STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

??.?? Logical Model ClinicalDocument - Content

This is a generated StructureDefinition that describes CDA - that is, CDA as it actually is for R2. The intent of this StructureDefinition is to enable CDA to be a FHIR resource. That enables the FHIR infrastructure - API, conformance, query - to be used directly against CDA

??.??.1 Scope and Usage

This defines a FHIR profile of the HL7 V3 ClinicalDocument structure for CDA itself (the HL7 V3 RIM-based standard). Uses to be evaluated. This is not intended to be part of C-CDA on FHIR but is currently published here until we find a good home for it.

{todo}

??.??.2 Logical Model Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalDocument 1..1Resource
... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
... realmCode 0..*CS
... typeId 0..1II
... templateId 0..*II
... classCode S1..1codeBinding: v3 Code System ActClass (extensible)
Fixed Value: DOCCLIN
... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
... id S1..1II
... code S1..1CEBinding: v3-DocumentType (extensible)
... title 0..1ST
... effectiveTime S1..1TS
... confidentialityCode S1..1CE
... languageCode 0..1CSBinding: HumanLanguage (required)
... setId 0..1II
... versionNumber 0..1INT
... copyTime 0..1TS
... recordTarget 1..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationIndirectTarget (required)
Fixed Value: RCT
.... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... patientRole 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: RoleClassRelationshipFormal (required)
Fixed Value: PAT
..... id 1..*II
..... addr 0..*AD
..... telecom 0..*TEL
..... patient 0..1BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... classCode S1..1codeBinding: EntityClassLivingSubject (required)
Fixed Value: PSN
...... determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
...... id 0..1II
...... name 0..*EN
...... desc 0..1ED
...... administrativeGenderCode 0..1CEBinding: v3 Code System AdministrativeGender (extensible)
...... birthTime 0..1TS
...... deceasedInd 0..1BL
...... deceasedTime 0..1TS
...... maritalStatusCode 0..1CEBinding: v3 Code System MaritalStatus (extensible)
...... religiousAffiliationCode 0..1CEBinding: v3 Code System ReligiousAffiliation (extensible)
...... raceCode 0..1CEBinding: v3 Code System Race (extensible)
...... ethnicGroupCode 0..1CEBinding: v3 Code System Ethnicity (extensible)
...... guardian 0..*BackboneElement
....... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
....... templateId 0..*II
....... classCode S1..1codeBinding: RoleClassAgent (required)
Fixed Value: GUARD
....... id 0..*II
....... code 0..1CEBinding: v3 Code System RoleCode (extensible)
....... addr 0..*AD
....... telecom 0..*TEL
....... guardianPerson 1..1BackboneElement
........ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........ realmCode 0..*CS
........ typeId 0..1II
........ templateId 0..*II
........ classCode S1..1codeBinding: EntityClassLivingSubject (required)
Fixed Value: PSN
........ determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
........ name 0..*EN
........ asPatientRelationship 0..*CE
....... guardianOrganization 1..1BackboneElement
........ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........ realmCode 0..*CS
........ typeId 0..1II
........ templateId 0..*II
........ classCode S1..1codeBinding: EntityClassOrganization (required)
Fixed Value: ORG
........ determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
........ id 0..*II
........ name 0..*EN
........ telecom 0..*TEL
........ addr 0..*AD
........ standardIndustryClassCode 0..1CEBinding: v3-OrganizationIndustryClass (extensible)
........ asOrganizationPartOf 0..1BackboneElement
......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
......... realmCode 0..*CS
......... typeId 0..1II
......... templateId 0..*II
......... classCode S1..1codeBinding: RoleClassPartitive (required)
Fixed Value: PART
......... id S0..*II
......... code 0..1CEBinding: v3 Code System RoleCode (extensible)
......... statusCode 0..1CS
......... effectiveTime 0..1IVL_TS
......... wholeOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
...... birthplace 0..1BackboneElement
....... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
....... templateId 0..*II
....... classCode S1..1codeBinding: RoleClassPassive (required)
Fixed Value: BIRTHPL
....... place 1..1BackboneElement
........ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........ realmCode 0..*CS
........ typeId 0..1II
........ templateId 0..*II
........ classCode S1..1codeBinding: EntityClassPlace (required)
Fixed Value: PLC
........ determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
........ name 0..1EN
........ addr 0..1AD
...... languageCommunication 0..*BackboneElement
....... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
....... templateId 0..*II
....... languageCode 0..1CSBinding: HumanLanguage (required)
....... modeCode 0..1CEBinding: v3 Code System LanguageAbilityMode (extensible)
....... proficiencyLevelCode 0..1CEBinding: v3 Code System LanguageAbilityProficiency (extensible)
....... preferenceInd 0..1BL
..... providerOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
... author 1..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationInformationTranscriber (required)
Fixed Value: AUT
.... functionCode 0..1CEBinding: v3 Code System ParticipationFunction (extensible)
.... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time S1..1TS
.... assignedAuthor 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3-RoleClassAssignedEntity (required)
Fixed Value: ASSIGNED
..... id S1..*II
..... code 0..1CEBinding: v3 Code System RoleCode (extensible)
..... addr 0..*AD
..... telecom 0..*TEL
..... assignedPerson 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
..... assignedAuthoringDevice 0..1BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... classCode S1..1codeBinding: EntityClassDevice (required)
Fixed Value: DEV
...... determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
...... code 0..1CEBinding: v3 Code System EntityCode (extensible)
...... manufacturerModelName 0..1SCBinding: v3-ManufacturerModelName (extensible)
...... softwareName 0..1SCBinding: v3-SoftwareName (extensible)
...... asMaintainedEntity 0..*BackboneElement
....... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
....... templateId 0..*II
....... classCode S1..1codeBinding: RoleClassPassive (required)
Fixed Value: MNT
....... effectiveTime 0..1IVL_TS
....... maintainingPerson 1..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
..... representedOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
... dataEnterer 0..1BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: ENT
.... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time 0..1TS
.... assignedEntity 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3-RoleClassAssignedEntity (required)
Fixed Value: ASSIGNED
..... id S1..*II
..... code 0..1CEBinding: v3 Code System RoleCode (extensible)
..... addr 0..*AD
..... telecom 0..*TEL
..... assignedPerson 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
..... representedOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
... informant 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
.... relatedEntity 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: RoleClassMutualRelationship (required)
..... code 0..1CEBinding: PersonalRelationshipRoleType (extensible)
..... addr 0..*AD
..... telecom 0..*TEL
..... effectiveTime 0..1IVL_TS
..... relatedPerson 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
... custodian 1..1BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationVerifier (required)
Fixed Value: CST
.... assignedCustodian 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3-RoleClassAssignedEntity (required)
Fixed Value: ASSIGNED
..... representedCustodianOrganization 1..1BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... classCode S1..1codeBinding: EntityClassOrganization (required)
Fixed Value: ORG
...... determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
...... id S1..*II
...... name 0..1EN
...... telecom 0..1TEL
...... addr 0..1AD
... informationRecipient 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1code
.... intendedRecipient 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1code
