This page is part of the CCDA: Consolidated CDA Release (v4.0.0-ballot: CCDA 4.0 Ballot 1) generated with FHIR (HL7® FHIR® Standard) v5.0.0. The current version which supersedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/ProgressNote | Version: 4.0.0-ballot | |||
Active as of 2024-12-20 | Computable Name: ProgressNote | |||
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.1.9:2024-05-01 |
This template represents a patient's clinical status during a hospitalization, outpatient visit, treatment with a LTPAC provider, or other healthcare encounter.
Taber's medical dictionary defines a Progress Note as "An ongoing record of a patient's illness and treatment. Physicians, nurses, consultants, and therapists record their notes concerning the progress or lack of progress made by the patient between the time of the previous note and the most recent note."
Mosby's medical dictionary defines a Progress Note as "Notes made by a nurse, physician, social worker, physical therapist, and other health care professionals that describe the patient's condition and the treatment given or planned."
A Progress Note is not a re-evaluation note. A Progress Note is not intended to be a Progress Report for Medicare. Medicare B Section 1833(e) defines the requirements of a Medicare Progress Report.
Systems shall include the full narrative Progress Note in an appropriate section. Acceptable sections include the Assessment, Plan of Treatment, Assessment and Plan, or Note sections. In all cases, the narrative Progress Note shall be wrapped within a Note Activity Act to ensure proper ingestion.
Although document templates may contain any section, the following sections are specifically called out by this template:
Required Sections
Additional Sections
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from USRealmHeader
Name | Flags | Card. | Type | Description & Constraints![]() |
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C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) category-11506-3: If category is present, then there shall be a category with LOINC code '11506-3'. should-documentationOf: SHOULD contain documentationOf |
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2..* | II | ||
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Content/Rules for all slices | |||
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1..1 | II | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.9 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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0..* | CD | Used to categorize the document as a Progress Note. If present, there SHALL be a category of 11506-3 (Progress note). | |
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1..1 | CE | The Progress Note recommends use of a single document type code, 11506-3 "Progress note", with further specification provided by author or performer, setting, or specialty. When pre-coordinated codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type. Binding: ProgressNoteDocumentTypeCode ![]() | |
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0..1 | DocumentationOf | A documentationOf can contain a serviceEvent to further specialize the act inherent in the ClinicalDocument/code. In a Progress Note, a serviceEvent can represent the event of writing the Progress Note. The serviceEvent/effectiveTime is the time period the note documents. | |
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1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. | |
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1..* | II | Slice: Unordered, Open by value:root | |
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1..1 | II | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.21.3.1 | |
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0..0 | |||
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1..1 | cs | Fixed Value: PCPR | |
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C | 1..1 | USRealmDateTimeInterval | 1198-10066: If a width element is not present, the serviceEvent **SHALL** include effectiveTime/high (CONF:1198-10066). |
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1..1 | ComponentOf | The Progress Note is always associated with an encounter by the componentOf/encompassingEncounter element in the header. The effectiveTime element for an encompassingEncounter represents the time or time interval in which the encounter took place. A single encounter may contain multiple Progress Notes; hence the effectiveTime elements for a Progress Note (recorded in serviceEvent) and for an encounter (recorded in encompassingEncounter) represent different time intervals. For outpatient encounters that are a point in time, set effectiveTime/high, effectiveTime/low, and effectiveTime/@value to the same time. All visits take place at a specific location. When available, the location ID is included in the encompassingEncounter/location/healthCareFacility/id element. | |
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1..1 | EncompassingEncounter | ||
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1..* | II | ||
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1..1 | USRealmDateTimeInterval | ||
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1..1 | IVXB_TS | **MAY** be precise to at least the second | |
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1..1 | InfrastructureRoot | ||
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1..1 | HealthCareFacility | ||
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1..* | II | ||
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1..1 | Component | ||
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C | 1..1 | StructuredBody | In this template (templateId 2.16.840.1.113883.10.20.22.1.9.2), coded entries are optional ap-or-a-and-p: **SHALL** include an Assessment and Plan Section, or both an Assessment Section and a Plan of Treatment Section. ap-combo: This structuredBody **SHALL NOT** contain an Assessment and Plan Section (2.16.840.1.113883.10.20.22.2.9:2014-06-09) when either an Assessment Section (2.16.840.1.113883.10.20.22.2.8) or a Plan of Treatment Section (2.16.840.1.113883.10.20.22.2.10:2014-06-09) is present. |
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1..* | InfrastructureRoot | Slice: Unordered, Open by profile:section | |
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0..1 | InfrastructureRoot | ||
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1..1 | AssessmentSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | PlanofTreatmentSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | AssessmentandPlanSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | AllergiesAndIntolerancesSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | ChiefComplaintSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | ActivitiesSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | InstructionsSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | MedicationsSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | ObjectiveSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | PhysicalExamSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | ProblemSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | ResultsSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | ReviewofSystemsSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | SubjectiveSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | VitalSignsSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | NutritionSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | MentalStatusSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | AdvanceDirectivesSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | NotesSection | ||
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Path | Conformance | ValueSet | URI |
ClinicalDocument.code | required | ProgressNoteDocumentTypeCode ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.8.1 |
Id | Grade | Path(s) | Details | Requirements |
1198-10066 | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime | If a width element is not present, the serviceEvent **SHALL** include effectiveTime/high (CONF:1198-10066). : width.empty() implies high.exists() | |
ap-combo | error | ClinicalDocument.component.structuredBody | This structuredBody **SHALL NOT** contain an Assessment and Plan Section (2.16.840.1.113883.10.20.22.2.9:2014-06-09) when either an Assessment Section (2.16.840.1.113883.10.20.22.2.8) or a Plan of Treatment Section (2.16.840.1.113883.10.20.22.2.10:2014-06-09) is present. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentandPlanSection')).exists() implies component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection')).empty() | |
ap-or-a-and-p | error | ClinicalDocument.component.structuredBody | **SHALL** include an Assessment and Plan Section, or both an Assessment Section and a Plan of Treatment Section. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentandPlanSection')).exists() or (component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection')).count() = 2) | |
category-11506-3 | error | ClinicalDocument | If category is present, then there shall be a category with LOINC code '11506-3'. : sdtcCategory.empty() or sdtcCategory.exists(code = '11506-3' and codeSystem = '2.16.840.1.113883.6.1') | |
should-documentationOf | warning | ClinicalDocument | SHOULD contain documentationOf : documentationOf.exists() |
Name | Flags | Card. | Type | Description & Constraints![]() |
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C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) 4537-6380: If setId is present versionNumber **SHALL** be present (CONF:4537-6380). 4537-6387: If versionNumber is present setId **SHALL** be present (CONF:4537-6387). should-legalAuthenticator: SHOULD contain legalAuthenticator should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant category-11506-3: If category is present, then there shall be a category with LOINC code '11506-3'. should-documentationOf: SHOULD contain documentationOf |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..1 | CS | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: US | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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C | 1..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | Fixed Value: POCD_HD000040 | |
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2..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.1 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.9 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991). | |
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0..* | CD | XML Namespace: urn:hl7-org:sdtc Used to categorize the document as a Progress Note. If present, there SHALL be a category of 11506-3 (Progress note). XML: category (urn:hl7-org:sdtc) | |
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1..1 | CE | The Progress Note recommends use of a single document type code, 11506-3 "Progress note", with further specification provided by author or performer, setting, or specialty. When pre-coordinated codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type. Binding: ProgressNoteDocumentTypeCode ![]() | |
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1..1 | cs | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code | |
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0..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required) | |
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1..1 | USRealmDateTime | ||
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1..1 | CE | ||
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1..1 | cs | Binding: HL7 BasicConfidentialityKind ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | CS | Binding: AllLanguages (required) | |
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0..1 | II | ||
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0..1 | INT | ||
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0..1 | TS | ||
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1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RCT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | PatientRole | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassRelationshipFormal (required) Fixed Value: PAT | |
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1..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address | |
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C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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C | 1..1 | Patient | 4537-32993: If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true should-maritalStatusCode: SHOULD contain maritalStatusCode should-us-languageCommunication: SHOULD contain languageCommunication |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | II | ||
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1..* | USRealmPatientNamePTNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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1..1 | CE | Binding: Administrative Gender (HL7 V3) ![]() | |
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C | 1..1 | TS | 𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day |
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0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc) | |
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C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) should-value-att: SHOULD contain @value ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day |
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0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc) | |
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0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Marital Status ![]() | |
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0..1 | CE | Binding: Religious Affiliation ![]() | |
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1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls ![]() | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Race Value Set ![]() | |
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1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity ![]() | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity ![]() | |
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C | 0..* | Guardian | should-us-code: SHOULD contain code should-us-addr: SHOULD contain addr should-us-telecom: SHOULD contain telecom |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAgent (required) Fixed Value: GUARD | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Personal And Legal Relationship Role Type ![]() | |
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0..* | USRealmAddress | ||
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C | 0..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Birthplace | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassPassive (required) Fixed Value: BIRTHPL | |
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1..1 | Place | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassPlace (required) Fixed Value: PLC | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | EN | ||
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C | 1..1 | AD | 4537-5402: If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). 4537-5403: If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). should-country: SHOULD contain country |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | bl | ||
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0..* | cs | Binding: CDAPostalAddressUse (required) | |
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C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance AD-1: Can only have only one of the possible item elements in each choice |
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1..1 | |||
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DEL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CNT | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STA | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CPA | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CTY | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ZIP | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: SAL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNN | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DIR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STB | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STTYP | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ADL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNID | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNIT | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CAR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CEN | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DAL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINST | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTA | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTQ | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMOD | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMODID | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNS | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: POB | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: PRE | |
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0..1 | st | Allows for mixed text content | |
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode should-preferenceInd: SHOULD contain preferenceInd |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | CS | Binding: Language codes with language and optionally a region modifier (required) | |
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0..1 | CE | Binding: LanguageAbilityMode ![]() | |
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0..1 | CE | Binding: LanguageAbilityProficiency ![]() | |
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0..1 | BL | ||
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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1..* | ON | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..* | USRealmAddress | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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1..* | Author | The author element represents the creator of the clinical document. The author may be a device or a person. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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1..1 | USRealmDateTime | ||
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C | 1..1 | AssignedAuthor | 4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). should-id-npi: SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) should-us-code: SHOULD contain code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | Slice: Unordered, Open by value:root | |
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C | 0..1 | II | should-extension: SHOULD contain extension |
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0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6 | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: CDARoleCode (example) | |
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1..1 | cs | Binding: Healthcare Provider Taxonomy ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | |||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | AuthoringDevice | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassDevice (required) Fixed Value: DEV | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | CE | Binding: CDAEntityCode (example) | |
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1..1 | SC | Binding: Manufacturer Model Name Example (example) | |
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1..1 | SC | Binding: Software Name Example (example) | |
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0..* | MaintainedEntity | ||
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0..1 | Organization | ||
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0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: ENT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | USRealmDateTime | ||
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Informant | Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity | |
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0..* | Informant | The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946). | |
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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1..* | USRealmAddress | ||
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0..* | TEL | ||
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Informant | The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | RelatedEntity | ||
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1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST | |
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1..1 | AssignedCustodian | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..1 | CustodianOrganization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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1..1 | ON | ||
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C | 1..1 | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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0..* | TEL | XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc) | |
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1..1 | USRealmAddress | ||
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0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: XInformationRecipient (2.0.0) (required) | |
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1..1 | IntendedRecipient | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAInformationRecipientRole (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..* | II | ||
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1..1 | ON | ||
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0..* | TEL | ||
