Consolidated CDA
3.0.0-ballot - ballot United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0-ballot: CCDA 3.0 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions

Logical Model: Date of Diagnosis Act

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/DateOfDiagnosisAct Version: 3.0.0-ballot
Draft as of 2023-12-21 Computable Name: DateOfDiagnosisAct
Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.502:2022-06-01

This template represents the earliest date of diagnosis, which is the date of first determination by a qualified professional of the presence of a problem or condition affecting a patient. An encounter diagnosis date may be different than this Date of Diagnosis.

The date of diagnosis is usually not the same date as the date of condition onset. A patient may have a condition for some time before it is formally diagnosed.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:date-of-diagnosis-act 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.502
..... @extension 1..1stRequired Pattern: 2022-06-01
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csFixed Value: EVN
.... @code 0..1csRequired Pattern: 77975-1
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1CS
.... @code 1..1csFixed Value: completed
... effectiveTime C1..1IVL_TSts-shall-year: **SHALL** be precise to at least the year
.... @value 1..1ts
.... low 0..0
.... high 0..0

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
should-text-ref-valuewarningActSHOULD contain text/reference/@value
: text.reference.value.exists()
ts-shall-yearerrorAct.effectiveTime**SHALL** be precise to at least the year
: nullFlavor.exists() or value.toString().length() >= 4
value-starts-octothorpeerrorAct.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:date-of-diagnosis-act 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.502
..... @extension 1..1stRequired Pattern: 2022-06-01
... @classCode 1..1csBinding: XActClassDocumentEntryAct (2.0.0) (required)
Fixed Value: ACT
... @moodCode 1..1csBinding: XDocumentActMood (2.0.0) (required)
Fixed Value: EVN
.... @code 0..1csRequired Pattern: 77975-1
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csFixed Value: completed
... effectiveTime C1..1IVL_TSts-shall-year: **SHALL** be precise to at least the year
.... @value 1..1tsDate Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.classCoderequiredFixed Value: ACT
Act.moodCoderequiredFixed Value: EVN
Act.codeexampleActCode
Act.statusCoderequiredActStatus

Constraints

IdGradePath(s)DetailsRequirements
should-text-ref-valuewarningActSHOULD contain text/reference/@value
: text.reference.value.exists()
ts-shall-yearerrorAct.effectiveTime**SHALL** be precise to at least the year
: nullFlavor.exists() or value.toString().length() >= 4
value-starts-octothorpeerrorAct.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
... @nullFlavor 0..1csBinding: CDANullFlavor (required)
... realmCode 0..*CS
... typeId 0..1II
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1st
.... @displayable 0..1bl
.... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1st
.... templateId:date-of-diagnosis-act 1..1II
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.502
..... @extension 1..1stRequired Pattern: 2022-06-01
... @classCode 1..1csBinding: XActClassDocumentEntryAct (2.0.0) (required)
Fixed Value: ACT
... @moodCode 1..1csBinding: XDocumentActMood (2.0.0) (required)
Fixed Value: EVN
... @negationInd 0..1bl
... id 0..*II
... code 1..1CDBinding: v3 Code System ActCode (example)
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @code 0..1csRequired Pattern: 77975-1
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
.... @codeSystemName 0..1st
.... @codeSystemVersion 0..1st
.... @displayName 0..1st
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @compression 0..1csBinding: CompressionAlgorithm (required)
.... @integrityCheck 0..1bin
.... @integrityCheckAlgorithm 0..1csBinding: IntegrityCheckAlgorithm (2.0.0) (required)
.... @language 0..1cs
.... @mediaType 0..1csBinding: MediaType (example)
.... @representation 0..1csBinding: Binary Data Encoding Value Set (required)
.... xmlText 0..1stAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... thumbnail 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @code 1..1csFixed Value: completed
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime C1..1IVL_TSts-shall-year: **SHALL** be precise to at least the year
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @value 1..1tsDate Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
.... @operator 0..1csBinding: SetOperator (required)
.... center 0..1TS
.... width 0..1PQ
... priorityCode 0..1CEBinding: ActPriority (example)
... languageCode 0..1CSBinding: AllLanguages (required)
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Informant
... participant 0..*Participant2
... entryRelationship 0..*EntryRelationship
... reference 0..*Reference
... precondition 0..*Precondition
... sdtcPrecondition2 0..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.nullFlavorrequiredCDANullFlavor
Act.typeId.nullFlavorrequiredCDANullFlavor
Act.templateId:date-of-diagnosis-act.nullFlavorrequiredCDANullFlavor
Act.classCoderequiredFixed Value: ACT
Act.moodCoderequiredFixed Value: EVN
Act.codeexampleActCode
Act.code.nullFlavorrequiredCDANullFlavor
Act.text.nullFlavorrequiredCDANullFlavor
Act.text.compressionrequiredCDACompressionAlgorithm
Act.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
Act.text.mediaTypeexampleMediaType
Act.text.representationrequiredBinaryDataEncoding
Act.statusCoderequiredActStatus
Act.statusCode.nullFlavorrequiredCDANullFlavor
Act.effectiveTime.nullFlavorrequiredCDANullFlavor
Act.effectiveTime.operatorrequiredSetOperator
Act.priorityCodeexampleActPriority
Act.languageCoderequiredAllLanguages

Constraints

IdGradePath(s)DetailsRequirements
should-text-ref-valuewarningActSHOULD contain text/reference/@value
: text.reference.value.exists()
ts-shall-yearerrorAct.effectiveTime**SHALL** be precise to at least the year
: nullFlavor.exists() or value.toString().length() >= 4
value-starts-octothorpeerrorAct.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