..... id S0..*II
..... addr 0..*AD
..... telecom 0..*TEL
..... informationRecipient 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
..... receivedOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
... legalAuthenticator 0..1BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationVerifier (required)
Fixed Value: LA
.... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time S1..1TS
.... signatureCode S1..1CS
.... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
... authenticator 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationVerifier (required)
Fixed Value: AUTHEN
.... time S1..1TS
.... signatureCode S1..1CS
.... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
... participant 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: v3 Code System ParticipationType (required)
.... functionCode 0..1CEBinding: v3 Code System ParticipationFunction (extensible)
.... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time 0..1IVL_TS
.... associatedEntity 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: RoleClassAssociative (required)
..... id 0..*II
..... code 0..1CEBinding: v3 Code System RoleCode (extensible)
..... addr 0..*AD
..... telecom 0..*TEL
..... associatedPerson 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
..... scopingOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
... inFulfillmentOf 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ActRelationshipFulfills (required)
Fixed Value: FLFS
.... order 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3 Code System ActClass (required)
..... moodCode S1..1codeBinding: ActMoodIntent (required)
Fixed Value: RQO
..... id S1..*II
..... code 0..1CEBinding: v3 Code System ActCode (extensible)
..... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
... documentationOf 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ActClassDocument (required)
Fixed Value: DOC
.... serviceEvent 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3 Code System ActClass (required)
..... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
..... id 0..*II
..... code 0..1CEBinding: v3-null (extensible)
..... effectiveTime 0..1IVL_TS
..... performer 0..*BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... typeCode S1..1code
...... functionCode 0..1CEBinding: v3 Code System ParticipationFunction (extensible)
...... time 0..1IVL_TS
...... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
... relatedDocument 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1code
.... parentDocument 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: ActClassClinicalDocument (required)
Fixed Value: DOCCLIN
..... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
..... id S1..*II
..... code 0..1CDBinding: v3-DocumentType (extensible)
..... text 0..1ED
..... setId 0..1II
..... versionNumber 0..1INT
... authorization 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: AUTH
.... consent 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3 Code System ActClass (required)
Fixed Value: CONS
..... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
..... id 0..*II
..... code 0..1CEBinding: v3 Code System ActCode (extensible)
..... statusCode S1..1CSBinding: v3-null (required)
Fixed Value: completed
... componentOf 0..1BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ActRelationshipHasComponent (required)
Fixed Value: COMP
.... encompassingEncounter 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3 Code System ActClass (required)
Fixed Value: ENC
..... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
..... id 0..*II
..... code 0..1CEBinding: ActEncounterCode (extensible)
..... effectiveTime S1..1IVL_TS
..... admissionReferralSourceCode 0..1CE
..... dischargeDispositionCode 0..1CEBinding: v3-EncounterDischargeDisposition (extensible)
..... responsibleParty 0..1BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... typeCode S1..1codeBinding: v3 Code System ParticipationType (required)
Fixed Value: RESP
...... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
..... encounterParticipant 0..*BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... typeCode S1..1code
...... time 0..1IVL_TS
...... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
..... location 0..1BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... typeCode S1..1codeBinding: ParticipationTargetLocation (required)
Fixed Value: LOC
...... healthCareFacility 1..1BackboneElement
....... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
....... templateId 0..*II
....... classCode S1..1codeBinding: RoleClassServiceDeliveryLocation (required)
....... id 0..*II
....... code 0..1CEBinding: ServiceDeliveryLocationRoleType (extensible)
....... location 0..1See ClinicalDocument.recordTarget.patientRole.patient.birthplace.place
....... serviceProviderOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
... component 1..1BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ActRelationshipHasComponent (required)
Fixed Value: COMP
.... contextConductionInd S1..1boolean
.... nonXMLBody 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3-ActClassOrganizer (required)
Fixed Value: DOCBODY
..... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
..... text 1..1ED
..... confidentialityCode 0..1CE
..... languageCode 0..1CSBinding: HumanLanguage (required)
.... structuredBody 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3-ActClassOrganizer (required)
Fixed Value: DOCBODY
..... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
..... confidentialityCode 0..1CE
..... languageCode 0..1CSBinding: HumanLanguage (required)
..... component 1..*BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... typeCode S1..1codeBinding: v3-null (required)
Fixed Value: COMP
...... contextConductionInd S1..1boolean
...... section 1..1BackboneElement
....... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
....... templateId 0..*II
....... classCode S1..1codeBinding: v3-ActClassOrganizer (required)
Fixed Value: DOCSECT
....... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
....... id 0..1II
....... code 0..1CEBinding: DocumentSectionType (extensible)
....... title 0..1ST
....... text S0..1xhtml
....... confidentialityCode 0..1CE
....... languageCode 0..1CSBinding: HumanLanguage (required)
....... subject 0..1BackboneElement
........ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........ realmCode 0..*CS
........ typeId 0..1II
........ templateId 0..*II
........ typeCode S1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
........ contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
........ awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
........ relatedSubject 1..1BackboneElement
......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
......... realmCode 0..*CS
......... typeId 0..1II
......... templateId 0..*II
......... classCode S1..1code
......... code 0..1CEBinding: PersonalRelationshipRoleType (extensible)
......... addr 0..*AD
......... telecom 0..*TEL
......... subject 0..1BackboneElement
.......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.......... realmCode 0..*CS
.......... typeId 0..1II
.......... templateId 0..*II
.......... classCode S1..1codeBinding: EntityClassLivingSubject (required)
Fixed Value: PSN
.......... determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
.......... name 0..*EN
.......... desc 0..1ED
.......... administrativeGenderCode 0..1CEBinding: v3 Code System AdministrativeGender (extensible)
.......... birthTime 0..1TS
.......... deceasedInd 0..1BL
.......... deceasedTime 0..1TS
....... author 0..*See ClinicalDocument.author
....... informant 0..*See ClinicalDocument.informant
....... entry 0..*BackboneElement
........ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........ realmCode 0..*CS
........ typeId 0..1II
........ templateId 0..*II
........ typeCode S1..1code
........ contextConductionInd S1..1boolean
........ observation 1..1BackboneElement
......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
......... realmCode 0..*CS
......... typeId 0..1II
......... templateId 0..*II
......... classCode S1..1codeBinding: ActClassObservation (required)
......... moodCode S1..1code
......... id 0..*II
......... code S1..1CDBinding: ObservationType (extensible)
......... negationInd 0..1boolean
......... derivationExpr 0..1ST