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0..* | AD | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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0..1 | LegalAuthenticator | The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LA | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI) | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUTHEN | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Healthcare Provider Taxonomy ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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C | 0..* | Participant1 | The participant element identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin). 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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0..1 | USRealmDateTimeInterval | ||
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1..1 | AssociatedEntity | ||
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0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS | |
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1..1 | Order | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) | |
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0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO | |
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1..* | II | ||
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0..1 | CE | Binding: v3 Code System ActCode (example) | |
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | DocumentationOf | A documentationOf can contain a serviceEvent to further specialize the act inherent in the ClinicalDocument/code. In a Progress Note, a serviceEvent can represent the event of writing the Progress Note. The serviceEvent/effectiveTime is the time period the note documents. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: DOC | |
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C | 1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-us-performer: SHOULD contain performer |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.21.3.1 | |
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1..1 | cs | Binding: CDAActClass (required) Fixed Value: PCPR | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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0..1 | CE | ||
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C | 1..1 | USRealmDateTimeInterval | 1198-10066: If a width element is not present, the serviceEvent **SHALL** include effectiveTime/high (CONF:1198-10066). |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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C | 1..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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C | 0..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..* | Performer1 | The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ServiceEventPerformer ![]() | |
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C | 0..1 | CE | should-code-attr: SHOULD contain @code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Care Team Member Function ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..1 | USRealmDateTimeInterval | ||
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C | 1..1 | AssignedEntity | should-us-code: SHOULD contain code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | RelatedDocument | ||
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0..* | Authorization | The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH | |
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1..1 | Consent | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: CONS | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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0..1 | CE | The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: v3 Code System ActCode (example) | |
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1..1 | CS | Binding: ActStatus (required) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Fixed Value: completed | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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1..1 | ComponentOf | The Progress Note is always associated with an encounter by the componentOf/encompassingEncounter element in the header. The effectiveTime element for an encompassingEncounter represents the time or time interval in which the encounter took place. A single encounter may contain multiple Progress Notes; hence the effectiveTime elements for a Progress Note (recorded in serviceEvent) and for an encounter (recorded in encompassingEncounter) represent different time intervals. For outpatient encounters that are a point in time, set effectiveTime/high, effectiveTime/low, and effectiveTime/@value to the same time. All visits take place at a specific location. When available, the location ID is included in the encompassingEncounter/location/healthCareFacility/id element. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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C | 1..1 | EncompassingEncounter | should-responsibleParty: SHOULD contain responsibleParty |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..* | II | ||
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0..1 | CE | Binding: Act Encounter Codes ![]() | |
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1..1 | USRealmDateTimeInterval | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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C | 1..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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C | 0..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: USEncounterDischargeDisposition (example) | |
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RESP | |
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C | 1..1 | AssignedEntity | 1198-32905: This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). |
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0..* | EncounterParticipant | ||
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1..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ParticipationTargetLocation (required) Fixed Value: LOC | |
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1..1 | HealthCareFacility | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassServiceDeliveryLocation (required) | |
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1..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: ServiceDeliveryLocationRoleType (example) | |
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0..1 | Place | ||
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0..1 | Organization | ||
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1..1 | Component | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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0..1 | NonXMLBody | ||
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C | 1..1 | StructuredBody | In this template (templateId 2.16.840.1.113883.10.20.22.1.9.2), coded entries are optional ap-or-a-and-p: **SHALL** include an Assessment and Plan Section, or both an Assessment Section and a Plan of Treatment Section. ap-combo: This structuredBody **SHALL NOT** contain an Assessment and Plan Section (2.16.840.1.113883.10.20.22.2.9:2014-06-09) when either an Assessment Section (2.16.840.1.113883.10.20.22.2.8) or a Plan of Treatment Section (2.16.840.1.113883.10.20.22.2.10:2014-06-09) is present. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCBODY | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..1 | CE | ||
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0..1 | CS | Binding: AllLanguages (required) | |
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1..* | InfrastructureRoot | Slice: Unordered, Open by profile:section | |
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Content/Rules for all slices | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | Section | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | AssessmentSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | PlanofTreatmentSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | AssessmentandPlanSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | AllergiesAndIntolerancesSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ChiefComplaintSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ActivitiesSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | InstructionsSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | MedicationsSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ObjectiveSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | PhysicalExamSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ProblemSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ResultsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | ReviewofSystemsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | SubjectiveSection | ||
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0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | VitalSignsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | NutritionSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | MentalStatusSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
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1..1 | AdvanceDirectivesSection | ||
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0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
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1..1 | NotesSection | ||
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Path | Conformance | ValueSet / Code | URI |
ClinicalDocument.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.classCode | example | Fixed Value: DOCCLINhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.realmCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:us-realm.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:progress-note.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.code | required | ProgressNoteDocumentTypeCode ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.8.1 | |
ClinicalDocument.sdtcStatusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.confidentialityCode.code | preferred | HL7BasicConfidentialityKind ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 | |
ClinicalDocument.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.recordTarget.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeCode | required | Fixed Value: RCThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.recordTarget.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.recordTarget.patientRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.classCode | required | Fixed Value: PAThttp://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal | |
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode | required | AdministrativeGenderHL7V3 ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 | |
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode | required | MaritalStatus ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212 | |
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode | required | ReligiousAffiliation ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185 | |
ClinicalDocument.recordTarget.patientRole.patient.raceCode | required | RaceCategoryExcludingNulls ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | required | RaceValueSet ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914 | |
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode | required | Ethnicity ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode | required | DetailedEthnicity ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode | required | Fixed Value: GUARDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAgent | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.code | required | PersonalAndLegalRelationshipRoleType ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode | required | Fixed Value: BIRTHPLhttp://terminology.hl7.org/ValueSet/v3-RoleClassPassive | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode | required | Fixed Value: PLChttp://terminology.hl7.org/ValueSet/v3-EntityClassPlace | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use | required | CDAPostalAddressUsehttp://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode | required | LanguageCodesWithLanguageAndOptionallyARegionModifierhttp://hl7.org/fhir/us/core/ValueSet/simple-language | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode | required | LanguageAbilityMode ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249 | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode | required | LanguageAbilityProficiency ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.author.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeCode | required | Fixed Value: AUThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.author.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.author.assignedAuthor.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.author.assignedAuthor.code.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode | required | Fixed Value: DEVhttp://terminology.hl7.org/ValueSet/v3-EntityClassDevice | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code | example | CDAEntityCodehttp://hl7.org/cda/stds/core/ValueSet/CDAEntityCode | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName | example | ManufacturerModelNameExamplehttp://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName | example | SoftwareNameExamplehttp://terminology.hl7.org/ValueSet/v3-SoftwareNameExample | |
ClinicalDocument.dataEnterer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeCode | required | Fixed Value: ENThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.dataEnterer.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.informant:provider.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.informant:provider.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:non-provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.custodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeCode | required | Fixed Value: CSThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.custodian.assignedCustodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeCode | required | XInformationRecipienthttp://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0 | |
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.classCode | required | CDAInformationRecipientRolehttp://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.legalAuthenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeCode | required | Fixed Value: LAhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.legalAuthenticator.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.legalAuthenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeCode | required | Fixed Value: AUTHENhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.authenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.authenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeCode | required | CDAParticipationTypehttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.participant.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.inFulfillmentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeCode | required | Fixed Value: FLFShttp://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0 | |
ClinicalDocument.inFulfillmentOf.order.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.classCode | required | CDAActClasshttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.inFulfillmentOf.order.moodCode | required | Fixed Value: RQOhttp://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent | |
ClinicalDocument.inFulfillmentOf.order.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.inFulfillmentOf.order.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
ClinicalDocument.documentationOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeCode | required | Fixed Value: DOChttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType | |
ClinicalDocument.documentationOf.serviceEvent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.templateId:secondary.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.classCode | required | Fixed Value: PCPRhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.documentationOf.serviceEvent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode | required | X_ServiceEventPerformer ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code | preferred | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authorization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeCode | required | Fixed Value: AUTHhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy | |
ClinicalDocument.authorization.consent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.classCode | required | Fixed Value: CONShttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.authorization.consent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.authorization.consent.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.authorization.consent.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.authorization.consent.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.componentOf.encompassingEncounter.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.componentOf.encompassingEncounter.code | preferred | ActEncounterCodes ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5 | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode | example | USEncounterDischargeDispositionhttp://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode | required | Fixed Value: RESPhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode | required | Fixed Value: LOChttp://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.classCode | required | RoleClassServiceDeliveryLocationhttp://terminology.hl7.org/ValueSet/v3-RoleClassServiceDeliveryLocation | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.code | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | |
ClinicalDocument.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.component.structuredBody.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.classCode | required | Fixed Value: DOCBODYhttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
ClinicalDocument.component.structuredBody.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.component.structuredBody.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.component.structuredBody.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessment.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessment.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessmentAndPlan.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessmentAndPlan.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:activities.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:activities.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:instructions.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:instructions.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:medications.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:medications.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:objective.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:objective.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:physicalExam.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:physicalExam.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:subjective.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:subjective.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:mentalStatus.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:mentalStatus.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:notes.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:notes.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
1198-10066 | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime | If a width element is not present, the serviceEvent **SHALL** include effectiveTime/high (CONF:1198-10066). : width.empty() implies high.exists() | |
1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). : assignedPerson.exists() or representedOrganization.exists() | |
4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
4537-5403 | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
4537-6380 | error | ClinicalDocument | If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists() | |
4537-6387 | error | ClinicalDocument | If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists() | |
4537-10006 | error | ClinicalDocument.participant | **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists() | |
4537-10007 | warning | ClinicalDocument.participant | When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
4537-16790 | error | ClinicalDocument.author.assignedAuthor | There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1 | |
4537-21000 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true') | |
4537-32993 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists() | |
AD-1 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item | Can only have only one of the possible item elements in each choice : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1 | |
II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.structuredBody.typeId, ClinicalDocument.component.structuredBody.component.typeId, ClinicalDocument.component.structuredBody.component:assessment.typeId, ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId, ClinicalDocument.component.structuredBody.component:assessmentAndPlan.typeId, ClinicalDocument.component.structuredBody.component:allergies.typeId, ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId, ClinicalDocument.component.structuredBody.component:activities.typeId, ClinicalDocument.component.structuredBody.component:instructions.typeId, ClinicalDocument.component.structuredBody.component:medications.typeId, ClinicalDocument.component.structuredBody.component:objective.typeId, ClinicalDocument.component.structuredBody.component:physicalExam.typeId, ClinicalDocument.component.structuredBody.component:problems.typeId, ClinicalDocument.component.structuredBody.component:results.typeId, ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId, ClinicalDocument.component.structuredBody.component:subjective.typeId, ClinicalDocument.component.structuredBody.component:vitalSigns.typeId, ClinicalDocument.component.structuredBody.component:nutrition.typeId, ClinicalDocument.component.structuredBody.component:mentalStatus.typeId, ClinicalDocument.component.structuredBody.component:advDirectives.typeId, ClinicalDocument.component.structuredBody.component:notes.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