This structure is derived from Act

Summary

Mandatory: 9 elements
Fixed Value: 3 elements
Prohibited: 2 elements

Slices

This structure defines the following Slices:

  • The element Act.templateId is sliced based on the values of value:root, value:extension

Differential View

This structure is derived from Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:date-of-diagnosis-act 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.502
..... @extension 1..1stRequired Pattern: 2022-06-01
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csFixed Value: EVN
.... @code 0..1csRequired Pattern: 77975-1
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1CS
.... @code 1..1csFixed Value: completed
... effectiveTime C1..1IVL_TSts-shall-year: **SHALL** be precise to at least the year
.... @value 1..1ts
.... low 0..0
.... high 0..0

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
should-text-ref-valuewarningActSHOULD contain text/reference/@value
: text.reference.value.exists()
ts-shall-yearerrorAct.effectiveTime**SHALL** be precise to at least the year
: nullFlavor.exists() or value.toString().length() >= 4
value-starts-octothorpeerrorAct.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:date-of-diagnosis-act 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.502
..... @extension 1..1stRequired Pattern: 2022-06-01
... @classCode 1..1csBinding: XActClassDocumentEntryAct (2.0.0) (required)
Fixed Value: ACT
... @moodCode 1..1csBinding: XDocumentActMood (2.0.0) (required)
Fixed Value: EVN
.... @code 0..1csRequired Pattern: 77975-1
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csFixed Value: completed
... effectiveTime C1..1IVL_TSts-shall-year: **SHALL** be precise to at least the year
.... @value 1..1tsDate Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.classCoderequiredFixed Value: ACT
Act.moodCoderequiredFixed Value: EVN
Act.codeexampleActCode
Act.statusCoderequiredActStatus

Constraints

IdGradePath(s)DetailsRequirements
should-text-ref-valuewarningActSHOULD contain text/reference/@value
: text.reference.value.exists()
ts-shall-yearerrorAct.effectiveTime**SHALL** be precise to at least the year
: nullFlavor.exists() or value.toString().length() >= 4
value-starts-octothorpeerrorAct.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
... @nullFlavor 0..1csBinding: CDANullFlavor (required)
... realmCode 0..*CS
... typeId 0..1II
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1st
.... @displayable 0..1bl
.... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1st
.... templateId:date-of-diagnosis-act 1..1II
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.502
..... @extension 1..1stRequired Pattern: 2022-06-01
... @classCode 1..1csBinding: XActClassDocumentEntryAct (2.0.0) (required)
Fixed Value: ACT
... @moodCode 1..1csBinding: XDocumentActMood (2.0.0) (required)
Fixed Value: EVN
... @negationInd 0..1bl
... id 0..*II
... code 1..1CDBinding: v3 Code System ActCode (example)
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @code 0..1csRequired Pattern: 77975-1
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
.... @codeSystemName 0..1st
.... @codeSystemVersion 0..1st
.... @displayName 0..1st
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @compression 0..1csBinding: CompressionAlgorithm (required)
.... @integrityCheck 0..1bin
.... @integrityCheckAlgorithm 0..1csBinding: IntegrityCheckAlgorithm (2.0.0) (required)
.... @language 0..1cs
.... @mediaType 0..1csBinding: MediaType (example)
.... @representation 0..1csBinding: Binary Data Encoding Value Set (required)
.... xmlText 0..1stAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... thumbnail 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @code 1..1csFixed Value: completed
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime C1..1IVL_TSts-shall-year: **SHALL** be precise to at least the year
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @value 1..1tsDate Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
.... @operator 0..1csBinding: SetOperator (required)
.... center 0..1TS
.... width 0..1PQ
... priorityCode 0..1CEBinding: ActPriority (example)
... languageCode 0..1CSBinding: AllLanguages (required)
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Informant
... participant 0..*Participant2
... entryRelationship 0..*EntryRelationship
... reference 0..*Reference
... precondition 0..*Precondition
... sdtcPrecondition2 0..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.nullFlavorrequiredCDANullFlavor
Act.typeId.nullFlavorrequiredCDANullFlavor
Act.templateId:date-of-diagnosis-act.nullFlavorrequiredCDANullFlavor
Act.classCoderequiredFixed Value: ACT
Act.moodCoderequiredFixed Value: EVN
Act.codeexampleActCode
Act.code.nullFlavorrequiredCDANullFlavor
Act.text.nullFlavorrequiredCDANullFlavor
Act.text.compressionrequiredCDACompressionAlgorithm
Act.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
Act.text.mediaTypeexampleMediaType
Act.text.representationrequiredBinaryDataEncoding
Act.statusCoderequiredActStatus
Act.statusCode.nullFlavorrequiredCDANullFlavor
Act.effectiveTime.nullFlavorrequiredCDANullFlavor
Act.effectiveTime.operatorrequiredSetOperator
Act.priorityCodeexampleActPriority
Act.languageCoderequiredAllLanguages

Constraints

IdGradePath(s)DetailsRequirements
should-text-ref-valuewarningActSHOULD contain text/reference/@value
: text.reference.value.exists()
ts-shall-yearerrorAct.effectiveTime**SHALL** be precise to at least the year
: nullFlavor.exists() or value.toString().length() >= 4
value-starts-octothorpeerrorAct.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

This structure is derived from Act

Summary

Mandatory: 9 elements
Fixed Value: 3 elements
Prohibited: 2 elements

Slices

This structure defines the following Slices:

  • The element Act.templateId is sliced based on the values of value:root, value:extension

 

Other representations of profile: CSV, Excel