......... text 0..1ED
......... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
......... effectiveTime 0..1IVL_TS
......... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
......... repeatNumber 0..1IVL_INT
......... languageCode 0..1CSBinding: HumanLanguage (required)
......... value 0..*BL, ED, ST, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL, EIVL, SXPR_TS
......... interpretationCode 0..*CEBinding: v3 Code System ObservationInterpretation (required)
......... methodCode 0..*CEBinding: v3-null (extensible)
......... targetSiteCode 0..*CDBinding: v3-null (extensible)
......... referenceRange 0..*BackboneElement
.......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.......... realmCode 0..*CS
.......... typeId 0..1II
.......... templateId 0..*II
.......... typeCode S1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: REFV
.......... observationRange 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: ActClassObservation (required)
........... moodCode S1..1codeBinding: ActMoodPredicate (required)
Fixed Value: EVN.CRT
........... code 0..1CDBinding: v3 Code System ActCode (extensible)
........... text 0..1ED
........... value 0..1BL, ED, ST, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL, EIVL, SXPR_TS
........... interpretationCode 0..1CEBinding: v3 Code System ObservationInterpretation (required)
......... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
......... specimen 0..*BackboneElement
.......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.......... realmCode 0..*CS
.......... typeId 0..1II
.......... templateId 0..*II
.......... typeCode S1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: SPC
.......... specimenRole 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: RoleClassSpecimen (required)
Fixed Value: SPEC
........... id 0..*II
........... specimenPlayingEntity 0..1BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ classCode S1..1codeBinding: EntityClassRoot (required)
............ determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
............ code 0..1CEBinding: v3 Code System EntityCode (extensible)
............ quantity 0..*PQ
............ name 0..*EN
............ desc 0..1ED
......... performer 0..*BackboneElement
.......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.......... realmCode 0..*CS
.......... typeId 0..1II
.......... templateId 0..*II
.......... typeCode S1..1codeBinding: ParticipationPhysicalPerformer (required)
Fixed Value: PRF
.......... time 0..1IVL_TS
.......... modeCode 0..1CEBinding: v3 Code System ParticipationMode (extensible)
.......... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
......... author 0..*See ClinicalDocument.author
......... informant 0..*See ClinicalDocument.informant
......... participant 0..*BackboneElement
.......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.......... realmCode 0..*CS
.......... typeId 0..1II
.......... templateId 0..*II
.......... typeCode S1..1codeBinding: v3 Code System ParticipationType (required)
.......... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.......... time 0..1IVL_TS
.......... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.......... participantRole 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: RoleClassRoot (required)
........... id 0..*II
........... code 0..1CEBinding: v3 Code System RoleCode (extensible)
........... addr 0..*AD
........... telecom 0..*TEL
........... playingDevice 0..1BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ classCode S1..1codeBinding: EntityClassDevice (required)
............ determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
............ code 0..1CEBinding: v3 Code System EntityCode (extensible)
............ manufacturerModelName 0..1SCBinding: v3-ManufacturerModelName (extensible)
............ softwareName 0..1SCBinding: v3-SoftwareName (extensible)
........... playingEntity 0..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen.specimenRole.specimenPlayingEntity
........... scopingEntity 0..1BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ classCode S1..1codeBinding: EntityClassRoot (required)
............ determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
............ id 0..*II
............ code 0..1CEBinding: v3 Code System EntityCode (extensible)
............ desc 0..1ED
......... entryRelationship 0..*BackboneElement
.......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.......... realmCode 0..*CS
.......... typeId 0..1II
.......... templateId 0..*II
.......... typeCode S1..1code
.......... inversionInd 0..1boolean
.......... contextConductionInd S1..1boolean
.......... sequenceNumber 0..1INT
.......... negationInd 0..1boolean
.......... seperatableInd 0..1BL
.......... observation 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation
.......... regionOfInterest 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: ActClassROI (required)
Fixed Value: ROIOVL
........... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
........... id S1..*II
........... code S1..1CS
........... value S1..*INT
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ typeCode S1..1code
............ seperatableInd 0..1BL
............ externalAct 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1codeBinding: v3 Code System ActClass (required)
............. moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
............. id 0..*II
............. code 0..1CDBinding: v3 Code System ActCode (extensible)
............. text 0..1ED
............ externalObservation 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1codeBinding: ActClassObservation (required)
............. moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
............. id 0..*II
............. code 0..1CDBinding: v3 Code System ActCode (extensible)
............. text 0..1ED
............ externalProcedure 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1codeBinding: ActClassProcedure (required)
Fixed Value: PROC
............. moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
............. id 0..*II
............. code 0..1CDBinding: v3 Code System ActCode (extensible)
............. text 0..1ED
............ externalDocument 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1codeBinding: ActClassDocument (required)
............. moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
............. id 0..*II
............. code 0..1CDBinding: v3-DocumentType (extensible)
............. text 0..1ED
............. setId 0..1II
............. versionNumber 0..1INT
........... precondition 0..*BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ typeCode S1..1codeBinding: ActRelationshipConditional (required)
Fixed Value: PRCN
............ criterion 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1codeBinding: ActClassObservation (required)
............. moodCode S1..1codeBinding: ActMoodPredicate (required)
Fixed Value: EVN.CRT
............. code 0..1CDBinding: v3 Code System ActCode (extensible)
............. text 0..1ED
............. value 0..1BL, ED, ST, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL, EIVL, SXPR_TS
.......... observationMedia 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: ActClassObservation (required)
Fixed Value: OBS
........... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
........... id 0..*II
........... languageCode 0..1CSBinding: HumanLanguage (required)
........... value S1..1ED
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
........... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
.......... substanceAdministration 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: v3 Code System ActClass (required)
Fixed Value: SBADM
........... moodCode S1..1code
........... id 0..*II
........... code 0..1CDBinding: v3-SubstanceAdministrationActCode (extensible)
........... negationInd 0..1boolean
........... text 0..1ED
........... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
........... effectiveTime 0..*IVL_TS, EIVL, PIVL, SXPR_TS
........... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
........... repeatNumber 0..1IVL_INT
........... routeCode 0..1CEBinding: v3 Code System RouteOfAdministration (extensible)
........... approachSiteCode 0..*CDBinding: v3 Code System ActSite (extensible)
........... doseQuantity 0..1IVL_PQ
........... rateQuantity 0..1IVL_PQ