ap-combo | error | ClinicalDocument.component.structuredBody | This structuredBody **SHALL NOT** contain an Assessment and Plan Section (2.16.840.1.113883.10.20.22.2.9:2014-06-09) when either an Assessment Section (2.16.840.1.113883.10.20.22.2.8) or a Plan of Treatment Section (2.16.840.1.113883.10.20.22.2.10:2014-06-09) is present. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentandPlanSection')).exists() implies component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection')).empty() | |
ap-or-a-and-p | error | ClinicalDocument.component.structuredBody | **SHALL** include an Assessment and Plan Section, or both an Assessment Section and a Plan of Treatment Section. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentandPlanSection')).exists() or (component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection')).count() = 2) | |
category-11506-3 | error | ClinicalDocument | If category is present, then there shall be a category with LOINC code '11506-3'. : sdtcCategory.empty() or sdtcCategory.exists(code = '11506-3' and codeSystem = '2.16.840.1.113883.6.1') | |
should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code : code.exists() | |
should-country | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | SHOULD contain country : nullFlavor.exists() or item.country.exists() | |
should-documentationOf | warning | ClinicalDocument | SHOULD contain documentationOf : documentationOf.exists() | |
should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension : extension.exists() | |
should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6') | |
should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator : legalAuthenticator.exists() | |
should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode : maritalStatusCode.exists() | |
should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd : preferenceInd.exists() | |
should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists() | |
should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists() | |
should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty : responsibleParty.exists() | |
should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr : addr.exists() | |
should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | SHOULD contain code : code.exists() | |
should-us-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication : languageCommunication.exists() | |
should-us-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer : performer.exists() | |
should-us-telecom | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain telecom : telecom.exists() | |
should-use | warning | ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecom | SHOULD contain @use : nullFlavor.exists() or use.exists() | |
should-value-att | warning | ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | SHOULD contain @value : value.exists() | |
signature | warning | ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode | CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X' | |
text-null | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct | xmlText and nullFlavor are mutually exclusive (one must be present) : (xmlText | nullFlavor).count() = 1 | |
ts-shall-day | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-shall-year | error | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4 | |
ts-should-day | warning | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-should-minute | warning | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10 |
Name | Flags | Card. | Type | Description & Constraints![]() |
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C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) 4537-6380: If setId is present versionNumber **SHALL** be present (CONF:4537-6380). 4537-6387: If versionNumber is present setId **SHALL** be present (CONF:4537-6387). should-legalAuthenticator: SHOULD contain legalAuthenticator should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant category-11506-3: If category is present, then there shall be a category with LOINC code '11506-3'. should-documentationOf: SHOULD contain documentationOf |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..1 | CS | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: US | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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C | 1..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | Fixed Value: POCD_HD000040 | |
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2..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.1 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.9 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991). | |
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0..* | CD | XML Namespace: urn:hl7-org:sdtc Used to categorize the document as a Progress Note. If present, there SHALL be a category of 11506-3 (Progress note). XML: category (urn:hl7-org:sdtc) | |
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1..1 | CE | The Progress Note recommends use of a single document type code, 11506-3 "Progress note", with further specification provided by author or performer, setting, or specialty. When pre-coordinated codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type. Binding: ProgressNoteDocumentTypeCode ![]() | |
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1..1 | cs | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code | |
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0..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required) | |
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1..1 | USRealmDateTime | ||
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1..1 | CE | ||
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1..1 | cs | Binding: HL7 BasicConfidentialityKind ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | CS | Binding: AllLanguages (required) | |
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0..1 | II | ||
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0..1 | INT | ||
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0..1 | TS | ||
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1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RCT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | PatientRole | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassRelationshipFormal (required) Fixed Value: PAT | |
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1..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address | |
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C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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C | 1..1 | Patient | 4537-32993: If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true should-maritalStatusCode: SHOULD contain maritalStatusCode should-us-languageCommunication: SHOULD contain languageCommunication |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | II | ||
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1..* | USRealmPatientNamePTNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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1..1 | CE | Binding: Administrative Gender (HL7 V3) ![]() | |
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C | 1..1 | TS | 𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day |
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0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc) | |
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C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) should-value-att: SHOULD contain @value ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day |
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0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc) | |
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0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Marital Status ![]() | |
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0..1 | CE | Binding: Religious Affiliation ![]() | |
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1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls ![]() | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Race Value Set ![]() | |
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1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity ![]() | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity ![]() | |
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C | 0..* | Guardian | should-us-code: SHOULD contain code should-us-addr: SHOULD contain addr should-us-telecom: SHOULD contain telecom |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAgent (required) Fixed Value: GUARD | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Personal And Legal Relationship Role Type ![]() | |
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0..* | USRealmAddress | ||
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C | 0..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Birthplace | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassPassive (required) Fixed Value: BIRTHPL | |
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1..1 | Place | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassPlace (required) Fixed Value: PLC | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | EN | ||
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C | 1..1 | AD | 4537-5402: If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). 4537-5403: If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). should-country: SHOULD contain country |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | bl | ||
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0..* | cs | Binding: CDAPostalAddressUse (required) | |
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C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance AD-1: Can only have only one of the possible item elements in each choice |
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1..1 | |||
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DEL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CNT | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STA | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CPA | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CTY | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ZIP | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: SAL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNN | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DIR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STB | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STTYP | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ADL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNID | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNIT | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CAR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CEN | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DAL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINST | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTA | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTQ | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMOD | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMODID | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNS | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: POB | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: PRE | |
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0..1 | st | Allows for mixed text content | |
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode should-preferenceInd: SHOULD contain preferenceInd |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | CS | Binding: Language codes with language and optionally a region modifier (required) | |
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0..1 | CE | Binding: LanguageAbilityMode ![]() | |
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0..1 | CE | Binding: LanguageAbilityProficiency ![]() | |
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0..1 | BL | ||
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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1..* | ON | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..* | USRealmAddress | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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1..* | Author | The author element represents the creator of the clinical document. The author may be a device or a person. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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1..1 | USRealmDateTime | ||
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C | 1..1 | AssignedAuthor | 4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). should-id-npi: SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) should-us-code: SHOULD contain code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | Slice: Unordered, Open by value:root | |
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C | 0..1 | II | should-extension: SHOULD contain extension |
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0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6 | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: CDARoleCode (example) | |
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1..1 | cs | Binding: Healthcare Provider Taxonomy ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | |||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | AuthoringDevice | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassDevice (required) Fixed Value: DEV | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | CE | Binding: CDAEntityCode (example) | |
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1..1 | SC | Binding: Manufacturer Model Name Example (example) | |
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1..1 | SC | Binding: Software Name Example (example) | |
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0..* | MaintainedEntity | ||
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0..1 | Organization | ||
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0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: ENT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | USRealmDateTime | ||
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Informant | Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity | |
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0..* | Informant | The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946). | |
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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1..* | USRealmAddress | ||
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0..* | TEL | ||
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Informant | The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | RelatedEntity | ||
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1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST | |
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1..1 | AssignedCustodian | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..1 | CustodianOrganization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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1..1 | ON | ||
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C | 1..1 | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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0..* | TEL | XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc) | |
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1..1 | USRealmAddress | ||
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0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: XInformationRecipient (2.0.0) (required) | |
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1..1 | IntendedRecipient | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAInformationRecipientRole (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..* | II | ||
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1..1 | ON | ||
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0..* | TEL | ||
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0..* | AD | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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0..1 | LegalAuthenticator | The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LA | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI) | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUTHEN | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Healthcare Provider Taxonomy ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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C | 0..* | Participant1 | The participant element identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin). 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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0..1 | USRealmDateTimeInterval | ||
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1..1 | AssociatedEntity | ||
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0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS | |
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1..1 | Order | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) | |
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0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO | |
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1..* | II | ||
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0..1 | CE | Binding: v3 Code System ActCode (example) | |
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | DocumentationOf | A documentationOf can contain a serviceEvent to further specialize the act inherent in the ClinicalDocument/code. In a Progress Note, a serviceEvent can represent the event of writing the Progress Note. The serviceEvent/effectiveTime is the time period the note documents. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: DOC | |
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C | 1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-us-performer: SHOULD contain performer |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.21.3.1 | |
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1..1 | cs | Binding: CDAActClass (required) Fixed Value: PCPR | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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0..1 | CE | ||
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C | 1..1 | USRealmDateTimeInterval | 1198-10066: If a width element is not present, the serviceEvent **SHALL** include effectiveTime/high (CONF:1198-10066). |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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C | 1..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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C | 0..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..* | Performer1 | The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ServiceEventPerformer ![]() | |
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C | 0..1 | CE | should-code-attr: SHOULD contain @code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Care Team Member Function ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..1 | USRealmDateTimeInterval | ||
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C | 1..1 | AssignedEntity | should-us-code: SHOULD contain code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | RelatedDocument | ||
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0..* | Authorization | The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH | |
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1..1 | Consent | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: CONS | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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0..1 | CE | The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: v3 Code System ActCode (example) | |
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1..1 | CS | Binding: ActStatus (required) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Fixed Value: completed | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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1..1 | ComponentOf | The Progress Note is always associated with an encounter by the componentOf/encompassingEncounter element in the header. The effectiveTime element for an encompassingEncounter represents the time or time interval in which the encounter took place. A single encounter may contain multiple Progress Notes; hence the effectiveTime elements for a Progress Note (recorded in serviceEvent) and for an encounter (recorded in encompassingEncounter) represent different time intervals. For outpatient encounters that are a point in time, set effectiveTime/high, effectiveTime/low, and effectiveTime/@value to the same time. All visits take place at a specific location. When available, the location ID is included in the encompassingEncounter/location/healthCareFacility/id element. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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C | 1..1 | EncompassingEncounter | should-responsibleParty: SHOULD contain responsibleParty |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..* | II | ||
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0..1 | CE | Binding: Act Encounter Codes ![]() | |
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1..1 | USRealmDateTimeInterval | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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C | 1..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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C | 0..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: USEncounterDischargeDisposition (example) | |
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RESP | |
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C | 1..1 | AssignedEntity | 1198-32905: This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). |
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0..* | EncounterParticipant | ||
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1..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ParticipationTargetLocation (required) Fixed Value: LOC | |
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1..1 | HealthCareFacility | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassServiceDeliveryLocation (required) | |
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1..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: ServiceDeliveryLocationRoleType (example) | |
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0..1 | Place | ||
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0..1 | Organization | ||
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1..1 | Component | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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0..1 | NonXMLBody | ||
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C | 1..1 | StructuredBody | In this template (templateId 2.16.840.1.113883.10.20.22.1.9.2), coded entries are optional ap-or-a-and-p: **SHALL** include an Assessment and Plan Section, or both an Assessment Section and a Plan of Treatment Section. ap-combo: This structuredBody **SHALL NOT** contain an Assessment and Plan Section (2.16.840.1.113883.10.20.22.2.9:2014-06-09) when either an Assessment Section (2.16.840.1.113883.10.20.22.2.8) or a Plan of Treatment Section (2.16.840.1.113883.10.20.22.2.10:2014-06-09) is present. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCBODY | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..1 | CE | ||
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0..1 | CS | Binding: AllLanguages (required) | |
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1..* | InfrastructureRoot | Slice: Unordered, Open by profile:section | |
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Content/Rules for all slices | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | Section | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | AssessmentSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | PlanofTreatmentSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | AssessmentandPlanSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | AllergiesAndIntolerancesSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ChiefComplaintSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ActivitiesSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | InstructionsSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | MedicationsSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ObjectiveSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | PhysicalExamSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ProblemSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ResultsSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ReviewofSystemsSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | SubjectiveSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | VitalSignsSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | NutritionSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | MentalStatusSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | AdvanceDirectivesSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | NotesSection | ||
![]() |
Path | Conformance | ValueSet / Code | URI |
ClinicalDocument.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.classCode | example | Fixed Value: DOCCLINhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.realmCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:us-realm.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:progress-note.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.code | required | ProgressNoteDocumentTypeCode ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.8.1 | |
ClinicalDocument.sdtcStatusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.confidentialityCode.code | preferred | HL7BasicConfidentialityKind ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 | |
ClinicalDocument.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.recordTarget.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeCode | required | Fixed Value: RCThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.recordTarget.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.recordTarget.patientRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.classCode | required | Fixed Value: PAThttp://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal | |
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode | required | AdministrativeGenderHL7V3 ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 | |
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode | required | MaritalStatus ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212 | |
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode | required | ReligiousAffiliation ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185 | |
ClinicalDocument.recordTarget.patientRole.patient.raceCode | required | RaceCategoryExcludingNulls ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | required | RaceValueSet ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914 | |
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode | required | Ethnicity ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode | required | DetailedEthnicity ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode | required | Fixed Value: GUARDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAgent | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.code | required | PersonalAndLegalRelationshipRoleType ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode | required | Fixed Value: BIRTHPLhttp://terminology.hl7.org/ValueSet/v3-RoleClassPassive | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode | required | Fixed Value: PLChttp://terminology.hl7.org/ValueSet/v3-EntityClassPlace | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use | required | CDAPostalAddressUsehttp://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode | required | LanguageCodesWithLanguageAndOptionallyARegionModifierhttp://hl7.org/fhir/us/core/ValueSet/simple-language | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode | required | LanguageAbilityMode ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249 | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode | required | LanguageAbilityProficiency ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.author.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeCode | required | Fixed Value: AUThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.author.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.author.assignedAuthor.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.author.assignedAuthor.code.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode | required | Fixed Value: DEVhttp://terminology.hl7.org/ValueSet/v3-EntityClassDevice | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code | example | CDAEntityCodehttp://hl7.org/cda/stds/core/ValueSet/CDAEntityCode | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName | example | ManufacturerModelNameExamplehttp://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName | example | SoftwareNameExamplehttp://terminology.hl7.org/ValueSet/v3-SoftwareNameExample | |
ClinicalDocument.dataEnterer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeCode | required | Fixed Value: ENThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.dataEnterer.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.informant:provider.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.informant:provider.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:non-provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.custodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeCode | required | Fixed Value: CSThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.custodian.assignedCustodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeCode | required | XInformationRecipienthttp://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0 | |
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.classCode | required | CDAInformationRecipientRolehttp://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.legalAuthenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeCode | required | Fixed Value: LAhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.legalAuthenticator.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.legalAuthenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeCode | required | Fixed Value: AUTHENhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.authenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.authenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeCode | required | CDAParticipationTypehttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.participant.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.inFulfillmentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeCode | required | Fixed Value: FLFShttp://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0 | |
ClinicalDocument.inFulfillmentOf.order.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.classCode | required | CDAActClasshttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.inFulfillmentOf.order.moodCode | required | Fixed Value: RQOhttp://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent | |
ClinicalDocument.inFulfillmentOf.order.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.inFulfillmentOf.order.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
ClinicalDocument.documentationOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeCode | required | Fixed Value: DOChttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType | |
ClinicalDocument.documentationOf.serviceEvent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.templateId:secondary.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.classCode | required | Fixed Value: PCPRhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.documentationOf.serviceEvent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode | required | X_ServiceEventPerformer ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code | preferred | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authorization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeCode | required | Fixed Value: AUTHhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy | |
ClinicalDocument.authorization.consent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.classCode | required | Fixed Value: CONShttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.authorization.consent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.authorization.consent.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.authorization.consent.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.authorization.consent.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.componentOf.encompassingEncounter.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.componentOf.encompassingEncounter.code | preferred | ActEncounterCodes ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5 | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode | example | USEncounterDischargeDispositionhttp://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode | required | Fixed Value: RESPhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode | required | Fixed Value: LOChttp://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.classCode | required | RoleClassServiceDeliveryLocationhttp://terminology.hl7.org/ValueSet/v3-RoleClassServiceDeliveryLocation | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.code | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | |
ClinicalDocument.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.component.structuredBody.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.classCode | required | Fixed Value: DOCBODYhttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
ClinicalDocument.component.structuredBody.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.component.structuredBody.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.component.structuredBody.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessment.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessment.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessmentAndPlan.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessmentAndPlan.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:activities.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:activities.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:instructions.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:instructions.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:medications.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:medications.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:objective.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:objective.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:physicalExam.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:physicalExam.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:subjective.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:subjective.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:mentalStatus.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:mentalStatus.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:notes.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:notes.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
1198-10066 | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime | If a width element is not present, the serviceEvent **SHALL** include effectiveTime/high (CONF:1198-10066). : width.empty() implies high.exists() | |
1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). : assignedPerson.exists() or representedOrganization.exists() | |
4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
4537-5403 | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
4537-6380 | error | ClinicalDocument | If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists() | |
4537-6387 | error | ClinicalDocument | If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists() | |
4537-10006 | error | ClinicalDocument.participant | **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists() | |
4537-10007 | warning | ClinicalDocument.participant | When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
4537-16790 | error | ClinicalDocument.author.assignedAuthor | There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1 | |
4537-21000 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true') | |
4537-32993 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists() | |
AD-1 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item | Can only have only one of the possible item elements in each choice : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1 | |
II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.structuredBody.typeId, ClinicalDocument.component.structuredBody.component.typeId, ClinicalDocument.component.structuredBody.component:assessment.typeId, ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId, ClinicalDocument.component.structuredBody.component:assessmentAndPlan.typeId, ClinicalDocument.component.structuredBody.component:allergies.typeId, ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId, ClinicalDocument.component.structuredBody.component:activities.typeId, ClinicalDocument.component.structuredBody.component:instructions.typeId, ClinicalDocument.component.structuredBody.component:medications.typeId, ClinicalDocument.component.structuredBody.component:objective.typeId, ClinicalDocument.component.structuredBody.component:physicalExam.typeId, ClinicalDocument.component.structuredBody.component:problems.typeId, ClinicalDocument.component.structuredBody.component:results.typeId, ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId, ClinicalDocument.component.structuredBody.component:subjective.typeId, ClinicalDocument.component.structuredBody.component:vitalSigns.typeId, ClinicalDocument.component.structuredBody.component:nutrition.typeId, ClinicalDocument.component.structuredBody.component:mentalStatus.typeId, ClinicalDocument.component.structuredBody.component:advDirectives.typeId, ClinicalDocument.component.structuredBody.component:notes.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
ap-combo | error | ClinicalDocument.component.structuredBody | This structuredBody **SHALL NOT** contain an Assessment and Plan Section (2.16.840.1.113883.10.20.22.2.9:2014-06-09) when either an Assessment Section (2.16.840.1.113883.10.20.22.2.8) or a Plan of Treatment Section (2.16.840.1.113883.10.20.22.2.10:2014-06-09) is present. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentandPlanSection')).exists() implies component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection')).empty() | |
ap-or-a-and-p | error | ClinicalDocument.component.structuredBody | **SHALL** include an Assessment and Plan Section, or both an Assessment Section and a Plan of Treatment Section. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentandPlanSection')).exists() or (component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection')).count() = 2) | |
category-11506-3 | error | ClinicalDocument | If category is present, then there shall be a category with LOINC code '11506-3'. : sdtcCategory.empty() or sdtcCategory.exists(code = '11506-3' and codeSystem = '2.16.840.1.113883.6.1') | |
should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code : code.exists() | |
should-country | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | SHOULD contain country : nullFlavor.exists() or item.country.exists() | |
should-documentationOf | warning | ClinicalDocument | SHOULD contain documentationOf : documentationOf.exists() | |
should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension : extension.exists() | |
should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6') | |
should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator : legalAuthenticator.exists() | |
should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode : maritalStatusCode.exists() | |
should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd : preferenceInd.exists() | |
should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists() | |
should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists() | |
should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty : responsibleParty.exists() | |
should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr : addr.exists() | |
should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | SHOULD contain code : code.exists() | |
should-us-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication : languageCommunication.exists() | |
should-us-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer : performer.exists() | |
should-us-telecom | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain telecom : telecom.exists() | |
should-use | warning | ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecom | SHOULD contain @use : nullFlavor.exists() or use.exists() | |
should-value-att | warning | ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | SHOULD contain @value : value.exists() | |
signature | warning | ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode | CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X' | |
text-null | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct | xmlText and nullFlavor are mutually exclusive (one must be present) : (xmlText | nullFlavor).count() = 1 | |
ts-shall-day | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-shall-year | error | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4 | |
ts-should-day | warning | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-should-minute | warning | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10 |
This structure is derived from USRealmHeader
Summary
Mandatory: 8 elements(4 nested mandatory elements)
Fixed: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USRealmHeader
Name | Flags | Card. | Type | Description & Constraints![]() |
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C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) category-11506-3: If category is present, then there shall be a category with LOINC code '11506-3'. should-documentationOf: SHOULD contain documentationOf |
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2..* | II | ||
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Content/Rules for all slices | |||
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1..1 | II | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.9 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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0..* | CD | Used to categorize the document as a Progress Note. If present, there SHALL be a category of 11506-3 (Progress note). | |
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1..1 | CE | The Progress Note recommends use of a single document type code, 11506-3 "Progress note", with further specification provided by author or performer, setting, or specialty. When pre-coordinated codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type. Binding: ProgressNoteDocumentTypeCode ![]() | |
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0..1 | DocumentationOf | A documentationOf can contain a serviceEvent to further specialize the act inherent in the ClinicalDocument/code. In a Progress Note, a serviceEvent can represent the event of writing the Progress Note. The serviceEvent/effectiveTime is the time period the note documents. | |
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1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. | |
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1..* | II | Slice: Unordered, Open by value:root | |
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1..1 | II | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.21.3.1 | |
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0..0 | |||
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1..1 | cs | Fixed Value: PCPR | |
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C | 1..1 | USRealmDateTimeInterval | 1198-10066: If a width element is not present, the serviceEvent **SHALL** include effectiveTime/high (CONF:1198-10066). |
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1..1 | ComponentOf | The Progress Note is always associated with an encounter by the componentOf/encompassingEncounter element in the header. The effectiveTime element for an encompassingEncounter represents the time or time interval in which the encounter took place. A single encounter may contain multiple Progress Notes; hence the effectiveTime elements for a Progress Note (recorded in serviceEvent) and for an encounter (recorded in encompassingEncounter) represent different time intervals. For outpatient encounters that are a point in time, set effectiveTime/high, effectiveTime/low, and effectiveTime/@value to the same time. All visits take place at a specific location. When available, the location ID is included in the encompassingEncounter/location/healthCareFacility/id element. | |
