17. ClinicalDocument.author
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
18. ClinicalDocument.dataEnterer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/DataEnterer
19. ClinicalDocument.informant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Informant
20. ClinicalDocument.custodian
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Custodian
21. ClinicalDocument.informationRecipient
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/InformationRecipient
22. ClinicalDocument.legalAuthenticator
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/LegalAuthenticator
23. ClinicalDocument.authenticator
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Authenticator
24. ClinicalDocument.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant1
25. ClinicalDocument.inFulfillmentOf
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/InFulfillmentOf
26. ClinicalDocument.documentationOf
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/DocumentationOf
27. ClinicalDocument.relatedDocument
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedDocument
28. ClinicalDocument.authorization
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Authorization
29. ClinicalDocument.componentOf
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ComponentOf
30. ClinicalDocument.component
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Component2

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

1. ClinicalDocument
Definition

Base definition for all types defined in FHIR type system.

Control10..1*
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:v3.
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
2. ClinicalDocument.classCode
Control1..1
BindingThe codes SHALL be taken from ActClass; other codes may be used where these codes are not suitable
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueDOCCLIN
Fixed ValueDOCCLIN
3. ClinicalDocument.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
4. ClinicalDocument.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
5. ClinicalDocument.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
6. ClinicalDocument.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
7. ClinicalDocument.id
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
8. ClinicalDocument.code
Control1..1
BindingThe codes SHALL be taken from FHIRDocumentTypeCodes; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
9. ClinicalDocument.title
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ST
10. ClinicalDocument.effectiveTime
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
11. ClinicalDocument.confidentialityCode
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
12. ClinicalDocument.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
13. ClinicalDocument.setId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
14. ClinicalDocument.versionNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
15. ClinicalDocument.copyTime
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
16. ClinicalDocument.recordTarget
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/RecordTarget
17. ClinicalDocument.author
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
18. ClinicalDocument.dataEnterer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/DataEnterer
19. ClinicalDocument.informant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Informant
20. ClinicalDocument.custodian
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Custodian
21. ClinicalDocument.informationRecipient
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/InformationRecipient
22. ClinicalDocument.legalAuthenticator
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/LegalAuthenticator
23. ClinicalDocument.authenticator
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Authenticator
24. ClinicalDocument.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant1
25. ClinicalDocument.inFulfillmentOf
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/InFulfillmentOf
26. ClinicalDocument.documentationOf
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/DocumentationOf
27. ClinicalDocument.relatedDocument
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedDocument
28. ClinicalDocument.authorization
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Authorization
29. ClinicalDocument.componentOf
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ComponentOf
30. ClinicalDocument.component
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Component2

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

1. ClinicalDocument
Definition

Base definition for all types defined in FHIR type system.

Control1..1
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:v3.
2. ClinicalDocument.classCode
Control1..1
BindingThe codes SHALL be taken from ActClass; other codes may be used where these codes are not suitable
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueDOCCLIN
Fixed ValueDOCCLIN
3. ClinicalDocument.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
4. ClinicalDocument.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
5. ClinicalDocument.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
6. ClinicalDocument.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
7. ClinicalDocument.id
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
8. ClinicalDocument.code
Control1..1
BindingThe codes SHALL be taken from FHIRDocumentTypeCodes; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
9. ClinicalDocument.title
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ST
10. ClinicalDocument.effectiveTime
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
11. ClinicalDocument.confidentialityCode
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
12. ClinicalDocument.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
13. ClinicalDocument.setId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
14. ClinicalDocument.versionNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
15. ClinicalDocument.copyTime
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
16. ClinicalDocument.recordTarget
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/RecordTarget
17. ClinicalDocument.author
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
18. ClinicalDocument.dataEnterer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/DataEnterer
19. ClinicalDocument.informant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Informant
20. ClinicalDocument.custodian
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Custodian
21. ClinicalDocument.informationRecipient
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/InformationRecipient
22. ClinicalDocument.legalAuthenticator
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/LegalAuthenticator
23. ClinicalDocument.authenticator
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Authenticator
24. ClinicalDocument.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant1
25. ClinicalDocument.inFulfillmentOf
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/InFulfillmentOf
26. ClinicalDocument.documentationOf
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/DocumentationOf
27. ClinicalDocument.relatedDocument
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedDocument
28. ClinicalDocument.authorization
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Authorization
29. ClinicalDocument.componentOf
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ComponentOf
30. ClinicalDocument.component
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Component2