........... maxDoseQuantity 0..1RTO_PQ_PQ
........... administrationUnitCode 0..1CEBinding: v3-AdministrableDrugForm (extensible)
........... consumable 1..1BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ typeCode S1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: CSM
............ manufacturedProduct 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1codeBinding: RoleClassManufacturedProduct (required)
Fixed Value: MANU
............. id 0..*II
............. manufacturedLabeledDrug 1..1BackboneElement
.............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.............. realmCode 0..*CS
.............. typeId 0..1II
.............. templateId 0..*II
.............. classCode S1..1codeBinding: EntityClassManufacturedMaterial (required)
Fixed Value: MMAT
.............. determinerCode S1..1codeBinding: EntityDeterminerDetermined (required)
Fixed Value: KIND
.............. code 0..1CEBinding: v3-DrugEntity (extensible)
.............. name 0..1EN
............. manufacturedMaterial 1..1BackboneElement
.............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.............. realmCode 0..*CS
.............. typeId 0..1II
.............. templateId 0..*II
.............. classCode S1..1codeBinding: EntityClassManufacturedMaterial (required)
Fixed Value: MMAT
.............. determinerCode S1..1codeBinding: EntityDeterminerDetermined (required)
Fixed Value: KIND
.............. code 0..1CEBinding: v3-MaterialEntityClassType (extensible)
.............. name 0..1EN
.............. lotNumberText 0..1ST
............. manufacturerOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
........... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
.......... supply 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: ActClassSupply (required)
Fixed Value: SPLY
........... moodCode S1..1code
........... id 0..*II
........... code 0..1CDBinding: v3 Code System ActCode (extensible)
........... text 0..1ED
........... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
........... effectiveTime 0..*IVL_TS, EIVL, PIVL, SXPR_TS
........... priorityCode 0..*CEBinding: v3 Code System ActPriority (extensible)
........... repeatNumber 0..1IVL_INT
........... independentInd 0..1BL
........... quantity 0..1PQ
........... expectedUseTime 0..1IVL_TS
........... product S0..1BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ typeCode S1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: PRD
............ manufacturedProduct S1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.substanceAdministration.consumable.manufacturedProduct
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
........... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
.......... procedure 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: ActClassProcedure (required)
Fixed Value: PROC
........... moodCode S1..1code
........... id 0..*II
........... code 0..1CDBinding: v3-null (extensible)
........... negationInd 0..1boolean
........... text 0..1ED
........... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
........... effectiveTime 0..1IVL_TS
........... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
........... languageCode 0..1CSBinding: HumanLanguage (required)
........... methodCode 0..*CEBinding: v3-null (extensible)
........... approachSiteCode 0..*CDBinding: v3-null (extensible)
........... targetSiteCode 0..*CDBinding: v3-null (extensible)
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
........... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
.......... encounter 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: v3 Code System ActClass (required)
Fixed Value: ENC
........... moodCode S1..1code
........... id 0..*II
........... code 0..1CDBinding: ActEncounterCode (extensible)
........... text 0..1ED
........... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
........... effectiveTime 0..1IVL_TS
........... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
........... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
.......... organizer 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1code
........... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
........... id 0..*II
........... code 0..1CDBinding: v3 Code System ActCode (extensible)
........... statusCode S1..1CSBinding: v3 Code System ActStatus (required)
........... effectiveTime 0..1IVL_TS
........... component 0..*BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ typeCode S1..1codeBinding: v3-null (required)
Fixed Value: COMP
............ contextConductionInd S1..1boolean
............ sequenceNumber 0..1INT
............ seperatableInd 0..1BL
............ observation 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation
............ regionOfInterest 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest
............ observationMedia 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.observationMedia
............ substanceAdministration 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.substanceAdministration
............ supply 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.supply
............ procedure 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.procedure
............ encounter 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.encounter
............ organizer 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.organizer
............ act 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1code
............. moodCode S1..1code
............. id 0..*II
............. code S1..1CDBinding: v3 Code System ActCode (extensible)
............. negationInd 0..1boolean
............. text 0..1ED
............. statusCode 0..1CSBinding: v3 Code System ActStatus (required)
............. effectiveTime 0..1IVL_TS
............. priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
............. languageCode 0..1CSBinding: HumanLanguage (required)
............. subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
............. specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
............. performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
............. author 0..*See ClinicalDocument.author
............. informant 0..*See ClinicalDocument.informant
............. participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
............. entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
............. reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
............. precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
........... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
.......... act 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.organizer.component.act
......... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
......... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
........ regionOfInterest 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest
........ observationMedia 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.observationMedia
........ substanceAdministration 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.substanceAdministration
........ supply 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.supply
........ procedure 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.procedure
........ encounter 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.encounter
........ organizer 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.organizer
........ act 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.organizer.component.act
....... component 0..*BackboneElement
........ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........ realmCode 0..*CS
........ typeId 0..1II
........ templateId 0..*II
........ typeCode S1..1codeBinding: v3-null (required)
Fixed Value: COMP
........ contextConductionInd S1..1boolean
........ section 1..1See ClinicalDocument.component.structuredBody.component.section

doco Documentation for this format

UML Diagram

todo

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalDocument 1..1Resource
... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
... realmCode 0..*CS
... typeId 0..1II
... templateId 0..*II
... classCode S1..1codeBinding: v3 Code System ActClass (extensible)
Fixed Value: DOCCLIN
... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
... id S1..1II
... code S1..1CEBinding: v3-DocumentType (extensible)
... title 0..1ST