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1..1 | EncompassingEncounter | ||
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1..* | II | ||
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1..1 | USRealmDateTimeInterval | ||
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1..1 | IVXB_TS | **MAY** be precise to at least the second | |
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1..1 | InfrastructureRoot | ||
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1..1 | HealthCareFacility | ||
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1..* | II | ||
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1..1 | Component | ||
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C | 1..1 | StructuredBody | In this template (templateId 2.16.840.1.113883.10.20.22.1.9.2), coded entries are optional ap-or-a-and-p: **SHALL** include an Assessment and Plan Section, or both an Assessment Section and a Plan of Treatment Section. ap-combo: This structuredBody **SHALL NOT** contain an Assessment and Plan Section (2.16.840.1.113883.10.20.22.2.9:2014-06-09) when either an Assessment Section (2.16.840.1.113883.10.20.22.2.8) or a Plan of Treatment Section (2.16.840.1.113883.10.20.22.2.10:2014-06-09) is present. |
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1..* | InfrastructureRoot | Slice: Unordered, Open by profile:section | |
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0..1 | InfrastructureRoot | ||
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1..1 | AssessmentSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | PlanofTreatmentSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | AssessmentandPlanSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | AllergiesAndIntolerancesSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | ChiefComplaintSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | ActivitiesSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | InstructionsSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | MedicationsSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | ObjectiveSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | PhysicalExamSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | ProblemSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | ResultsSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | ReviewofSystemsSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | SubjectiveSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | VitalSignsSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | NutritionSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | MentalStatusSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | AdvanceDirectivesSection | ||
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0..1 | InfrastructureRoot | ||
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1..1 | NotesSection | ||
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Path | Conformance | ValueSet | URI |
ClinicalDocument.code | required | ProgressNoteDocumentTypeCode ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.8.1 |
Id | Grade | Path(s) | Details | Requirements |
1198-10066 | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime | If a width element is not present, the serviceEvent **SHALL** include effectiveTime/high (CONF:1198-10066). : width.empty() implies high.exists() | |
ap-combo | error | ClinicalDocument.component.structuredBody | This structuredBody **SHALL NOT** contain an Assessment and Plan Section (2.16.840.1.113883.10.20.22.2.9:2014-06-09) when either an Assessment Section (2.16.840.1.113883.10.20.22.2.8) or a Plan of Treatment Section (2.16.840.1.113883.10.20.22.2.10:2014-06-09) is present. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentandPlanSection')).exists() implies component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection')).empty() | |
ap-or-a-and-p | error | ClinicalDocument.component.structuredBody | **SHALL** include an Assessment and Plan Section, or both an Assessment Section and a Plan of Treatment Section. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentandPlanSection')).exists() or (component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection')).count() = 2) | |
category-11506-3 | error | ClinicalDocument | If category is present, then there shall be a category with LOINC code '11506-3'. : sdtcCategory.empty() or sdtcCategory.exists(code = '11506-3' and codeSystem = '2.16.840.1.113883.6.1') | |
should-documentationOf | warning | ClinicalDocument | SHOULD contain documentationOf : documentationOf.exists() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
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C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) 4537-6380: If setId is present versionNumber **SHALL** be present (CONF:4537-6380). 4537-6387: If versionNumber is present setId **SHALL** be present (CONF:4537-6387). should-legalAuthenticator: SHOULD contain legalAuthenticator should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant category-11506-3: If category is present, then there shall be a category with LOINC code '11506-3'. should-documentationOf: SHOULD contain documentationOf |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..1 | CS | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: US | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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C | 1..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | Fixed Value: POCD_HD000040 | |
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2..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.1 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.9 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991). | |
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0..* | CD | XML Namespace: urn:hl7-org:sdtc Used to categorize the document as a Progress Note. If present, there SHALL be a category of 11506-3 (Progress note). XML: category (urn:hl7-org:sdtc) | |
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1..1 | CE | The Progress Note recommends use of a single document type code, 11506-3 "Progress note", with further specification provided by author or performer, setting, or specialty. When pre-coordinated codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type. Binding: ProgressNoteDocumentTypeCode ![]() | |
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1..1 | cs | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code | |
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0..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required) | |
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1..1 | USRealmDateTime | ||
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1..1 | CE | ||
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1..1 | cs | Binding: HL7 BasicConfidentialityKind ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | CS | Binding: AllLanguages (required) | |
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0..1 | II | ||
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0..1 | INT | ||
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0..1 | TS | ||
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1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RCT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | PatientRole | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassRelationshipFormal (required) Fixed Value: PAT | |
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1..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address | |
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C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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C | 1..1 | Patient | 4537-32993: If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true should-maritalStatusCode: SHOULD contain maritalStatusCode should-us-languageCommunication: SHOULD contain languageCommunication |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | II | ||
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1..* | USRealmPatientNamePTNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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1..1 | CE | Binding: Administrative Gender (HL7 V3) ![]() | |
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C | 1..1 | TS | 𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day |
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0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc) | |
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C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) should-value-att: SHOULD contain @value ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day |
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0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc) | |
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0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Marital Status ![]() | |
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0..1 | CE | Binding: Religious Affiliation ![]() | |
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1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls ![]() | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Race Value Set ![]() | |
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1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity ![]() | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity ![]() | |
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C | 0..* | Guardian | should-us-code: SHOULD contain code should-us-addr: SHOULD contain addr should-us-telecom: SHOULD contain telecom |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAgent (required) Fixed Value: GUARD | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Personal And Legal Relationship Role Type ![]() | |
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0..* | USRealmAddress | ||
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C | 0..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Birthplace | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassPassive (required) Fixed Value: BIRTHPL | |
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1..1 | Place | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassPlace (required) Fixed Value: PLC | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | EN | ||
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C | 1..1 | AD | 4537-5402: If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). 4537-5403: If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). should-country: SHOULD contain country |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | bl | ||
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0..* | cs | Binding: CDAPostalAddressUse (required) | |
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C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance AD-1: Can only have only one of the possible item elements in each choice |
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1..1 | |||
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DEL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CNT | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STA | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CPA | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CTY | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ZIP | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: SAL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNN | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DIR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STB | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STTYP | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ADL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNID | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNIT | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CAR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CEN | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DAL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINST | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTA | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTQ | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMOD | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMODID | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNS | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: POB | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: PRE | |
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0..1 | st | Allows for mixed text content | |
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode should-preferenceInd: SHOULD contain preferenceInd |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | CS | Binding: Language codes with language and optionally a region modifier (required) | |
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0..1 | CE | Binding: LanguageAbilityMode ![]() | |
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0..1 | CE | Binding: LanguageAbilityProficiency ![]() | |
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0..1 | BL | ||
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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1..* | ON | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..* | USRealmAddress | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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1..* | Author | The author element represents the creator of the clinical document. The author may be a device or a person. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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1..1 | USRealmDateTime | ||
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C | 1..1 | AssignedAuthor | 4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). should-id-npi: SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) should-us-code: SHOULD contain code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | Slice: Unordered, Open by value:root | |
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C | 0..1 | II | should-extension: SHOULD contain extension |
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0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6 | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: CDARoleCode (example) | |
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1..1 | cs | Binding: Healthcare Provider Taxonomy ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
EIVL_TS | |||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | |||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | AuthoringDevice | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassDevice (required) Fixed Value: DEV | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | CE | Binding: CDAEntityCode (example) | |
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1..1 | SC | Binding: Manufacturer Model Name Example (example) | |
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1..1 | SC | Binding: Software Name Example (example) | |
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0..* | MaintainedEntity | ||
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0..1 | Organization | ||
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0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: ENT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | USRealmDateTime | ||
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Informant | Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity | |
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0..* | Informant | The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946). | |
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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1..* | USRealmAddress | ||
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0..* | TEL | ||
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Informant | The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | RelatedEntity | ||
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1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST | |
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1..1 | AssignedCustodian | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..1 | CustodianOrganization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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1..1 | ON | ||
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C | 1..1 | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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0..* | TEL | XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc) | |
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1..1 | USRealmAddress | ||
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0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: XInformationRecipient (2.0.0) (required) | |
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1..1 | IntendedRecipient | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAInformationRecipientRole (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..* | II | ||
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1..1 | ON | ||
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0..* | TEL | ||
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0..* | AD | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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0..1 | LegalAuthenticator | The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LA | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI) | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUTHEN | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Healthcare Provider Taxonomy ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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C | 0..* | Participant1 | The participant element identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin). 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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0..1 | USRealmDateTimeInterval | ||
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1..1 | AssociatedEntity | ||
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0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS | |
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1..1 | Order | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) | |
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0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO | |
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1..* | II | ||
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0..1 | CE | Binding: v3 Code System ActCode (example) | |
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | DocumentationOf | A documentationOf can contain a serviceEvent to further specialize the act inherent in the ClinicalDocument/code. In a Progress Note, a serviceEvent can represent the event of writing the Progress Note. The serviceEvent/effectiveTime is the time period the note documents. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: DOC | |
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C | 1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-us-performer: SHOULD contain performer |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.21.3.1 | |
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1..1 | cs | Binding: CDAActClass (required) Fixed Value: PCPR | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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0..1 | CE | ||
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C | 1..1 | USRealmDateTimeInterval | 1198-10066: If a width element is not present, the serviceEvent **SHALL** include effectiveTime/high (CONF:1198-10066). |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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C | 1..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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C | 0..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..* | Performer1 | The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ServiceEventPerformer ![]() | |
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C | 0..1 | CE | should-code-attr: SHOULD contain @code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Care Team Member Function ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..1 | USRealmDateTimeInterval | ||
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C | 1..1 | AssignedEntity | should-us-code: SHOULD contain code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | RelatedDocument | ||
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0..* | Authorization | The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH | |
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1..1 | Consent | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: CONS | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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0..1 | CE | The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: v3 Code System ActCode (example) | |
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1..1 | CS | Binding: ActStatus (required) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Fixed Value: completed | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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1..1 | ComponentOf | The Progress Note is always associated with an encounter by the componentOf/encompassingEncounter element in the header. The effectiveTime element for an encompassingEncounter represents the time or time interval in which the encounter took place. A single encounter may contain multiple Progress Notes; hence the effectiveTime elements for a Progress Note (recorded in serviceEvent) and for an encounter (recorded in encompassingEncounter) represent different time intervals. For outpatient encounters that are a point in time, set effectiveTime/high, effectiveTime/low, and effectiveTime/@value to the same time. All visits take place at a specific location. When available, the location ID is included in the encompassingEncounter/location/healthCareFacility/id element. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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C | 1..1 | EncompassingEncounter | should-responsibleParty: SHOULD contain responsibleParty |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..* | II | ||
