Clinical Document Architecture V2.0.1
2.1.0-draft1 - 1st Draft
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 
| Active as of 2023-01-16 |
JSON representation of the Patient logical model.
{
"resourceType" : "StructureDefinition",
"id" : "Patient",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>A LivingSubject as a recipient of health care services from a healthcare provider.</p>\n <p>The patient is the player; the provider is the scoper.</p>\n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:v3"
}
],
"url" : "http://hl7.org/fhir/cda/StructureDefinition/Patient",
"version" : "2.1.0-draft1",
"name" : "CDAR2.Patient",
"title" : "Patient (CDA Class)",
"status" : "active",
"experimental" : false,
"date" : "2023-01-16T16:39:50+11:00",
"publisher" : "Health Level 7",
"contact" : [
{
"name" : "HL7 International - Cross-Group Projects",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cgp"
},
{
"system" : "email",
"value" : "cgp@lists.HL7.org"
}
]
}
],
"description" : "A LivingSubject as a recipient of health care services from a healthcare provider.\nThe patient is the player; the provider is the scoper.",
"fhirVersion" : "5.0.0-snapshot3",
"mapping" : [
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}
],
"kind" : "logical",
"abstract" : false,
"type" : "Patient",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
"derivation" : "specialization",
"snapshot" : {
"element" : [
{
"id" : "Patient",
"path" : "Patient",
"short" : "Base for all types and resources",
"definition" : "Base definition for all types defined in FHIR type system.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Patient.classCode",
"path" : "Patient.classCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Patient.classCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"defaultValueCode" : "PSN",
"fixedCode" : "PSN",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"
}
},
{
"id" : "Patient.determinerCode",
"path" : "Patient.determinerCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Patient.determinerCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"defaultValueCode" : "INSTANCE",
"fixedCode" : "INSTANCE",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"
}
},
{
"id" : "Patient.templateId",
"path" : "Patient.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",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Patient.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id" : "Patient.id",
"path" : "Patient.id",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id" : "Patient.name",
"path" : "Patient.name",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Patient.name",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/EN"
}
]
},
{
"id" : "Patient.sdtcDesc",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "desc"
}
],
"path" : "Patient.sdtcDesc",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.sdtcDesc",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
}
]
},
{
"id" : "Patient.administrativeGenderCode",
"path" : "Patient.administrativeGenderCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.administrativeGenderCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-AdministrativeGender"
}
},
{
"id" : "Patient.birthTime",
"path" : "Patient.birthTime",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.birthTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/TS"
}
]
},
{
"id" : "Patient.sdtcDeceasedInd",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "deceasedInd"
}
],
"path" : "Patient.sdtcDeceasedInd",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.sdtcDeceasedInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id" : "Patient.sdtcDeceasedTime",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "deceasedTime"
}
],
"path" : "Patient.sdtcDeceasedTime",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.sdtcDeceasedTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/TS"
}
]
},
{
"id" : "Patient.sdtcMultipleBirthInd",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "multipleBirthInd"
}
],
"path" : "Patient.sdtcMultipleBirthInd",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.sdtcMultipleBirthInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id" : "Patient.sdtcMultipleBirthOrderNumber",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "multipleBirthOrderNumber"
}
],
"path" : "Patient.sdtcMultipleBirthOrderNumber",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.sdtcMultipleBirthOrderNumber",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/INT-POS"
}
]
},
{
"id" : "Patient.maritalStatusCode",
"path" : "Patient.maritalStatusCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.maritalStatusCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-MaritalStatus"
}
},
{
"id" : "Patient.religiousAffiliationCode",
"path" : "Patient.religiousAffiliationCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.religiousAffiliationCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"
}
},
{
"id" : "Patient.raceCode",
"path" : "Patient.raceCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.raceCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-Race"
}
},
{
"id" : "Patient.sdtcRaceCode",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "raceCode"
}
],