... effectiveTime S1..1TS
... confidentialityCode S1..1CE
... languageCode 0..1CSBinding: HumanLanguage (required)
... setId 0..1II
... versionNumber 0..1INT
... copyTime 0..1TS
... recordTarget 1..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationIndirectTarget (required)
Fixed Value: RCT
.... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... patientRole 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: RoleClassRelationshipFormal (required)
Fixed Value: PAT
..... id 1..*II
..... addr 0..*AD
..... telecom 0..*TEL
..... patient 0..1BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... classCode S1..1codeBinding: EntityClassLivingSubject (required)
Fixed Value: PSN
...... determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
...... id 0..1II
...... name 0..*EN
...... desc 0..1ED
...... administrativeGenderCode 0..1CEBinding: v3 Code System AdministrativeGender (extensible)
...... birthTime 0..1TS
...... deceasedInd 0..1BL
...... deceasedTime 0..1TS
...... maritalStatusCode 0..1CEBinding: v3 Code System MaritalStatus (extensible)
...... religiousAffiliationCode 0..1CEBinding: v3 Code System ReligiousAffiliation (extensible)
...... raceCode 0..1CEBinding: v3 Code System Race (extensible)
...... ethnicGroupCode 0..1CEBinding: v3 Code System Ethnicity (extensible)
...... guardian 0..*BackboneElement
....... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
....... templateId 0..*II
....... classCode S1..1codeBinding: RoleClassAgent (required)
Fixed Value: GUARD
....... id 0..*II
....... code 0..1CEBinding: v3 Code System RoleCode (extensible)
....... addr 0..*AD
....... telecom 0..*TEL
....... guardianPerson 1..1BackboneElement
........ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........ realmCode 0..*CS
........ typeId 0..1II
........ templateId 0..*II
........ classCode S1..1codeBinding: EntityClassLivingSubject (required)
Fixed Value: PSN
........ determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
........ name 0..*EN
........ asPatientRelationship 0..*CE
....... guardianOrganization 1..1BackboneElement
........ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........ realmCode 0..*CS
........ typeId 0..1II
........ templateId 0..*II
........ classCode S1..1codeBinding: EntityClassOrganization (required)
Fixed Value: ORG
........ determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
........ id 0..*II
........ name 0..*EN
........ telecom 0..*TEL
........ addr 0..*AD
........ standardIndustryClassCode 0..1CEBinding: v3-OrganizationIndustryClass (extensible)
........ asOrganizationPartOf 0..1BackboneElement
......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
......... realmCode 0..*CS
......... typeId 0..1II
......... templateId 0..*II
......... classCode S1..1codeBinding: RoleClassPartitive (required)
Fixed Value: PART
......... id S0..*II
......... code 0..1CEBinding: v3 Code System RoleCode (extensible)
......... statusCode 0..1CS
......... effectiveTime 0..1IVL_TS
......... wholeOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
...... birthplace 0..1BackboneElement
....... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
....... templateId 0..*II
....... classCode S1..1codeBinding: RoleClassPassive (required)
Fixed Value: BIRTHPL
....... place 1..1BackboneElement
........ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........ realmCode 0..*CS
........ typeId 0..1II
........ templateId 0..*II
........ classCode S1..1codeBinding: EntityClassPlace (required)
Fixed Value: PLC
........ determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
........ name 0..1EN
........ addr 0..1AD
...... languageCommunication 0..*BackboneElement
....... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
....... templateId 0..*II
....... languageCode 0..1CSBinding: HumanLanguage (required)
....... modeCode 0..1CEBinding: v3 Code System LanguageAbilityMode (extensible)
....... proficiencyLevelCode 0..1CEBinding: v3 Code System LanguageAbilityProficiency (extensible)
....... preferenceInd 0..1BL
..... providerOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
... author 1..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationInformationTranscriber (required)
Fixed Value: AUT
.... functionCode 0..1CEBinding: v3 Code System ParticipationFunction (extensible)
.... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time S1..1TS
.... assignedAuthor 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3-RoleClassAssignedEntity (required)
Fixed Value: ASSIGNED
..... id S1..*II
..... code 0..1CEBinding: v3 Code System RoleCode (extensible)
..... addr 0..*AD
..... telecom 0..*TEL
..... assignedPerson 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
..... assignedAuthoringDevice 0..1BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... classCode S1..1codeBinding: EntityClassDevice (required)
Fixed Value: DEV
...... determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
...... code 0..1CEBinding: v3 Code System EntityCode (extensible)
...... manufacturerModelName 0..1SCBinding: v3-ManufacturerModelName (extensible)
...... softwareName 0..1SCBinding: v3-SoftwareName (extensible)
...... asMaintainedEntity 0..*BackboneElement
....... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
....... templateId 0..*II
....... classCode S1..1codeBinding: RoleClassPassive (required)
Fixed Value: MNT
....... effectiveTime 0..1IVL_TS
....... maintainingPerson 1..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
..... representedOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
... dataEnterer 0..1BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: ENT
.... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time 0..1TS
.... assignedEntity 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3-RoleClassAssignedEntity (required)
Fixed Value: ASSIGNED
..... id S1..*II
..... code 0..1CEBinding: v3 Code System RoleCode (extensible)
..... addr 0..*AD
..... telecom 0..*TEL
..... assignedPerson 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
..... representedOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
... informant 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
.... relatedEntity 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: RoleClassMutualRelationship (required)
..... code 0..1CEBinding: PersonalRelationshipRoleType (extensible)
..... addr 0..*AD
..... telecom 0..*TEL
..... effectiveTime 0..1IVL_TS
..... relatedPerson 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
... custodian 1..1BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationVerifier (required)
Fixed Value: CST
.... assignedCustodian 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3-RoleClassAssignedEntity (required)
Fixed Value: ASSIGNED
..... representedCustodianOrganization 1..1BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... classCode S1..1codeBinding: EntityClassOrganization (required)
Fixed Value: ORG
...... determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
...... id S1..*II
...... name 0..1EN
...... telecom 0..1TEL
...... addr 0..1AD
... informationRecipient 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1code
.... intendedRecipient 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1code
..... id S0..*II
..... addr 0..*AD
..... telecom 0..*TEL
..... informationRecipient 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
..... receivedOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
... legalAuthenticator 0..1BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationVerifier (required)
Fixed Value: LA
.... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time S1..1TS
.... signatureCode S1..1CS
.... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
... authenticator 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ParticipationVerifier (required)
Fixed Value: AUTHEN
.... time S1..1TS
.... signatureCode S1..1CS
.... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
... participant 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: v3 Code System ParticipationType (required)
.... functionCode 0..1CEBinding: v3 Code System ParticipationFunction (extensible)
.... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time 0..1IVL_TS
.... associatedEntity 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: RoleClassAssociative (required)
..... id 0..*II