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0..1 | CE | Binding: Act Encounter Codes ![]() | |
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1..1 | USRealmDateTimeInterval | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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C | 1..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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C | 0..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: USEncounterDischargeDisposition (example) | |
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RESP | |
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C | 1..1 | AssignedEntity | 1198-32905: This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). |
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0..* | EncounterParticipant | ||
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1..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ParticipationTargetLocation (required) Fixed Value: LOC | |
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1..1 | HealthCareFacility | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassServiceDeliveryLocation (required) | |
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1..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: ServiceDeliveryLocationRoleType (example) | |
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0..1 | Place | ||
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0..1 | Organization | ||
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1..1 | Component | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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0..1 | NonXMLBody | ||
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C | 1..1 | StructuredBody | In this template (templateId 2.16.840.1.113883.10.20.22.1.9.2), coded entries are optional ap-or-a-and-p: **SHALL** include an Assessment and Plan Section, or both an Assessment Section and a Plan of Treatment Section. ap-combo: This structuredBody **SHALL NOT** contain an Assessment and Plan Section (2.16.840.1.113883.10.20.22.2.9:2014-06-09) when either an Assessment Section (2.16.840.1.113883.10.20.22.2.8) or a Plan of Treatment Section (2.16.840.1.113883.10.20.22.2.10:2014-06-09) is present. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCBODY | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..1 | CE | ||
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0..1 | CS | Binding: AllLanguages (required) | |
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1..* | InfrastructureRoot | Slice: Unordered, Open by profile:section | |
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Content/Rules for all slices | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | Section | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | AssessmentSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | PlanofTreatmentSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | AssessmentandPlanSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | AllergiesAndIntolerancesSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ChiefComplaintSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ActivitiesSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | InstructionsSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | MedicationsSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ObjectiveSection | ||
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0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | PhysicalExamSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ProblemSection | ||
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0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ResultsSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ReviewofSystemsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | SubjectiveSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | VitalSignsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | NutritionSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | MentalStatusSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | AdvanceDirectivesSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | NotesSection | ||
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Path | Conformance | ValueSet / Code | URI |
ClinicalDocument.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.classCode | example | Fixed Value: DOCCLINhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.realmCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:us-realm.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:progress-note.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.code | required | ProgressNoteDocumentTypeCode ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.8.1 | |
ClinicalDocument.sdtcStatusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.confidentialityCode.code | preferred | HL7BasicConfidentialityKind ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 | |
ClinicalDocument.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.recordTarget.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeCode | required | Fixed Value: RCThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.recordTarget.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.recordTarget.patientRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.classCode | required | Fixed Value: PAThttp://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal | |
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode | required | AdministrativeGenderHL7V3 ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 | |
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode | required | MaritalStatus ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212 | |
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode | required | ReligiousAffiliation ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185 | |
ClinicalDocument.recordTarget.patientRole.patient.raceCode | required | RaceCategoryExcludingNulls ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | required | RaceValueSet ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914 | |
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode | required | Ethnicity ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode | required | DetailedEthnicity ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode | required | Fixed Value: GUARDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAgent | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.code | required | PersonalAndLegalRelationshipRoleType ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode | required | Fixed Value: BIRTHPLhttp://terminology.hl7.org/ValueSet/v3-RoleClassPassive | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode | required | Fixed Value: PLChttp://terminology.hl7.org/ValueSet/v3-EntityClassPlace | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use | required | CDAPostalAddressUsehttp://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode | required | LanguageCodesWithLanguageAndOptionallyARegionModifierhttp://hl7.org/fhir/us/core/ValueSet/simple-language | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode | required | LanguageAbilityMode ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249 | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode | required | LanguageAbilityProficiency ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.author.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeCode | required | Fixed Value: AUThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.author.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.author.assignedAuthor.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.author.assignedAuthor.code.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode | required | Fixed Value: DEVhttp://terminology.hl7.org/ValueSet/v3-EntityClassDevice | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code | example | CDAEntityCodehttp://hl7.org/cda/stds/core/ValueSet/CDAEntityCode | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName | example | ManufacturerModelNameExamplehttp://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName | example | SoftwareNameExamplehttp://terminology.hl7.org/ValueSet/v3-SoftwareNameExample | |
ClinicalDocument.dataEnterer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeCode | required | Fixed Value: ENThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.dataEnterer.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.informant:provider.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.informant:provider.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:non-provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.custodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeCode | required | Fixed Value: CSThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.custodian.assignedCustodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeCode | required | XInformationRecipienthttp://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0 | |
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.classCode | required | CDAInformationRecipientRolehttp://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.legalAuthenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeCode | required | Fixed Value: LAhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.legalAuthenticator.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.legalAuthenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeCode | required | Fixed Value: AUTHENhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.authenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.authenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeCode | required | CDAParticipationTypehttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.participant.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.inFulfillmentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeCode | required | Fixed Value: FLFShttp://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0 | |
ClinicalDocument.inFulfillmentOf.order.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.classCode | required | CDAActClasshttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.inFulfillmentOf.order.moodCode | required | Fixed Value: RQOhttp://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent | |
ClinicalDocument.inFulfillmentOf.order.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.inFulfillmentOf.order.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
ClinicalDocument.documentationOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeCode | required | Fixed Value: DOChttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType | |
ClinicalDocument.documentationOf.serviceEvent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.templateId:secondary.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.classCode | required | Fixed Value: PCPRhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.documentationOf.serviceEvent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode | required | X_ServiceEventPerformer ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code | preferred | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authorization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeCode | required | Fixed Value: AUTHhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy | |
ClinicalDocument.authorization.consent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.classCode | required | Fixed Value: CONShttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.authorization.consent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.authorization.consent.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.authorization.consent.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.authorization.consent.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.componentOf.encompassingEncounter.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.componentOf.encompassingEncounter.code | preferred | ActEncounterCodes ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5 | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode | example | USEncounterDischargeDispositionhttp://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode | required | Fixed Value: RESPhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode | required | Fixed Value: LOChttp://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.classCode | required | RoleClassServiceDeliveryLocationhttp://terminology.hl7.org/ValueSet/v3-RoleClassServiceDeliveryLocation | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.code | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | |
ClinicalDocument.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.component.structuredBody.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.classCode | required | Fixed Value: DOCBODYhttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
ClinicalDocument.component.structuredBody.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.component.structuredBody.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.component.structuredBody.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessment.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessment.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessmentAndPlan.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessmentAndPlan.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:activities.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:activities.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:instructions.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:instructions.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:medications.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:medications.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:objective.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:objective.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:physicalExam.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:physicalExam.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:subjective.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:subjective.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:mentalStatus.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:mentalStatus.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:notes.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:notes.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
1198-10066 | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime | If a width element is not present, the serviceEvent **SHALL** include effectiveTime/high (CONF:1198-10066). : width.empty() implies high.exists() | |
1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). : assignedPerson.exists() or representedOrganization.exists() | |
4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
4537-5403 | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
4537-6380 | error | ClinicalDocument | If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists() | |
4537-6387 | error | ClinicalDocument | If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists() | |
4537-10006 | error | ClinicalDocument.participant | **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists() | |
4537-10007 | warning | ClinicalDocument.participant | When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
4537-16790 | error | ClinicalDocument.author.assignedAuthor | There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1 | |
4537-21000 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true') | |
4537-32993 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists() | |
AD-1 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item | Can only have only one of the possible item elements in each choice : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1 | |
II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.structuredBody.typeId, ClinicalDocument.component.structuredBody.component.typeId, ClinicalDocument.component.structuredBody.component:assessment.typeId, ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId, ClinicalDocument.component.structuredBody.component:assessmentAndPlan.typeId, ClinicalDocument.component.structuredBody.component:allergies.typeId, ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId, ClinicalDocument.component.structuredBody.component:activities.typeId, ClinicalDocument.component.structuredBody.component:instructions.typeId, ClinicalDocument.component.structuredBody.component:medications.typeId, ClinicalDocument.component.structuredBody.component:objective.typeId, ClinicalDocument.component.structuredBody.component:physicalExam.typeId, ClinicalDocument.component.structuredBody.component:problems.typeId, ClinicalDocument.component.structuredBody.component:results.typeId, ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId, ClinicalDocument.component.structuredBody.component:subjective.typeId, ClinicalDocument.component.structuredBody.component:vitalSigns.typeId, ClinicalDocument.component.structuredBody.component:nutrition.typeId, ClinicalDocument.component.structuredBody.component:mentalStatus.typeId, ClinicalDocument.component.structuredBody.component:advDirectives.typeId, ClinicalDocument.component.structuredBody.component:notes.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
ap-combo | error | ClinicalDocument.component.structuredBody | This structuredBody **SHALL NOT** contain an Assessment and Plan Section (2.16.840.1.113883.10.20.22.2.9:2014-06-09) when either an Assessment Section (2.16.840.1.113883.10.20.22.2.8) or a Plan of Treatment Section (2.16.840.1.113883.10.20.22.2.10:2014-06-09) is present. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentandPlanSection')).exists() implies component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection')).empty() | |
ap-or-a-and-p | error | ClinicalDocument.component.structuredBody | **SHALL** include an Assessment and Plan Section, or both an Assessment Section and a Plan of Treatment Section. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentandPlanSection')).exists() or (component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection')).count() = 2) | |
category-11506-3 | error | ClinicalDocument | If category is present, then there shall be a category with LOINC code '11506-3'. : sdtcCategory.empty() or sdtcCategory.exists(code = '11506-3' and codeSystem = '2.16.840.1.113883.6.1') | |
should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code : code.exists() | |
should-country | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | SHOULD contain country : nullFlavor.exists() or item.country.exists() | |
should-documentationOf | warning | ClinicalDocument | SHOULD contain documentationOf : documentationOf.exists() | |
should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension : extension.exists() | |
should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6') | |
should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator : legalAuthenticator.exists() | |
should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode : maritalStatusCode.exists() | |
should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd : preferenceInd.exists() | |
should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists() | |
should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists() | |
should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty : responsibleParty.exists() | |
should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr : addr.exists() | |
should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | SHOULD contain code : code.exists() | |
should-us-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication : languageCommunication.exists() | |
should-us-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer : performer.exists() | |
should-us-telecom | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain telecom : telecom.exists() | |
should-use | warning | ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecom | SHOULD contain @use : nullFlavor.exists() or use.exists() | |
should-value-att | warning | ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | SHOULD contain @value : value.exists() | |
signature | warning | ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode | CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X' | |
text-null | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct | xmlText and nullFlavor are mutually exclusive (one must be present) : (xmlText | nullFlavor).count() = 1 | |
ts-shall-day | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-shall-year | error | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4 | |
ts-should-day | warning | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-should-minute | warning | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10 |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() |
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C | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) 4537-6380: If setId is present versionNumber **SHALL** be present (CONF:4537-6380). 4537-6387: If versionNumber is present setId **SHALL** be present (CONF:4537-6387). should-legalAuthenticator: SHOULD contain legalAuthenticator should-relatedParticipant: Documents SHOULD contain a RelatedPerson participant category-11506-3: If category is present, then there shall be a category with LOINC code '11506-3'. should-documentationOf: SHOULD contain documentationOf |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDAActClass (example) Fixed Value: DOCCLIN | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..1 | CS | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: US | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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C | 1..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | Fixed Value: POCD_HD000040 | |