"path" : "Patient.sdtcRaceCode",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Patient.sdtcRaceCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-Race"
}
},
{
"id" : "Patient.ethnicGroupCode",
"path" : "Patient.ethnicGroupCode",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.ethnicGroupCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-Ethnicity"
}
},
{
"id" : "Patient.sdtcEthnicGroupCode",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "ethnicGroupCode"
}
],
"path" : "Patient.sdtcEthnicGroupCode",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Patient.sdtcEthnicGroupCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-Ethnicity"
}
},
{
"id" : "Patient.guardian",
"path" : "Patient.guardian",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Patient.guardian",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Guardian"
}
]
},
{
"id" : "Patient.birthplace",
"path" : "Patient.birthplace",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.birthplace",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Birthplace"
}
]
},
{
"id" : "Patient.languageCommunication",
"path" : "Patient.languageCommunication",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Patient.languageCommunication",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/LanguageCommunication"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Patient",
"path" : "Patient",
"min" : 1,
"max" : "1"
},
{
"id" : "Patient.classCode",
"path" : "Patient.classCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"defaultValueCode" : "PSN",
"fixedCode" : "PSN",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"
}
},
{
"id" : "Patient.determinerCode",
"path" : "Patient.determinerCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"defaultValueCode" : "INSTANCE",
"fixedCode" : "INSTANCE",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"
}
},
{
"id" : "Patient.templateId",
"path" : "Patient.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",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id" : "Patient.id",
"path" : "Patient.id",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id" : "Patient.name",
"path" : "Patient.name",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/EN"
}
]
},
{
"id" : "Patient.sdtcDesc",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "desc"
}
],
"path" : "Patient.sdtcDesc",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/ED"
}
]
},
{
"id" : "Patient.administrativeGenderCode",
"path" : "Patient.administrativeGenderCode",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-AdministrativeGender"
}
},
{
"id" : "Patient.birthTime",
"path" : "Patient.birthTime",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/TS"
}
]
},
{
"id" : "Patient.sdtcDeceasedInd",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "deceasedInd"
}
],
"path" : "Patient.sdtcDeceasedInd",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id" : "Patient.sdtcDeceasedTime",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "deceasedTime"
}
],
"path" : "Patient.sdtcDeceasedTime",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/TS"
}
]
},
{
"id" : "Patient.sdtcMultipleBirthInd",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "multipleBirthInd"
}
],
"path" : "Patient.sdtcMultipleBirthInd",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id" : "Patient.sdtcMultipleBirthOrderNumber",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "multipleBirthOrderNumber"
}
],
"path" : "Patient.sdtcMultipleBirthOrderNumber",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/INT-POS"
}
]
},
{
"id" : "Patient.maritalStatusCode",
"path" : "Patient.maritalStatusCode",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-MaritalStatus"
}
},
{
"id" : "Patient.religiousAffiliationCode",
"path" : "Patient.religiousAffiliationCode",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"
}
},
{
"id" : "Patient.raceCode",
"path" : "Patient.raceCode",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-Race"
}
},
{
"id" : "Patient.sdtcRaceCode",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "raceCode"
}
],
"path" : "Patient.sdtcRaceCode",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-Race"
}
},
{
"id" : "Patient.ethnicGroupCode",
"path" : "Patient.ethnicGroupCode",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-Ethnicity"
}
},
{
"id" : "Patient.sdtcEthnicGroupCode",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString" : "ethnicGroupCode"
}
],
"path" : "Patient.sdtcEthnicGroupCode",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "extensible",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-Ethnicity"
}
},
{
"id" : "Patient.guardian",
"path" : "Patient.guardian",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Guardian"
}
]
},
{
"id" : "Patient.birthplace",
"path" : "Patient.birthplace",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/Birthplace"
}
]
},
{
"id" : "Patient.languageCommunication",
"path" : "Patient.languageCommunication",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "http://hl7.org/fhir/cda/StructureDefinition/LanguageCommunication"
}
]
}
]
}
}
IG © 2019+ Health Level 7. Package hl7.cda.uv.core#2.1.0-draft1 based on FHIR 5.0.0-snapshot3. Generated 2023-01-16
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