..... code 0..1CEBinding: v3 Code System RoleCode (extensible)
..... addr 0..*AD
..... telecom 0..*TEL
..... associatedPerson 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson
..... scopingOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
... inFulfillmentOf 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ActRelationshipFulfills (required)
Fixed Value: FLFS
.... order 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3 Code System ActClass (required)
..... moodCode S1..1codeBinding: ActMoodIntent (required)
Fixed Value: RQO
..... id S1..*II
..... code 0..1CEBinding: v3 Code System ActCode (extensible)
..... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
... documentationOf 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ActClassDocument (required)
Fixed Value: DOC
.... serviceEvent 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3 Code System ActClass (required)
..... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
..... id 0..*II
..... code 0..1CEBinding: v3-null (extensible)
..... effectiveTime 0..1IVL_TS
..... performer 0..*BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... typeCode S1..1code
...... functionCode 0..1CEBinding: v3 Code System ParticipationFunction (extensible)
...... time 0..1IVL_TS
...... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
... relatedDocument 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1code
.... parentDocument 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: ActClassClinicalDocument (required)
Fixed Value: DOCCLIN
..... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
..... id S1..*II
..... code 0..1CDBinding: v3-DocumentType (extensible)
..... text 0..1ED
..... setId 0..1II
..... versionNumber 0..1INT
... authorization 0..*BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: AUTH
.... consent 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3 Code System ActClass (required)
Fixed Value: CONS
..... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
..... id 0..*II
..... code 0..1CEBinding: v3 Code System ActCode (extensible)
..... statusCode S1..1CSBinding: v3-null (required)
Fixed Value: completed
... componentOf 0..1BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ActRelationshipHasComponent (required)
Fixed Value: COMP
.... encompassingEncounter 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3 Code System ActClass (required)
Fixed Value: ENC
..... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
..... id 0..*II
..... code 0..1CEBinding: ActEncounterCode (extensible)
..... effectiveTime S1..1IVL_TS
..... admissionReferralSourceCode 0..1CE
..... dischargeDispositionCode 0..1CEBinding: v3-EncounterDischargeDisposition (extensible)
..... responsibleParty 0..1BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... typeCode S1..1codeBinding: v3 Code System ParticipationType (required)
Fixed Value: RESP
...... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
..... encounterParticipant 0..*BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... typeCode S1..1code
...... time 0..1IVL_TS
...... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
..... location 0..1BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... typeCode S1..1codeBinding: ParticipationTargetLocation (required)
Fixed Value: LOC
...... healthCareFacility 1..1BackboneElement
....... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
....... templateId 0..*II
....... classCode S1..1codeBinding: RoleClassServiceDeliveryLocation (required)
....... id 0..*II
....... code 0..1CEBinding: ServiceDeliveryLocationRoleType (extensible)
....... location 0..1See ClinicalDocument.recordTarget.patientRole.patient.birthplace.place
....... serviceProviderOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
... component 1..1BackboneElement
.... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... typeCode S1..1codeBinding: ActRelationshipHasComponent (required)
Fixed Value: COMP
.... contextConductionInd S1..1boolean
.... nonXMLBody 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3-ActClassOrganizer (required)
Fixed Value: DOCBODY
..... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
..... text 1..1ED
..... confidentialityCode 0..1CE
..... languageCode 0..1CSBinding: HumanLanguage (required)
.... structuredBody 1..1BackboneElement
..... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... classCode S1..1codeBinding: v3-ActClassOrganizer (required)
Fixed Value: DOCBODY
..... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
..... confidentialityCode 0..1CE
..... languageCode 0..1CSBinding: HumanLanguage (required)
..... component 1..*BackboneElement
...... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... typeCode S1..1codeBinding: v3-null (required)
Fixed Value: COMP
...... contextConductionInd S1..1boolean
...... section 1..1BackboneElement
....... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
....... realmCode 0..*CS
....... typeId 0..1II
....... templateId 0..*II
....... classCode S1..1codeBinding: v3-ActClassOrganizer (required)
Fixed Value: DOCSECT
....... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
....... id 0..1II
....... code 0..1CEBinding: DocumentSectionType (extensible)
....... title 0..1ST
....... text S0..1xhtml
....... confidentialityCode 0..1CE
....... languageCode 0..1CSBinding: HumanLanguage (required)
....... subject 0..1BackboneElement
........ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........ realmCode 0..*CS
........ typeId 0..1II
........ templateId 0..*II
........ typeCode S1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
........ contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
........ awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
........ relatedSubject 1..1BackboneElement
......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
......... realmCode 0..*CS
......... typeId 0..1II
......... templateId 0..*II
......... classCode S1..1code
......... code 0..1CEBinding: PersonalRelationshipRoleType (extensible)
......... addr 0..*AD
......... telecom 0..*TEL
......... subject 0..1BackboneElement
.......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.......... realmCode 0..*CS
.......... typeId 0..1II
.......... templateId 0..*II
.......... classCode S1..1codeBinding: EntityClassLivingSubject (required)
Fixed Value: PSN
.......... determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
.......... name 0..*EN
.......... desc 0..1ED
.......... administrativeGenderCode 0..1CEBinding: v3 Code System AdministrativeGender (extensible)
.......... birthTime 0..1TS
.......... deceasedInd 0..1BL
.......... deceasedTime 0..1TS
....... author 0..*See ClinicalDocument.author
....... informant 0..*See ClinicalDocument.informant
....... entry 0..*BackboneElement
........ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........ realmCode 0..*CS
........ typeId 0..1II
........ templateId 0..*II
........ typeCode S1..1code
........ contextConductionInd S1..1boolean
........ observation 1..1BackboneElement
......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
......... realmCode 0..*CS
......... typeId 0..1II
......... templateId 0..*II
......... classCode S1..1codeBinding: ActClassObservation (required)
......... moodCode S1..1code
......... id 0..*II
......... code S1..1CDBinding: ObservationType (extensible)
......... negationInd 0..1boolean
......... derivationExpr 0..1ST
......... text 0..1ED
......... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
......... effectiveTime 0..1IVL_TS
......... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
......... repeatNumber 0..1IVL_INT
......... languageCode 0..1CSBinding: HumanLanguage (required)
......... value 0..*BL, ED, ST, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL, EIVL, SXPR_TS
......... interpretationCode 0..*CEBinding: v3 Code System ObservationInterpretation (required)
......... methodCode 0..*CEBinding: v3-null (extensible)
......... targetSiteCode 0..*CDBinding: v3-null (extensible)
......... referenceRange 0..*BackboneElement
.......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.......... realmCode 0..*CS
.......... typeId 0..1II
.......... templateId 0..*II
.......... typeCode S1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: REFV
.......... observationRange 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: ActClassObservation (required)
........... moodCode S1..1codeBinding: ActMoodPredicate (required)
Fixed Value: EVN.CRT
........... code 0..1CDBinding: v3 Code System ActCode (extensible)
........... text 0..1ED
........... value 0..1BL, ED, ST, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL, EIVL, SXPR_TS
........... interpretationCode 0..1CEBinding: v3 Code System ObservationInterpretation (required)
......... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
......... specimen 0..*BackboneElement
.......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.......... realmCode 0..*CS
.......... typeId 0..1II
.......... templateId 0..*II
.......... typeCode S1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: SPC
.......... specimenRole 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: RoleClassSpecimen (required)
Fixed Value: SPEC
........... id 0..*II
........... specimenPlayingEntity 0..1BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ classCode S1..1codeBinding: EntityClassRoot (required)
............ determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
............ code 0..1CEBinding: v3 Code System EntityCode (extensible)
............ quantity 0..*PQ
............ name 0..*EN
............ desc 0..1ED
......... performer 0..*BackboneElement
.......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.......... realmCode 0..*CS
.......... typeId 0..1II
.......... templateId 0..*II
.......... typeCode S1..1codeBinding: ParticipationPhysicalPerformer (required)
Fixed Value: PRF
.......... time 0..1IVL_TS
.......... modeCode 0..1CEBinding: v3 Code System ParticipationMode (extensible)
.......... assignedEntity 1..1See ClinicalDocument.dataEnterer.assignedEntity
......... author 0..*See ClinicalDocument.author
......... informant 0..*See ClinicalDocument.informant
......... participant 0..*BackboneElement
.......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.......... realmCode 0..*CS
.......... typeId 0..1II
.......... templateId 0..*II
.......... typeCode S1..1codeBinding: v3 Code System ParticipationType (required)
.......... contextControlCode S1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.......... time 0..1IVL_TS
.......... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.......... participantRole 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: RoleClassRoot (required)
........... id 0..*II
........... code 0..1CEBinding: v3 Code System RoleCode (extensible)
........... addr 0..*AD
........... telecom 0..*TEL
........... playingDevice 0..1BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ classCode S1..1codeBinding: EntityClassDevice (required)
............ determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
............ code 0..1CEBinding: v3 Code System EntityCode (extensible)
............ manufacturerModelName 0..1SCBinding: v3-ManufacturerModelName (extensible)
............ softwareName 0..1SCBinding: v3-SoftwareName (extensible)
........... playingEntity 0..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen.specimenRole.specimenPlayingEntity
........... scopingEntity 0..1BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ classCode S1..1codeBinding: EntityClassRoot (required)
............ determinerCode S1..1codeBinding: v3 Code System EntityDeterminer (required)
Fixed Value: INSTANCE
............ id 0..*II
............ code 0..1CEBinding: v3 Code System EntityCode (extensible)
............ desc 0..1ED
......... entryRelationship 0..*BackboneElement
.......... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.......... realmCode 0..*CS
.......... typeId 0..1II
.......... templateId 0..*II
.......... typeCode S1..1code
.......... inversionInd 0..1boolean
.......... contextConductionInd S1..1boolean
.......... sequenceNumber 0..1INT
.......... negationInd 0..1boolean
.......... seperatableInd 0..1BL
.......... observation 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation
.......... regionOfInterest 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: ActClassROI (required)
Fixed Value: ROIOVL
........... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
........... id S1..*II
........... code S1..1CS
........... value S1..*INT
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ typeCode S1..1code
............ seperatableInd 0..1BL
............ externalAct 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1codeBinding: v3 Code System ActClass (required)
............. moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
............. id 0..*II
............. code 0..1CDBinding: v3 Code System ActCode (extensible)
............. text 0..1ED
............ externalObservation 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1codeBinding: ActClassObservation (required)
............. moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
............. id 0..*II
............. code 0..1CDBinding: v3 Code System ActCode (extensible)
............. text 0..1ED
............ externalProcedure 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1codeBinding: ActClassProcedure (required)
Fixed Value: PROC
............. moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
............. id 0..*II
............. code 0..1CDBinding: v3 Code System ActCode (extensible)
............. text 0..1ED
............ externalDocument 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1codeBinding: ActClassDocument (required)
............. moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
............. id 0..*II
............. code 0..1CDBinding: v3-DocumentType (extensible)
............. text 0..1ED
............. setId 0..1II
............. versionNumber 0..1INT
........... precondition 0..*BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ typeCode S1..1codeBinding: ActRelationshipConditional (required)
Fixed Value: PRCN
............ criterion 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1codeBinding: ActClassObservation (required)
............. moodCode S1..1codeBinding: ActMoodPredicate (required)
Fixed Value: EVN.CRT
............. code 0..1CDBinding: v3 Code System ActCode (extensible)
............. text 0..1ED
............. value 0..1BL, ED, ST, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL, EIVL, SXPR_TS
.......... observationMedia 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: ActClassObservation (required)
Fixed Value: OBS
........... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
........... id 0..*II
........... languageCode 0..1CSBinding: HumanLanguage (required)
........... value S1..1ED
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
........... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
.......... substanceAdministration 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: v3 Code System ActClass (required)
Fixed Value: SBADM
........... moodCode S1..1code
........... id 0..*II
........... code 0..1CDBinding: v3-SubstanceAdministrationActCode (extensible)
........... negationInd 0..1boolean
........... text 0..1ED
........... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
........... effectiveTime 0..*IVL_TS, EIVL, PIVL, SXPR_TS
........... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
........... repeatNumber 0..1IVL_INT
........... routeCode 0..1CEBinding: v3 Code System RouteOfAdministration (extensible)
........... approachSiteCode 0..*CDBinding: v3 Code System ActSite (extensible)
........... doseQuantity 0..1IVL_PQ
........... rateQuantity 0..1IVL_PQ
........... maxDoseQuantity 0..1RTO_PQ_PQ
........... administrationUnitCode 0..1CEBinding: v3-AdministrableDrugForm (extensible)
........... consumable 1..1BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ typeCode S1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: CSM
............ manufacturedProduct 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1codeBinding: RoleClassManufacturedProduct (required)
Fixed Value: MANU
............. id 0..*II
............. manufacturedLabeledDrug 1..1BackboneElement
.............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.............. realmCode 0..*CS
.............. typeId 0..1II
.............. templateId 0..*II
.............. classCode S1..1codeBinding: EntityClassManufacturedMaterial (required)
Fixed Value: MMAT
.............. determinerCode S1..1codeBinding: EntityDeterminerDetermined (required)
Fixed Value: KIND
.............. code 0..1CEBinding: v3-DrugEntity (extensible)
.............. name 0..1EN
............. manufacturedMaterial 1..1BackboneElement
.............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
.............. realmCode 0..*CS
.............. typeId 0..1II
.............. templateId 0..*II
.............. classCode S1..1codeBinding: EntityClassManufacturedMaterial (required)
Fixed Value: MMAT
.............. determinerCode S1..1codeBinding: EntityDeterminerDetermined (required)
Fixed Value: KIND
.............. code 0..1CEBinding: v3-MaterialEntityClassType (extensible)
.............. name 0..1EN
.............. lotNumberText 0..1ST
............. manufacturerOrganization 0..1See ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
........... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
.......... supply 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: ActClassSupply (required)
Fixed Value: SPLY
........... moodCode S1..1code
........... id 0..*II
........... code 0..1CDBinding: v3 Code System ActCode (extensible)
........... text 0..1ED
........... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
........... effectiveTime 0..*IVL_TS, EIVL, PIVL, SXPR_TS
........... priorityCode 0..*CEBinding: v3 Code System ActPriority (extensible)
........... repeatNumber 0..1IVL_INT
........... independentInd 0..1BL
........... quantity 0..1PQ
........... expectedUseTime 0..1IVL_TS
........... product S0..1BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ typeCode S1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: PRD
............ manufacturedProduct S1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.substanceAdministration.consumable.manufacturedProduct
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
........... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
.......... procedure 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: ActClassProcedure (required)
Fixed Value: PROC
........... moodCode S1..1code
........... id 0..*II
........... code 0..1CDBinding: v3-null (extensible)
........... negationInd 0..1boolean
........... text 0..1ED
........... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
........... effectiveTime 0..1IVL_TS
........... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
........... languageCode 0..1CSBinding: HumanLanguage (required)
........... methodCode 0..*CEBinding: v3-null (extensible)
........... approachSiteCode 0..*CDBinding: v3-null (extensible)
........... targetSiteCode 0..*CDBinding: v3-null (extensible)
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
........... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
.......... encounter 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1codeBinding: v3 Code System ActClass (required)
Fixed Value: ENC
........... moodCode S1..1code
........... id 0..*II
........... code 0..1CDBinding: ActEncounterCode (extensible)
........... text 0..1ED
........... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
........... effectiveTime 0..1IVL_TS
........... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
........... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
.......... organizer 1..1BackboneElement
........... nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........... realmCode 0..*CS
........... typeId 0..1II
........... templateId 0..*II
........... classCode S1..1code
........... moodCode S1..1codeBinding: v3 Code System ActMood (required)
Fixed Value: EVN
........... id 0..*II
........... code 0..1CDBinding: v3 Code System ActCode (extensible)
........... statusCode S1..1CSBinding: v3 Code System ActStatus (required)
........... effectiveTime 0..1IVL_TS
........... component 0..*BackboneElement
............ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............ realmCode 0..*CS
............ typeId 0..1II
............ templateId 0..*II
............ typeCode S1..1codeBinding: v3-null (required)
Fixed Value: COMP
............ contextConductionInd S1..1boolean
............ sequenceNumber 0..1INT
............ seperatableInd 0..1BL
............ observation 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation
............ regionOfInterest 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest
............ observationMedia 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.observationMedia
............ substanceAdministration 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.substanceAdministration
............ supply 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.supply
............ procedure 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.procedure
............ encounter 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.encounter
............ organizer 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.organizer
............ act 1..1BackboneElement
............. nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
............. realmCode 0..*CS
............. typeId 0..1II
............. templateId 0..*II
............. classCode S1..1code
............. moodCode S1..1code
............. id 0..*II
............. code S1..1CDBinding: v3 Code System ActCode (extensible)
............. negationInd 0..1boolean
............. text 0..1ED
............. statusCode 0..1CSBinding: v3 Code System ActStatus (required)
............. effectiveTime 0..1IVL_TS
............. priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
............. languageCode 0..1CSBinding: HumanLanguage (required)
............. subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
............. specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
............. performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
............. author 0..*See ClinicalDocument.author
............. informant 0..*See ClinicalDocument.informant
............. participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
............. entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
............. reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
............. precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
........... subject 0..1See ClinicalDocument.component.structuredBody.component.section.subject
........... specimen 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.specimen
........... performer 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.performer
........... author 0..*See ClinicalDocument.author
........... informant 0..*See ClinicalDocument.informant
........... participant 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.participant
........... entryRelationship 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship
........... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
........... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
.......... act 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.organizer.component.act
......... reference 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.reference
......... precondition 0..*See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest.precondition
........ regionOfInterest 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.regionOfInterest
........ observationMedia 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.observationMedia
........ substanceAdministration 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.substanceAdministration
........ supply 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.supply
........ procedure 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.procedure
........ encounter 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.encounter
........ organizer 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.organizer
........ act 1..1See ClinicalDocument.component.structuredBody.component.section.entry.observation.entryRelationship.organizer.component.act
....... component 0..*BackboneElement
........ nullFlavor 0..1codeBinding: v3 Code System NullFlavor (required)
........ realmCode 0..*CS
........ typeId 0..1II
........ templateId 0..*II
........ typeCode S1..1codeBinding: v3-null (required)
Fixed Value: COMP
........ contextConductionInd S1..1boolean
........ section 1..1See ClinicalDocument.component.structuredBody.component.section

doco Documentation for this format

UML Diagram

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