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2..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.1 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.1.9 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | II | **SHALL** be a globally unique identifier for the document (CONF:4537-9991). | |
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0..* | CD | XML Namespace: urn:hl7-org:sdtc Used to categorize the document as a Progress Note. If present, there SHALL be a category of 11506-3 (Progress note). XML: category (urn:hl7-org:sdtc) | |
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1..1 | CE | The Progress Note recommends use of a single document type code, 11506-3 "Progress note", with further specification provided by author or performer, setting, or specialty. When pre-coordinated codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type. Binding: ProgressNoteDocumentTypeCode ![]() | |
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1..1 | cs | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | ST | The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code | |
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0..1 | CS | XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required) | |
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1..1 | USRealmDateTime | ||
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1..1 | CE | ||
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1..1 | cs | Binding: HL7 BasicConfidentialityKind ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | CS | Binding: AllLanguages (required) | |
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0..1 | II | ||
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0..1 | INT | ||
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0..1 | TS | ||
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1..* | RecordTarget | The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RCT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | PatientRole | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassRelationshipFormal (required) Fixed Value: PAT | |
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1..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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1..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Address | |
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C | 1..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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C | 1..1 | Patient | 4537-32993: If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). 4537-21000: If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true should-maritalStatusCode: SHOULD contain maritalStatusCode should-us-languageCommunication: SHOULD contain languageCommunication |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | II | ||
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1..* | USRealmPatientNamePTNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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1..1 | CE | Binding: Administrative Gender (HL7 V3) ![]() | |
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C | 1..1 | TS | 𝗨𝗦𝗖𝗗𝗜: Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured) ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day |
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0..1 | BL | XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc) | |
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C | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Date of Death XML: deceasedTime (urn:hl7-org:sdtc) should-value-att: SHOULD contain @value ts-shall-year: **SHALL** be precise to at least the year ts-should-day: **SHOULD** be precise to at least the day |
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0..1 | BL | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc) | |
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0..1 | INT_POS | XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Marital Status ![]() | |
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0..1 | CE | Binding: Religious Affiliation ![]() | |
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1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Race Binding: Race Category Excluding Nulls ![]() | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Race Value Set ![]() | |
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1..1 | CE | 𝗨𝗦𝗖𝗗𝗜: Ethnicity Binding: Ethnicity ![]() | |
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0..* | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity ![]() | |
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C | 0..* | Guardian | should-us-code: SHOULD contain code should-us-addr: SHOULD contain addr should-us-telecom: SHOULD contain telecom |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAgent (required) Fixed Value: GUARD | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Personal And Legal Relationship Role Type ![]() | |
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0..* | USRealmAddress | ||
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C | 0..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Birthplace | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassPassive (required) Fixed Value: BIRTHPL | |
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1..1 | Place | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassPlace (required) Fixed Value: PLC | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | EN | ||
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C | 1..1 | AD | 4537-5402: If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). 4537-5403: If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). should-country: SHOULD contain country |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | bl | ||
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0..* | cs | Binding: CDAPostalAddressUse (required) | |
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C | 0..* | Base | Choice Group: This is a repeating choice group that does not appear directly in the instance AD-1: Can only have only one of the possible item elements in each choice |
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1..1 | |||
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DEL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CNT | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STA | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CPA | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CTY | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ZIP | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: SAL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNN | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DIR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STB | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: STTYP | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: ADL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNID | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: UNIT | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CAR | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: CEN | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DAL | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINST | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTA | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DINSTQ | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMOD | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: DMODID | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: BNS | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: POB | |
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C | 0..1 | ADXP | text-null: xmlText and nullFlavor are mutually exclusive (one must be present) |
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1..1 | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | Allows for mixed text content | |
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0..1 | cs | Fixed Value: TXT | |
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0..1 | cs | Fixed Value: text/plain | |
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0..1 | cs | ||
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0..1 | cs | Fixed Value: PRE | |
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0..1 | st | Allows for mixed text content | |
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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C | 0..* | LanguageCommunication | 𝗨𝗦𝗖𝗗𝗜: Preferred Language should-proficiencyLevelCode: SHOULD contain proficiencyLevelCode should-preferenceInd: SHOULD contain preferenceInd |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | CS | Binding: Language codes with language and optionally a region modifier (required) | |
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0..1 | CE | Binding: LanguageAbilityMode ![]() | |
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0..1 | CE | Binding: LanguageAbilityProficiency ![]() | |
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0..1 | BL | ||
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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1..* | ON | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..* | USRealmAddress | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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1..* | Author | The author element represents the creator of the clinical document. The author may be a device or a person. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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1..1 | USRealmDateTime | ||
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C | 1..1 | AssignedAuthor | 4537-16790: There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). should-id-npi: SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) should-us-code: SHOULD contain code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | Slice: Unordered, Open by value:root | |
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C | 0..1 | II | should-extension: SHOULD contain extension |
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0..1 | cs | If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.6 | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: CDARoleCode (example) | |
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1..1 | cs | Binding: Healthcare Provider Taxonomy ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | |||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | AuthoringDevice | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassDevice (required) Fixed Value: DEV | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..1 | CE | Binding: CDAEntityCode (example) | |
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1..1 | SC | Binding: Manufacturer Model Name Example (example) | |
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1..1 | SC | Binding: Software Name Example (example) | |
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0..* | MaintainedEntity | ||
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0..1 | Organization | ||
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0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: ENT | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | USRealmDateTime | ||
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Informant | Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity | |
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0..* | Informant | The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946). | |
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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1..* | USRealmAddress | ||
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0..* | TEL | ||
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Informant | The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: INF | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | RelatedEntity | ||
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1..1 | Custodian | The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: CST | |
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1..1 | AssignedCustodian | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..1 | CustodianOrganization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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1..1 | ON | ||
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C | 1..1 | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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0..* | TEL | XML Namespace: urn:hl7-org:sdtc The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization. XML: telecom (urn:hl7-org:sdtc) | |
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1..1 | USRealmAddress | ||
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0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: XInformationRecipient (2.0.0) (required) | |
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1..1 | IntendedRecipient | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAInformationRecipientRole (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..* | II | ||
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1..1 | ON | ||
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0..* | TEL | ||
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0..* | AD | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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0..1 | LegalAuthenticator | The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LA | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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0..1 | oid, uuid, ruid | MAY contain '2.16.840.1.113883.4.6' (NPI) | |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: AUTHEN | |
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1..1 | USRealmDateTime | ||
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C | 1..1 | CS | Binding: CDASignatureCode (required) signature: CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: S | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc) | |
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1..1 | AssignedEntity | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Healthcare Provider Taxonomy ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..* | USRealmAddress | ||
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C | 1..* | TEL | should-use: SHOULD contain @use |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | url | ||
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0..* | |||
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IVL_TS | |||
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EIVL_TS | |||
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PIVL_TS | |||
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SXPR_TS | |||
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0..1 | cs | Binding: Telecom Use (US Realm Header) ![]() | |
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1..1 | Person | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..* | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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C | 0..* | Participant1 | The participant element identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin). 4537-10006: **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). 4537-10007: When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | ||
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0..1 | USRealmDateTimeInterval | ||
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1..1 | AssociatedEntity | ||
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0..* | InFulfillmentOf | The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS | |
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1..1 | Order | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) | |
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0..1 | cs | Binding: CDAActMoodIntent (required) Fixed Value: RQO | |
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1..* | II | ||
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0..1 | CE | Binding: v3 Code System ActCode (example) | |
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | DocumentationOf | A documentationOf can contain a serviceEvent to further specialize the act inherent in the ClinicalDocument/code. In a Progress Note, a serviceEvent can represent the event of writing the Progress Note. The serviceEvent/effectiveTime is the time period the note documents. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActRelationshipType (required) Fixed Value: DOC | |
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C | 1..1 | ServiceEvent | A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template. should-us-performer: SHOULD contain performer |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.21.3.1 | |
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1..1 | cs | Binding: CDAActClass (required) Fixed Value: PCPR | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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0..1 | CE | ||
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C | 1..1 | USRealmDateTimeInterval | 1198-10066: If a width element is not present, the serviceEvent **SHALL** include effectiveTime/high (CONF:1198-10066). |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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C | 1..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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C | 0..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..* | Performer1 | The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ServiceEventPerformer ![]() | |
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C | 0..1 | CE | should-code-attr: SHOULD contain @code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: Care Team Member Function ![]() | |
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0..1 | oid, uuid, ruid | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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0..1 | USRealmDateTimeInterval | ||
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C | 1..1 | AssignedEntity | should-us-code: SHOULD contain code |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: Healthcare Provider Taxonomy ![]() | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Person | ||
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0..1 | Organization | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | RelatedDocument | ||
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0..* | Authorization | The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipAuthorizedBy (required) Fixed Value: AUTH | |
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1..1 | Consent | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: CONS | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..* | II | ||
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0..1 | CE | The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: v3 Code System ActCode (example) | |
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1..1 | CS | Binding: ActStatus (required) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Fixed Value: completed | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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1..1 | ComponentOf | The Progress Note is always associated with an encounter by the componentOf/encompassingEncounter element in the header. The effectiveTime element for an encompassingEncounter represents the time or time interval in which the encounter took place. A single encounter may contain multiple Progress Notes; hence the effectiveTime elements for a Progress Note (recorded in serviceEvent) and for an encounter (recorded in encompassingEncounter) represent different time intervals. For outpatient encounters that are a point in time, set effectiveTime/high, effectiveTime/low, and effectiveTime/@value to the same time. All visits take place at a specific location. When available, the location ID is included in the encompassingEncounter/location/healthCareFacility/id element. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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C | 1..1 | EncompassingEncounter | should-responsibleParty: SHOULD contain responsibleParty |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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1..* | II | ||
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0..1 | CE | Binding: Act Encounter Codes ![]() | |
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1..1 | USRealmDateTimeInterval | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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C | 1..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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C | 0..1 | IVXB_TS | **MAY** be precise to at least the second ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | bl | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: USEncounterDischargeDisposition (example) | |
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: RESP | |
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C | 1..1 | AssignedEntity | 1198-32905: This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). |
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0..* | EncounterParticipant | ||
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1..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ParticipationTargetLocation (required) Fixed Value: LOC | |
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1..1 | HealthCareFacility | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassServiceDeliveryLocation (required) | |
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1..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: ServiceDeliveryLocationRoleType (example) | |
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0..1 | Place | ||
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0..1 | Organization | ||
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1..1 | Component | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActRelationshipHasComponent (required) Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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0..1 | NonXMLBody | ||
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C | 1..1 | StructuredBody | In this template (templateId 2.16.840.1.113883.10.20.22.1.9.2), coded entries are optional ap-or-a-and-p: **SHALL** include an Assessment and Plan Section, or both an Assessment Section and a Plan of Treatment Section. ap-combo: This structuredBody **SHALL NOT** contain an Assessment and Plan Section (2.16.840.1.113883.10.20.22.2.9:2014-06-09) when either an Assessment Section (2.16.840.1.113883.10.20.22.2.8) or a Plan of Treatment Section (2.16.840.1.113883.10.20.22.2.10:2014-06-09) is present. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCBODY | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..1 | CE | ||
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0..1 | CS | Binding: AllLanguages (required) | |
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1..* | InfrastructureRoot | Slice: Unordered, Open by profile:section | |
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Content/Rules for all slices | |||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | Section | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | AssessmentSection | ||
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0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | PlanofTreatmentSection | ||
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0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | AssessmentandPlanSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | AllergiesAndIntolerancesSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ChiefComplaintSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | ActivitiesSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | InstructionsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | MedicationsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | ObjectiveSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | PhysicalExamSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | ProblemSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | ResultsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | ReviewofSystemsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | SubjectiveSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | VitalSignsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | NutritionSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | MentalStatusSection | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | InfrastructureRoot | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | AdvanceDirectivesSection | ||
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0..1 | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
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1..1 | NotesSection | ||
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Path | Conformance | ValueSet / Code | URI |
ClinicalDocument.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.classCode | example | Fixed Value: DOCCLINhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.realmCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:us-realm.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.templateId:progress-note.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.code | required | ProgressNoteDocumentTypeCode ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.8.1 | |
ClinicalDocument.sdtcStatusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.confidentialityCode.code | preferred | HL7BasicConfidentialityKind ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926 | |
ClinicalDocument.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.recordTarget.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.typeCode | required | Fixed Value: RCThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.recordTarget.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.recordTarget.patientRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.classCode | required | Fixed Value: PAThttp://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal | |
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode | required | AdministrativeGenderHL7V3 ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1 | |
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode | required | MaritalStatus ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212 | |
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode | required | ReligiousAffiliation ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185 | |
ClinicalDocument.recordTarget.patientRole.patient.raceCode | required | RaceCategoryExcludingNulls ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode | required | RaceValueSet ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914 | |
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode | required | Ethnicity ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 | |
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode | required | DetailedEthnicity ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode | required | Fixed Value: GUARDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAgent | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.code | required | PersonalAndLegalRelationshipRoleType ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode | required | Fixed Value: BIRTHPLhttp://terminology.hl7.org/ValueSet/v3-RoleClassPassive | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode | required | Fixed Value: PLChttp://terminology.hl7.org/ValueSet/v3-EntityClassPlace | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use | required | CDAPostalAddressUsehttp://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode | required | LanguageCodesWithLanguageAndOptionallyARegionModifierhttp://hl7.org/fhir/us/core/ValueSet/simple-language | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode | required | LanguageAbilityMode ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249 | |
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode | required | LanguageAbilityProficiency ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.author.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.typeCode | required | Fixed Value: AUThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.author.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.author.assignedAuthor.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.author.assignedAuthor.code.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode | required | Fixed Value: DEVhttp://terminology.hl7.org/ValueSet/v3-EntityClassDevice | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code | example | CDAEntityCodehttp://hl7.org/cda/stds/core/ValueSet/CDAEntityCode | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName | example | ManufacturerModelNameExamplehttp://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample | |
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName | example | SoftwareNameExamplehttp://terminology.hl7.org/ValueSet/v3-SoftwareNameExample | |
ClinicalDocument.dataEnterer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.typeCode | required | Fixed Value: ENThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.dataEnterer.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.informant:provider.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.informant:provider.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informant:non-provider.typeCode | required | Fixed Value: INFhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.informant:non-provider.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.custodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.typeCode | required | Fixed Value: CSThttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.custodian.assignedCustodian.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.typeCode | required | XInformationRecipienthttp://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0 | |
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.classCode | required | CDAInformationRecipientRolehttp://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
ClinicalDocument.legalAuthenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.typeCode | required | Fixed Value: LAhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.legalAuthenticator.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.legalAuthenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.typeCode | required | Fixed Value: AUTHENhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.authenticator.signatureCode | required | CDASignatureCodehttp://hl7.org/cda/stds/core/ValueSet/CDASignatureCode | |
ClinicalDocument.authenticator.signatureCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.code.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.telecom.use | required | TelecomUseUSRealmHeader ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20 | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.participant.typeCode | required | CDAParticipationTypehttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.participant.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
ClinicalDocument.inFulfillmentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.typeCode | required | Fixed Value: FLFShttp://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0 | |
ClinicalDocument.inFulfillmentOf.order.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.inFulfillmentOf.order.classCode | required | CDAActClasshttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.inFulfillmentOf.order.moodCode | required | Fixed Value: RQOhttp://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent | |
ClinicalDocument.inFulfillmentOf.order.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.inFulfillmentOf.order.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
ClinicalDocument.documentationOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.typeCode | required | Fixed Value: DOChttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType | |
ClinicalDocument.documentationOf.serviceEvent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.templateId:secondary.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.classCode | required | Fixed Value: PCPRhttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.documentationOf.serviceEvent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode | required | X_ServiceEventPerformer ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601 | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code | preferred | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code | preferred | HealthcareProviderTaxonomy ![]() http://nucc.org/provider-taxonomy )http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 | |
ClinicalDocument.authorization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.typeCode | required | Fixed Value: AUTHhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy | |
ClinicalDocument.authorization.consent.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.authorization.consent.classCode | required | Fixed Value: CONShttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.authorization.consent.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.authorization.consent.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
ClinicalDocument.authorization.consent.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
ClinicalDocument.authorization.consent.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
ClinicalDocument.componentOf.encompassingEncounter.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.componentOf.encompassingEncounter.code | preferred | ActEncounterCodes ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5 | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode | example | USEncounterDischargeDispositionhttp://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode | required | Fixed Value: RESPhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode | required | Fixed Value: LOChttp://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.classCode | required | RoleClassServiceDeliveryLocationhttp://terminology.hl7.org/ValueSet/v3-RoleClassServiceDeliveryLocation | |
ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.code | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | |
ClinicalDocument.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent | |
ClinicalDocument.component.structuredBody.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.classCode | required | Fixed Value: DOCBODYhttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
ClinicalDocument.component.structuredBody.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
ClinicalDocument.component.structuredBody.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
ClinicalDocument.component.structuredBody.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessment.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessment.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessmentAndPlan.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:assessmentAndPlan.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:allergies.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:activities.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:activities.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:instructions.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:instructions.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:medications.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:medications.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:objective.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:objective.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:physicalExam.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:physicalExam.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:problems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:results.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:subjective.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:subjective.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:vitalSigns.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:nutrition.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:mentalStatus.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:mentalStatus.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:advDirectives.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:notes.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
ClinicalDocument.component.structuredBody.component:notes.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
1198-10066 | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime | If a width element is not present, the serviceEvent **SHALL** include effectiveTime/high (CONF:1198-10066). : width.empty() implies high.exists() | |
1198-32905 | error | ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity | This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). : assignedPerson.exists() or representedOrganization.exists() | |
4537-5402 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
4537-5403 | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
4537-6380 | error | ClinicalDocument | If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists() | |
4537-6387 | error | ClinicalDocument | If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists() | |
4537-10006 | error | ClinicalDocument.participant | **SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists() | |
4537-10007 | warning | ClinicalDocument.participant | When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33') | |
4537-16790 | error | ClinicalDocument.author.assignedAuthor | There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1 | |
4537-21000 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true') | |
4537-32993 | error | ClinicalDocument.recordTarget.patientRole.patient | If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists() | |
AD-1 | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item | Can only have only one of the possible item elements in each choice : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1 | |
II-1 | error | ClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility.typeId, ClinicalDocument.component.typeId, ClinicalDocument.component.structuredBody.typeId, ClinicalDocument.component.structuredBody.component.typeId, ClinicalDocument.component.structuredBody.component:assessment.typeId, ClinicalDocument.component.structuredBody.component:planOfTreatment.typeId, ClinicalDocument.component.structuredBody.component:assessmentAndPlan.typeId, ClinicalDocument.component.structuredBody.component:allergies.typeId, ClinicalDocument.component.structuredBody.component:chiefComplaint.typeId, ClinicalDocument.component.structuredBody.component:activities.typeId, ClinicalDocument.component.structuredBody.component:instructions.typeId, ClinicalDocument.component.structuredBody.component:medications.typeId, ClinicalDocument.component.structuredBody.component:objective.typeId, ClinicalDocument.component.structuredBody.component:physicalExam.typeId, ClinicalDocument.component.structuredBody.component:problems.typeId, ClinicalDocument.component.structuredBody.component:results.typeId, ClinicalDocument.component.structuredBody.component:reviewOfSystems.typeId, ClinicalDocument.component.structuredBody.component:subjective.typeId, ClinicalDocument.component.structuredBody.component:vitalSigns.typeId, ClinicalDocument.component.structuredBody.component:nutrition.typeId, ClinicalDocument.component.structuredBody.component:mentalStatus.typeId, ClinicalDocument.component.structuredBody.component:advDirectives.typeId, ClinicalDocument.component.structuredBody.component:notes.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
ap-combo | error | ClinicalDocument.component.structuredBody | This structuredBody **SHALL NOT** contain an Assessment and Plan Section (2.16.840.1.113883.10.20.22.2.9:2014-06-09) when either an Assessment Section (2.16.840.1.113883.10.20.22.2.8) or a Plan of Treatment Section (2.16.840.1.113883.10.20.22.2.10:2014-06-09) is present. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentandPlanSection')).exists() implies component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection')).empty() | |
ap-or-a-and-p | error | ClinicalDocument.component.structuredBody | **SHALL** include an Assessment and Plan Section, or both an Assessment Section and a Plan of Treatment Section. : component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentandPlanSection')).exists() or (component.where(section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentSection') or section.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection')).count() = 2) | |
category-11506-3 | error | ClinicalDocument | If category is present, then there shall be a category with LOINC code '11506-3'. : sdtcCategory.empty() or sdtcCategory.exists(code = '11506-3' and codeSystem = '2.16.840.1.113883.6.1') | |
should-code-attr | warning | ClinicalDocument.documentationOf.serviceEvent.performer.functionCode | SHOULD contain @code : code.exists() | |
should-country | warning | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr | SHOULD contain country : nullFlavor.exists() or item.country.exists() | |
should-documentationOf | warning | ClinicalDocument | SHOULD contain documentationOf : documentationOf.exists() | |
should-extension | warning | ClinicalDocument.author.assignedAuthor.id:npi | SHOULD contain extension : extension.exists() | |
should-id-npi | warning | ClinicalDocument.author.assignedAuthor | SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6') | |
should-legalAuthenticator | warning | ClinicalDocument | SHOULD contain legalAuthenticator : legalAuthenticator.exists() | |
should-maritalStatusCode | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain maritalStatusCode : maritalStatusCode.exists() | |
should-npi | warning | ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-preferenceInd | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain preferenceInd : preferenceInd.exists() | |
should-proficiencyLevelCode | warning | ClinicalDocument.recordTarget.patientRole.patient.languageCommunication | SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists() | |
should-relatedParticipant | warning | ClinicalDocument | Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists() | |
should-responsibleParty | warning | ClinicalDocument.componentOf.encompassingEncounter | SHOULD contain responsibleParty : responsibleParty.exists() | |
should-us-addr | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain addr : addr.exists() | |
should-us-code | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity | SHOULD contain code : code.exists() | |
should-us-languageCommunication | warning | ClinicalDocument.recordTarget.patientRole.patient | SHOULD contain languageCommunication : languageCommunication.exists() | |
should-us-performer | warning | ClinicalDocument.documentationOf.serviceEvent | SHOULD contain performer : performer.exists() | |
should-us-telecom | warning | ClinicalDocument.recordTarget.patientRole.patient.guardian | SHOULD contain telecom : telecom.exists() | |
should-use | warning | ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecom | SHOULD contain @use : nullFlavor.exists() or use.exists() | |
should-value-att | warning | ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | SHOULD contain @value : value.exists() | |
signature | warning | ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode | CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X' | |
text-null | error | ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct | xmlText and nullFlavor are mutually exclusive (one must be present) : (xmlText | nullFlavor).count() = 1 | |
ts-shall-day | error | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-shall-year | error | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4 | |
ts-should-day | warning | ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime | **SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-should-minute | warning | ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.low, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime.high | **SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10 |
This structure is derived from USRealmHeader
Summary
Mandatory: 8 elements(4 nested mandatory elements)
Fixed: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices: